Troy Montessori

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.

“The screening for Staff #1 was completed 3 days after hire.”

Rule 8VAC20-780-160-A.

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

“Staff #1 and #2 updated screening was due over 3 months ago and have not yet been completed.”

Rule 8VAC20-780-160-C.

Based on review of staff records and interviews, the center failed to ensure each staff maintained a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The record for staff #2 (DOH: 3/15/2024) contained a CPR certification that expired in May 2024. 2. Staff acknowledged the CPR certification being expired and stated they were unaware of the subsidy requirement of every staff maintaining a current CPR certification.”

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

Based on a review of staff records and interviews, the center failed to ensure each staff maintained a current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The record for staff #2 (DOH: 3/15/2024) contained a first aid certification that expired in May 2024. 2. Staff acknowledged the first aid certification being expired and stated they were unaware of the subsidy requirement of every staff maintaining a current first aid certification.”

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

Based on review of children’s records, the center did not ensure each child record contained all required information.

“Evidence: 1. The record for child #3 did not contain a work phone number for either parent listed. The information in the child’s record was blank.”

Rule 8VAC20-780-60-A.

Based on a review of five child records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“Evidence: The record for child #1 did not contain a physical. Child #1?s date of enrollment was 12/11/2023.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure that shelter in place procedures shall be practiced a minimum of twice per year.

“Evidence: 1. The drill log did not have documentation of practiced shelter in place procedures from May 2023 ? April 2024. 2. Staff #2 stated that shelter in place drills were conducted but were not documented.”

Rule 8VAC20-780-550-E.

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The records for child 1 (date of enrollment: 8/21/2023) did not contain documentation of immunizations. Children 1 was in care on the day of the inspection. 2. The center director confirmed that the records for child 1did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-60-A

“Based on record review, children’s records were incomplete. Evidence: 1. Child 5?s record was missing doctor’s name and contact and was missing persons authorized to pick up. Child 5?s date of enrollment was 7/5/2023.”

Rule 8VAC20-780-60-A.