Countryside Montessori School Inc.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily heath observation of children.

“There was no staff member on duty who has obtained instruction in performing the daily health observation.”

Rule 8VAC20-780-245-L.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“There was no immunization in the record of Child 4, who had been enrolled for approximately one month.”

Rule 8VAC20-780-130-A.

The center is required to request a search of the child abuse and neglect registry prior to hire, from any state in which the individual has resided in the preceding five years.

“The center did not request a search of the child abuse and neglect registry from two states for Staff 1, who has been employed for more than a month and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

Th center shall provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The most recent fire inspection available during the inspection was dated 09/07/2023.”

Rule 8VAC20-780-260-A.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff 3 was the only staff member providing care to a group of children. Staff 3?s certification in first aid and CPR was expired by 3 months.”

Rule 8VAC20-780-530-A.

Bottle fed infants who cannot hold their own bottle shall be held when fed.

“Child 5 was observed laying on their back with a bottle propped.”

Rule 8VAC20-780-570-B.

Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child 5 documented the first date of attendance as 04/26/2021. The immunization record was obtained 04/28/2021.”

Rule 8VAC20-780-130-A.

Based on review of five staff’s records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: Staff # 4 had a documented employment date of 06/12/2023. A returned letter of eligibility was dated 07/13/2023. Staff # 6 did not provide documentation when requested.”

Rule 22.1-289.035-B-2.

Based on record review and interviews, the center failed to ensure that all emergency drills were documented.

“Evidence: The center did not have documentation of a fire evacuation drill for November of 2023.”

Rule 8VAC20-780-550-G.

Based on review of five children’s records, the center failed to that immunizations for children 2 and under were updated every 6 months.

“Evidence: Child # 5 (DOB 5/22/2020) and documented enrollment date of 10/26/2020 did not have updated immunizations ever six months. The most recent immunization record is 8/25/2020.”

Rule 8VAC20-780-130-E.

Based on review of five staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire.

“Evidence: 1.Staff # 4 had a hire date of 9/1/2022. A return search of the central registry was not in the record. Staff # 3 did not provide documentation when requested. 2. Staff # 5 had a hire date of 6/22/22. A return search of the central registry was not in the record. Staff # 3 did not provide documentation when requested.”

Rule 8VAC20-770-60-C-2.

Based on interview and review of six staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at least every two years from the day of the initial screening or testing. Evidence:

“1.Staff # 1 started employment on 10/09/2020 and the most recent TB screening was dated 7/10/2020. The Staff person was working with children on the day of the inspection without a current TB screening.”

Rule 8VAC20-780-160-C.

Based on observation of the infant room, the center failed to ensure that all areas required for diapering were met.

“Evidence: 1.Observed the diaper changing pad in the nido room had several tears which makes the pad absorbent.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that all areas and equipment was maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all play structures that required resilient surfacing had the required amount.

“Evidence: 1.The tire swing had resilient surfacing directly under the swing. The requirement is for the resilient surfacing to extend all directions that the tire swing goes and double the area. 2.The composite play structure that has four slides, climbing wall and a swinging bridge had resilient surfacing mats that only extended approximately 2 feet in the direct fall zones. The requirement is for the resilient surfacing to extend six feet on all sides of the equipment.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1.Nine chicken hens, one rooster and one turkey were observed roaming around the outdoor play area with the children. There were several child sized picnic tables in the area. The inspectors observed pieces of food, such as chicken nuggets and sweet potato fries, on the ground around the picnic tables. The poultry were observed eating the pieces of food.

Rule 8VAC20-780-340-A.

Based on observation, the center failed to ensure that when children are in ongoing mixed age groups, the staff-to children ratio is applicable to the youngest child in the group.

“Evidence: Observed in the infant room 10 children with two staff members. The youngest child present was 11 months old. The room required three staff members. The ratio is one staff person for four infants.”

Rule 8VAC20-780-350-C.

Based on observation and interview with staff, the center failed to ensure that all children 12 months and younger were using a crib.

“Evidence: On the day of the inspection, there was one child 12 months and younger that was sleeping on an infant bed and not the required crib per the standard.”

Rule 8VAC20-780-440-G.

Based on observation of the infant room, the center failed to ensure that when cloth diapers are used a separate leak proof storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system.

“Evidence: Observed three zipped cloth bags hanging from the diaper changing table. Each bag had soiled cloth diapers in them. The method of disposal did not ensure that a staff’s member’s hands nor the soiled diaper touched the exterior surface of the storage system.”

Rule 8VAC20-780-500-B.

Based on review of the most recent fire inspection the, center failed to ensure that an annual fire inspection was conducted.

“Evidence: 1. The most recent fire inspection was 1/28/2021”

Rule 8VAC20-780-260-A.

Based on observation, the center failed to ensure that all areas and equipment was maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all play structures that required resilient surfacing had the required amount.

“Evidence: 1. The tire swing had resilient surfacing directly under the swing. The requirement is for the resilient surfacing to extend all directions that the tire swing goes and double the area. 2. The makeshift log play structure did not have the required resilient surfacing around the perimeter. There was not enough mulch around it to measure.”

Rule 8VAC20-780-330-B.

Based on observation and interviews, the center failed to ensure that when staff are supervising children they always ensure their care, protection and guidance.

Rule 8VAC20-780-340-A.

Based on observation of the outside play area, the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-children ratio is applicable to the youngest child in the group.

“Evidence: 1. Upon arrival at 8:45 A.M. there were 16 children outside ages 14 months to 5 years old with two staff. The required ratio is one staff to four children when the group is combined. The required number of staff is four staff. At 9:08 A.M. there were 22 children with four staff. The required number of staff would be seven for this grouping of children.”

Rule 8VAC20-780-350-C.

Based on observation and discussion with the director, the center failed to ensure that all children 12 months and younger were using a crib.

“Evidence: 1. On the day of the inspection there were three children 12 months and younger that were sleeping on an infant bed and not the required crib per the standard.”

Rule 8VAC20-780-440-A.

Based on observation of the infant room, the center failed to ensure that when cloth diapers are used a separate leak proof storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system.

“Evidence: 1. Observed two zipped cloth bags hanging from the diaper changing table. Each bag had soiled cloth diapers in them. The method of disposal did not ensure that a staff’s member’s hands nor the soiled diaper touched the exterior surface of the storage system.”

Rule 8VAC20-780-500-B.

Based on review of six staff’s records, the center failed to ensure that at least two staff members who meet the requirement for First Aid and CPR present on the premises during the center’s hours of operation.

“Evidence: Staff # 6 was the only staff present during the inspection that had First Aid and CPR.”

Rule 8VAC20-780-530-C.

Based on interviews and observation, the center failed to ensure that all manure was removed from barns, stables, and corrals at least once a day and stored and disposed of in a manner to prevent the breeding of flies.

“Evidence 1. Observed chickens roaming around freely in the outside play area. Verified through interviews the chicken coop is cleaned weekly. 2. There were three goats in a corral that has a fence around it. Verified through interviews the corral is cleaned weekly.”

Rule 8VAC20-780-600-F.

Based on discussion with the staff and review of children’s ages, the center failed to ensure that cribs shall be used for children under 12 months of age.

Rule 8VAC20-780-440-G. From a complaint.

Based on review of two staff’s records, the center failed to ensure that all out of state required backgrounds were obtained.

“Evidence: 1. Staff # 2 lived out side of Virginia in the past five years and did not have documentation of the out of state sex offender required.”

Rule 22.1-289.036-A.

Based on observation and discussion with the director, the center failed to ensure that all children 12 months and younger were using a crib.

“Evidence: 1. On the day of the inspection there were four children 12 month and younger that were sleeping on a infant bed. This is a Montessori approach for the infants to sleep on this type of bed.”

Rule 8VAC20-780-440-G.