Fiore Montessori II

The center shall ensure that areas of the center, inside, are maintained in a safe condition.

“There three areas of chipping paint observed on the wooden windowsill in Classroom #2 within the reach of children.”

Rule 8VAC20-780-270-A.

Materials available shall be age and stage appropriate for the children.

“At the time of the inspection, a basket containing six small rocks was observed on the bottom shelf in a center in Classroom #1, easily accessible to children ages 16-month to 3 years of age. The rocks were noted to be small enough to be considered a choking hazard for children under 3-years-old.”

Rule 8VAC20-780-430-B.

Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, chipped or peeling paint.

“Peeling paint was observed on the walls in classroom #1 and #2 at a location within reach of the children.”

Rule 8VAC20-780-270-A.

The diapering area shall have a sink with running warm water and a nonabsorbent surface for diapering or changing shall be used.

Rule 8VAC20-780-500-B.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include staff and parent signatures or two staff signatures and shall include the date and time when parents were notified.

“It was observed that the written record of children’s injuries did not always contain the signatures of staff and parent or signatures of two staff or the time the parent was notified.”

Rule 8VAC20-780-550-P. From a complaint.

The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“Child #1’s injury, which required outside medical treatment, was not reported to a department representative. Email documentation confirms that the parent informed the center of the outside medical treatment received on the same date that the injury occurred.”

Rule 8VAC20-780-80-B-2. From a complaint.

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #1 and #2, who had been employed for one month, did not have a completed national criminal background check prior to their first day of employment.”

Rule 22.1-289.036-B-2.

Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and the documentation shall have been completed within the last 30 calendar days of the date of employment.

“The TB screening for Staff #1 was dated 17 months prior to the first day of employment. The TB screening for Staff #3 was dated five months prior to the first day of employment.”

Rule 8VAC20-780-160-A.

Program leaders shall be 18 years of age, have fulfilled a high school program completion or the equivalent and a minimum of 24 hours of training shall be received related to the care of children.

“The record for Staff # 1 did not have supporting documentation of a high school program completion or the equivalent.”

Rule 8VAC20-780-210-A.

Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall.

“The mulch in the fall zones on the large playground measured to be less than three inches in depth and some areas had bare dirt.”

Rule 8VAC20-780-330-B.

Sandboxes shall be covered when not in use.

“The sandbox on the playground did not have a cover available when not in use.”

Rule 8VAC20-780-330-E.

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening.

“The last documented TB screening for Staff #1 expired over ten months and the TB screening for Staff #5 expired six weeks ago.”

Rule 8VAC20-780-160-C. From a complaint.

22.1-289.036-A

“The center is required to have board officers/agents undergo a background check every five years. The most recent criminal history and central registry for Staff #7 was overdue by a year and nine months.”

Rule 22.1-289.036-A.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff #2 changed a child’s diaper in classroom #4 and did not wash the child’s hands with soap and water.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after helping a child use the toilet. Staff #6 in Classroom #5 did not wash their hands before or after helping children use the toilet.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Individual disposable barriers may be used between each diaper change. Staff #2 in Classroom #4 used a non-disposable barrier when changing a child’s diaper.”

Rule 8VAC20-780-500-B.

22.1-289.035-B-4

“Based on record review and interview, the child day center failed to request an out-of-state Criminal history Records Request prior to date of employment. Evidence: 1. The record for Staff #1 (DOH 8/12/24) out-of-state criminal record request was dated 8/22/24. 2. The record for Staff #2 (DOH 8/5/24) did not have documentation of an out-of-state criminal record request was submitted. 3. The center director acknowledged the out-of-state criminal record request was not requested.”

Rule 22.1-289.035-B-4.

8VAC20-780-40-M

“Based on observation and interview, the current written list of all children’s allergies, sensitivities, and dietary restrictions was not dated. Evidence: 1. The current written list of all children’s allergies, sensitivities, and dietary restrictions did not have a date on the list. 2. The center director confirmed the date is not printed on the list.”

Rule 8VAC20-780-40-M.

8VAC20-780-440-L

“Based on observation, pillows and filled comforters were used by children under two years of age. Evidence: There were 3 children sleeping on mats in the Buttercups classroom (Birth to 16 months) that were using a nap mat that has a quilted blanket and pillow attached.”

Rule 8VAC20-780-440-L.

8VAC20-780-500-B

“Based on observations, disposable diapers shall be disposed in a leakproof or plastic-lined 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 during disposal. Evidence: The disposable diaper storage system was not foot-operated and could not be used without the staff’s hand touching the exterior surface of the storage system.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

“Based on record review and interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. At the time of inspection, two children (child #3 and child #5) in the Violet classroom were not signed out upon their departure on the daily attendance. 2. The staff #4 acknowledged the two children were not signed out on the daily attendance sheet when they departed for the day.”

Rule 8VAC20-780-80-A.

8VAC20-780-280-B

“Based on observation, potentially poisonous materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The Violet class (16 - 36 months) has an unlocked cabinet under the sink with cleaning products inside.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-B

“Based on observation and interview with director, there is not a nonabsorbent designated changing table or countertop for diapering or changing children younger than three years. Evidence: 1.There is not a changing table or designated counter top in the classroom or bathroom. 2.Director said they did not plan to use changing tables because children would change themselves.”

Rule 8VAC20-780-500-B.

8VAC20-780-540-E

“Based on observation and interview with director, the center does not have a working, battery-operated radio in each building that is used by children. Evidence: 1. Battery-operated radio is not in nonmedical supplies. 2.Director said they did not have battery-operated radios in the center.”

Rule 8VAC20-780-540-E.