Metta Montessori School

8VAC20-780-360-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 6 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-360-C.

Child day centers are required to obtain a copy of the results of a search of the central registry.

“Staff Member C’s most recent Central Registry Search was dated 3/15/2019.”

Rule 22.1-289.036-B-3.

At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Staff Member B’s most recent TB screening was dated 7/28/2021. Staff member C’s most recent TB screening was dated 3/23/2023.”

Rule 8VAC20-780-160-C.

The center is required to obtain out of state background checks from any state in which the individual has resided in the preceding five years.

“Staff #5, employed for 28 days, did not have documentation of requesting an out of state central registry check and state sex offender registry search from the state that they resided in the preceding five years.”

Rule 22.1-289.035-B-4.

Documentation of a negative tuberculosis (TB) screening shall be completed within the last 30 days of the date of employment.

“Staff #5 TB was dated 9 months prior to the date of employment and Staff #5 has been employed for 28 days.”

Rule 8VAC20-780-160-A.

The center shall obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system.

“The center’s environmental sanitation inspection is overdue by 12 days.”

Rule 8VAC20-780-260-B.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior.

“During the inspection, of outdoor play, Staff #3 was observed pulling up Child A (3 years old) by the right upper forearm from the child’s knees to a standing position. Staff #3 then took the child down a few steps to the mulched playground area, where Child A dropped to the ground, and Staff #3 walked away. It was reported that Child A was told “no” three times by Staff #3 because the child wanted to get on a bike.”

Rule 8VAC20-780-400-B.

Based on record review, the center did not ensure the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.

“Evidence: The records for Staff #3, date of hire 2/4/23, and Staff #4, date of hire 9/1/23, did not contain documentation of the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on record review, the center did not ensure child records contained the address of two designated people to call in an emergency if a parent cannot be reached.

“Evidence: The record for child #4 did not contain the address for two emergency contacts.”

Rule 8VAC20-780-60-A.

Based on record review, the center did not ensure all out of state background searches were completed for the states in which staff resides in the preceding 5 years.

“Evidence: Staff 1 does not have completed out of state searches. (Staff 1, 9/13/2022)”

Rule 22.1-289.035-B-4.

Based on observation, caregivers did not wash hands in between diaper changes.

“Evidence: Caregiver 1 was observed not washing hands in between diaper changes.”

Rule 8VAC20-780-500-A.

Based on observation and interview, areas and equipment inside and outside were not maintained in a safe condition.

“Evidence: 1) In the upstairs classroom of building 2, the ceiling has exposed insulation and the drywall is not completed due to a previous leak. 2) On the outdoor playground, the second row of the make-believe bus has a broken blue chair which could be entangle clothing or snag skin.”

Rule 8VAC20-780-270-A.

Based on observation, hazardous substances were not kept in a locked place that prevents access by children.

“Evidence: Building 1030: On the lower level, a antibacterial hand sanitizer was observed accessible to children. On the upper level, a hand sanitizer, disinfecting wipes and toilet bowl cleaners were observed accessible to children.”

Rule 8VAC20-780-280-B.

22.1-289.035-A

“Based on record review, the center did not ensure repeat background checks were conducted for all staff every five years. Evidence: Staff 7 (DOH 9/1/16) has a central registry search completed on 9/29/2016.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Based on record review, the center did not ensure all staff submitted to a fingerprint criminal history record check prior to the first date of employment. Evidence: Staff 2 (DOH 11/9/21) did not submit to a fingerprint background check. Staff 4 (DOH 10/25/21) did not submit to a fingerprint background check.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review, the center did not ensure all staff completed a sworn statement. Evidence: Staff 1 (DOH 11/23/21) did not have a completed sworn statement in their record.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

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

Based on observation and interview, the center did not follow the staff-to-child ratio requirements for 16 months to 24 month old children, of one staff member for every five children.

“Evidence: On 11/22/2021 at approximately 9:25am, there were 19 children eating snack outside with 3 staff directly supervising. Staff 8 stated the fourth staff person (Staff 9) went inside to put an item away. Staff 8 opened the door to Building 2 and asked Staff 9 to come back outside.”

Rule 8VAC20-780-350-B.

Based on observation and record review, the center did not follow the staff-to-children ratio applicable to the youngest child when the children are in ongoing mixed age groups.

Rule 8VAC20-780-350-C.