Appletree Montessori

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #3 and Staff #4 had not completed orientation training and had assumed job responsibilities for over one month ago.”

Rule 8VAC20-780-240-B.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #2 and Child #4, enrolled for one month, was missing the work phone number of one parent who has custody.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #3, who had been employed for three months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #3 is currently working with children and does not have documentation of a negative TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #3 had not completed orientation training and had assumed job responsibilities for over four months.”

Rule 8VAC20-780-240-B.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1 #2 and #3, enrolled for eight months, was missing proof of identification. The record for Child #2 #4 and #5 enrolled for eight months, was missing the work phone number of one parent who has custody.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Documentation of at least two references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been actively working at the center for the past three months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On 3/18/2026 Staff #1 set up and supervised an outdoor activity that included lighting sticks and paper on fire in a tin foil bowl for the children to jump over while participating in a cultural celebration. After the activity, Child #1 picked up a hot stick, causing an injury, that resulted in a pea sized blister on his hand.”

Rule 8VAC20-780-340-A. From a complaint.

The variety of daily activities for all age groups shall be age and stage appropriate.

“Staff #1’s activity, using live fire, was conducted with five year old children on the playground. A bowl of sticks and scraps of paper were set on fire for the children to jump over.”

Rule 8VAC20-780-360-A. From a complaint.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“On 3/18/2026 Child #1 sustained a minor burn injury on his hand. An injury report was not completed until 3/24/2026.”

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

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #1, who is currently working, was not found during the inspection.”

Rule 22.1-289.035-B-1.

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Caregiver #1 did not have central registry search results during the inspection and has been employed for over five months.”

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

8VAC20-780-160-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 had no documentation and had been employed for five months.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. Bleach was found in an unlocked cabinet in the main classroom, out of reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. Several of the children’s food containers in the center were not dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-130-A

“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 #4, who had been attending for six months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“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. There was no physical examination in the record of child #4, who had been enrolled for six months.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The hand railing leading from the outside deck to the lawn was loose needed repair in order to prevent children from falling down the stairs.”

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for six months, was missing the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

The following nonmedical emergency supplies shall be required: One working, battery-operated radio in each building used by children.

“The battery-operated radio did not have a charged battery.”

Rule 8VAC20-780-540-E.

A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #1, who has been enrolled for 7 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

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

The findings of the most recent inspection of the facility; are required to be posted on the premises of each facility.

“The findings of the most recent inspection were not posted on the premises of the facility.”

Rule 8VAC20-820-120-E-3.

Based on review of staff information, the provider did not obtain a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“Evidence: There was no search of the child abuse and neglect registry from Maryland for Staff #2.”

Rule 22.1-289.035-B-4.

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

“Evidence: Hand sanitizer, labeled “keep out of reach of children,” was in reach of children at the center.”

Rule 8VAC20-780-280-B.

Based on observation, there was not always one staff member who meets the qualifications of a program leader and an immediately available staff member during the stated hours of operation when one or more children were present.

“Evidence: There was only 1 staff at the center when the inspector arrived. Another staff arrived 30 minutes later.”

Rule 8VAC20-780-340-C.

Based on observation, the center did not have a carbon monoxide detector.

“Evidence: No carbon monoxide detector was found in the center.”

Rule 22.1-289.058.