Vision Montessori of Herndon

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 (TB) screening.

“Staff #2’s subsequent TB screening is overdue by over five months.”

Rule 8VAC20-780-160-C.

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR). The training shall include an in-person competency demonstration.

“Staff #1’s CPR certification expired over two months ago. Staff #3’s CPR certification did not include an in-person competency demonstration.”

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

All staff who work directly with children shall have current certification in first aid.

“Staff #1’s first aid certification expired over two months ago.”

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

Staff to children ratios are required whenever children are in care.

“A classroom had one staff member with nine children, including four two-year olds, for approximately 18 minutes, exceeding the required 1:8 ratio.”

Rule 8VAC20-780-350-B-3.

Hazardous substances shall be kept in a locked place that prevents access by children.

“A plug-in air freshener was accessible to children in the Pre-Primary classroom.”

Rule 8VAC20-780-280-B.

If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

“A substitute container containing a cleaning solution did not indicate its contents.”

Rule 8VAC20-780-280-G.

Children’s hands shall be washed with soap and running water after toileting.

“Child #5’s hands were not washed after the child’s diaper was changed.”

Rule 8VAC20-780-500-A.

A nonabsorbent surface for diapering shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Disposable diapers shall be disposed in a 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. The diapering surface shall be cleaned with soap and water and sanitized after each use.

“Staff #1 was observed changing Child #5’s (age: 2 years) diaper on an absorbent mat on the floor. The diapering surface was not cleaned with soap and water and sanitized after use. Diapers were disposed in a storage system that was not 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.”

Rule 8VAC20-780-500-B.

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

“The center did not obtain documentation of additional immunizations once every six months for Child #5 (age: 23 months). The most recent immunizations on file was dated 9 months ago.”

Rule 8VAC20-780-130-E.

The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept in each room or area where children are present.

“The allergy list kept in the Pre-Primary classroom was not current, dated August 2023- August 2024. The allergy list kept in the Primary classroom was not dated.”

Rule 8VAC20-780-40-M.

When centers choose to provide meals, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“The center did not follow the most recent nutritional requirement of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Fluid milk is required to be served at lunch. The center does not currently offer milk.”

Rule 8VAC20-780-560-F.

Tables shall be sanitized after each use for feeding.

“Two children were observed eating at a table. The table was not sanitized after use.”

Rule 8VAC20-780-560-J.

8VAC20-780-270-A

“Areas and equipment of the center, inside, shall be maintained in a safe condition. There were multiple areas of chipped paint in two classrooms used by the Toddlers class (ages 16 months-2 years).”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were two electrical outlets that did not have protective covers in the Primary classroom. There were children ages 3-5 years present in the classroom at the time.”

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

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the dosage amount and the time or times to be given. Child #6?s medication was not labeled with the child’s name, the dosage amount and the time to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept beyond the expiration date of the product. The Toddlers? classroom had a diaper cream belonging to Child #7 that expired May 2024.”

Rule 8VAC20-780-520-A.

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician. Child #6?s written care plan did not include instructions from a physician.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-90-A

Rule 8VAC20-780-90-A.