Hill City Montessori School

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The file for child #2 did not have updated immunizations.”

Rule 8VAC20-780-130-E.

A tuberculosis (TB) screening is required every two years from the last screening

“Staff #3 updated screening was due 3 months ago.”

Rule 8VAC20-780-160-C.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #2 has not yet completed this course which is overdue by 6 months.”

Rule 8VAC20-780-240-A.

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

“The fire inspection is overdue by approximately 4 months.”

Rule 8VAC20-780-260-A.

The center shall provide to the licensing representative an annual health inspection report.

“The health inspection is overdue by approximately 4 months.”

Rule 8VAC20-780-260-B.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“The electrical outlets in the infant room did not have protective covers.”

Rule 8VAC20-780-290-3.

When food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Two bottles in the baby room did not have the current date or a name identifying the infant.”

Rule 8VAC20-780-560-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached

“The record for Child #3 was missing the 2 emergency contacts name, address, and phone number.”

Rule 8VAC20-780-60-A.

The following staff records shall be kept for each staff person: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

“Staff #1, Staff #2, and Staff #4 were missing the address required for the emergency contact.”

Rule 8VAC20-780-70.

The vendor shall ensure compliance with the standards in this part, the terms of the vendor agreement, and all relevant federal, state, or local laws and regulations.

“Staff #1 did not complete the required Virginia Health and Safety Annual Update Training for 2025.”

Rule 8VAC20-790-520-A.

All staff who work directly with children shall have within 90 days of date of employment certification in CPR.

“Staff #4 completed the CPR certificate training after 90 days of employment.”

Rule 8VAC20-790-600-D-1.

All staff who work directly with children shall have within 90 days of date of employment certification in First Aid.

“Staff #4 completed the First Aid certificate training after 90 days of employment.”

Rule 8VAC20-790-600-D-2.

The center shall obtain the proof of child identity and age for each child enrolled.

“Record for Child #4, who has been enrolled for more than 2 months, did not include proof of the child’s age and identity (birth certificate).”

Rule 8VAC20-780-40-G.

The center is required to have employees undergo a background check every five years.

“The most recent criminal history record check for Staff 4, was over by 18 months.”

Rule 22.1-289.035-A.

Repeat violation

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff 1, employed for 1 month, contained information that to indicate that they have resided in another state. The record did not contain documentation of requesting or receiving a criminal history record check or a child abuse and neglect registry check from that state.”

Rule 22.1-289.035-B-4.

Repeat violation

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The record for Child 1, who has been enrolled for 2 months, did not contain a physical exam. The record for Child 2, who has been enrolled for 6 months, did not contain a physical exam.”

Rule 8VAC20-780-140-A.

Repeat violation

“A tuberculosis (TB) screening is required every two years from the date of the last screening. The updated TB screening for Staff 4 was obtained 5 months past the required timeframe.”

Rule 8VAC20-780-160-C.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“The wire on the bunny cage in Classroom 2 had multiple sections that were sharp and could snag skin; these sharp sections were accessible to the children in the class. The door on the wooden play stove in Classroom 2 was broken, creating a pinch point that was accessible to the children.”

Rule 8VAC20-780-270-A.

Children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals and snacks.

“Child 4 was observed returning to a play area immediately after finishing the morning snack; Child 4 did not wash their hands with soap and running water or a disposable wipe after eating the snack.”

Rule 8VAC20-780-500-A.

When centers choose to provide meal or snacks, a menu listing the foods to be served for meals and snacks during the current one-week period shall be dated; posted in a location conspicuous to parents; list any substituted food; and be kept on file for one week at the center.

“The center does not provide a current one-week menu to families. Items served are communicated to families on a daily basis through a communication app used by the center.”

Rule 8VAC20-780-560-F.

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.

“Child 1?s immunization documentation was dated 2 days after Child 1?s first day of attendance.”

Rule 8VAC20-780-130-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff 1 TB screening was dated three months prior to date of employment; Staff 1 has been employed for over a month.”

Rule 8VAC20-780-160-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff 3 and Staff 5 updated screenings were due 3 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

When food is brought from home the food container must be clearly labeled in a way that identifies the owner.

“A blue lunchbox and a pink lunchbox for the Nido Room were not labeled in a way that identified the owner.”

Rule 8VAC20-780-560-G.

A written agreement between the parent and the enter shall be in each child’s record by the first day of the child’s attendance. The agreement shall be signed by the parent and include: An authorization for emergency medical care; A statement that the center will notify the parent when the child becomes ill, and the parent will arrange to have the child picked up as soon as possible; and a statement that the parent will inform the center within 24 hours after the child or household member as developed any reportable communicable disease.

“The records for Child 1, Child 2, Child 3, Child 4, and Child 5 did not contain the required written agreements.”

Rule 8VAC20-780-90-A.

Based on record review, the center failed to ensure each staff person has a signed sworn disclosure statement prior to the 1st day of employment.

“Evidence: Staff # 2 had a documented employment date of 03/01/2023. A completed sworn statement was not in the record. Staff #2 was observed working with children during the inspection.”

Rule 8VAC20-770-60-B.

Based on observation, the center failed to ensure that all food brought from home was clearly labeled and dated.

“Evidence: There were approximately 7-10 lunch boxes that were not clearly dated.”

Rule 8VAC20-780-560-G.

Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.

“Evidence: The record for children 1-5 did not include the following information: Chronic physical problems and pertinent developmental information and any special accommodations”

Rule 8VAC20-780-60-A.

Based on review of staff record, the center failed to ensure that all records were complete per the standard.

“Evidence: 1.Staff # 2 had a hire date of 03/01/2023 and was missing the following items, two required references prior to hire. 2.Staff # 4 had a hire date of 04/01/2024 and was missing the following items, two required references prior to hire.”

Rule 8VAC20-780-70.

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

“Evidence: Staff # 1 had a documented employment date of 08/09/2023. Staff # 1 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. An out of state Child Protective Service findings was not in the record.”

Rule 22.1-289.035-B-4.

Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance.

“Evidence: The record for Child # 2, with a documented first day of attendance of 02/28/2023, did not have the immunization prior to attending. The immunizations in the record were dated 7/24/2023.”

Rule 8VAC20-780-130-A.

Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. The record for Child # 2 contained documentation that the first date of attendance was 02/28/2023; the date on the physical exam for Child 2 was 07/24/2023. 2. The record for Child # 3 contained documentation that the first date of attendance was 06/29/2023; there was not documentation of a physical exam in the record.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure that each report of immunization and physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“Evidence: 1. The immunization report in the record for Child # 3 was not dated by a physician, his designee, or an official of a local health department. 2. The immunization report in the record for Child # 4 was not signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

Based on observation, the center failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers.

“Evidence: There were 2 uncovered electrical outlets on wall next to the outside door in the infant room. The uncovered outlets were not accessible to the children.”

Rule 8VAC20-780-290-A-3.

Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing.

“Evidence: Observed on the playground the measurable amount of resilient surfacing was 3 or 4 inches with dirt being the main part of the resilient surfacing around the climbable play equipment. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing is six to nine inches based on the height if the equipment. Children were observed on the playground using the climbing equipment.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure that all medications were locked.

“Evidence: On the shelf in child # 1 basket was an opened tube of prescription diaper cream that was unlocked.”

Rule 8VAC20-780-510-L.

Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center.

“Evidence: Medication authorization for Child # 1 to administer prescription diaper cream was signed by the parent on 09/11/2023 and expired on 09/24/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the investigation.”

Rule 8VAC20-780-510-P.

Based on review of nonprescription medication and topicals, the center failed to ensure that all nonprescription medication and topicals were not kept or used beyond the expiration date.

“Evidence: 1. There were two diaper ointments in the toddler room that had expired. The AD ointment expired on 7/23 and the Destin expired on 1/23.”

Rule 8VAC20-780-520-A.

Based on review of sunscreens, the center failed to ensure that all sunscreens were labeled with the owner’s name.

“Evidence: There was a diaper ointment in the toddler room that was not labeled with the owner’s name.”

Rule 8VAC20-780-520-C.

Based on observation, the center failed to ensure that all chemicals were not locked using a safe locking method that prevents access by children.

“1.In the main office of the center there was a gallon container of a cleaning chemicals (Lysol) sitting on the floor as you enter the office. The door through out the day is open and not locked. 2.In the infant 1 room there was two spray containers of cleaning chemicals (soap and water and sanitizer) sitting on the diaper changing table. The infants were finishing up lunch and infants were not being diapered.”

Rule 8VAC20-780-280-B.

Based on review of the playground safety plan, the center failed to ensure that all required components were part of the plan.

“Evidence: The playground safety plan did not contain the method of maintaining resilient surfacing.”

Rule 8VAC20-780-40-N.

Repeat violatioin

“Based on observation and discussion with the staff, the center failed to ensure that cribs shall be used for children under 12 months of age. Evidence: 1. On the day of the inspection, there were three children under 12 months sleeping on a floor bed and not in the required crib per the standard. Child # 3 was 6 months old, child # 4 was 7 months old and child # 5 was 10 months old. 2. Staff # 4 confirmed that cribs have never been used for infants.”

Rule 8VAC20-780-440-G.

Based on observation, the center failed to ensure that all diapering standards were met.

“Evidence: Observed a child in the young toddler room having their diaper changed. Staff # 2 was sitting on the floor in between the door and the lunch tables. The child was doing a stand-up diaper change. There was no mat on the ground during this change and the child was approximately 3-4 inches away from children eating lunch.”

Rule 8VAC20-780-500-B.

Based on observations, the center failed to ensure that all items brought from home were labeled and dated.

“Evidence: In the infant room refrigerator, there were 3 bottles observed. One bottle was not labeled or dated. Staff # 4 stated it was breast milk that belonged to another staff person.”

Rule 8VAC20-780-560-G.

Based on review of two children’s records, the center failed to ensure that all children had a physical examination within 30 days of enrollment.

“Evidence: 1. The record for Child # 2, started on 09/12/2022, physical exam within 30 days of beginning attendance. The date on the physical exam was 11/01/2022.”

Rule 8VAC20-780-140-A.

Based on observation and discussion with the staff, 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 seven children 12 months and younger that were sleeping on an infant bed and not in the required crib per the standard. 2. Staff # 1 and # 3 confirmed that cribs were purchased but are not being used for nap time.”

Rule 8VAC20-780-440-G.

Based on review of the evacuation log and discussion with staff, the center failed to ensure that all monthly drills were conducted.

“Evidence: 1. The December Fire Drill was not documented as being conducted. 2. Staff # 3 confirmed that the drill was not completed in December.”

Rule 8VAC20-780-550-D.