Williamsburg Montessori School

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #4, completed national criminal background check was dated 3 weeks after date of hire.”

Rule 22.1-289.035-B-2.

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 #4, central registry search was requested 4 days after date of hire.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

“(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for 1 month, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“(Repeat Violation) 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 #4 TB was dated 3 days after the date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. During the inspection a child exited the building alone and ran back to the playground. Upon investigation the child had gone to the bathroom alone and was out of sight and sound supervision during that time.”

Rule 8VAC20-780-340-F.

8VAC20-780-160-A

“(Repeat Violation) 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 #5 TB was dated 6 days after date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“(Repeat Violation) Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant spray and a container of disinfectant wipes with warning labels, Keep out of reach of children, were unlocked in the Children’s House 2 classroom, within reach of children. A bottle of hand soap and hand sanitizer with warning labels, Keep out of reach of children, were unlocked in the Children’s House 1 classroom, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“(Repeat Violation) Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The sand provided under two sides of the Children’s House playground structure did not meet the required depth to comply with the minimum standards.”

Rule 8VAC20-780-330-B.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for 2 years, did not have documentation of requesting a central registry check, criminal history check, or sex offender check from one state.”

Rule 22.1-289.035-B-4.

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 #3 TB was dated 49 days prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“(Repeat Violation) The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 training was completed a year after their employment date. Staff #4, employed for two years, has not completed the training.”

Rule 8VAC20-780-240-A.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official. The fire inspection report was 2 months past due.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-B

“(Repeat Violation) Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant spray and a container of disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in the Children’s House 3 classroom, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“(Repeat Violation) Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The sand provided under the playground structure did not meet the required depth to comply with the minimum standards.”

Rule 8VAC20-780-330-B.

8VAC20-780-540-C

“The required first aid kits shall include all required supplies. There were no tweezers in the first aid kit.”

Rule 8VAC20-780-540-C.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2, one reference check was dated a day after their employment date and the second reference was dated five days after their employment date.”

Rule 8VAC20-780-70.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #8 was overdue by eight months.”

Rule 22.1-289.035-A.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3, employed for nine months, has not completed the training. Staff #4, employed for 4 months, has not completed the training.”

Rule 8VAC20-780-240-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Two bottles of hand sanitizer were located in the cubby area and one can of shaving cream was located on a shelf. Each bottle contained warning labels, ?Keep out of reach of children,? were unlocked, and within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers. There were 5 outlet covers missing in one classroom and 4 missing in another classroom.”

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

8VAC20-780-330-B

“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 merry go round did not have the required six feet of a fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. There was no documentation of a 2024 lockdown drill.”

Rule 8VAC20-780-550-G.

8VAC20-780-550-P

Rule 8VAC20-780-550-P.

8VAC20-780-560-F

“When centers choose to provide meals or snacks 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 children were not given the required 1/4 cup of vegetables for lunch time.”

Rule 8VAC20-780-560-F.

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 #7 was missing the employment phone number for one parent. The record for Child #9 was missing the employment phone number for both parents.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The center did not take attendance when children departed for car pool.”

Rule 8VAC20-780-80-A.

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The sand provided under the playground structure did not meet the required depth to comply with the minimum standards.”

Rule 8VAC20-780-330-B.

22.1-289.035-A

“Based on record review and staff interview the center did not ensure to obtain background checks every five years. Evidence: The most recent central registry check for staff #4 was dated 9/5/2018.”

Rule 22.1-289.035-A.

8VAC20-780-140-A

“Based on record review and staff interview the center did not ensure each child shall have a physical examination before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The director confirmed that Child #5 (start date 11/3/2019) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on document review and staff interview the center did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

“Evidence: The director confirmed that child #5 (age 4) has a diagnosed dairy allergy and on January 25th the child was given yogurt during snack time which resulted in an allergic reaction that required the administration of the child’s emergency Benadryl and Auvi-Q Epipen. 911 was called, and the child was taken to the hospital.”

Rule 8VAC20-780-340-A.

Based on staff interviews the center did not ensure they informed all staff who work with children of children’s allergies.

“Evidence: Staff #1, responsible for overseeing snack time, said they were not aware of child #5?s dairy allergy.”

Rule 8VAC20-780-40-L.

Based on staff interviews and document review the center did not ensure a child with a diagnosed food allergy shall not be served any food identified in the written care plan required.

“Evidence: Staff confirmed that child #5 who has a diagnosed dairy allergy, identified on their written allergy care plan, was served yogurt.”

Rule 8VAC20-780-560-P.

Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Staff in Children’s House 1 confirmed that there was 1 bottle of hand soap on the sink in the children’s bathroom that was labeled “keep out of reach of children” and “caution”.”

Rule 8VAC20-780-280-B.

Based on observation and staff interview the center did not ensure if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

“Evidence: The Children’s House 1 bathroom, the Toddler 2 bathroom, and the Toddler 1 bathroom each had 1 bottle of what the staff confirmed was hand soap sitting out on the sink. Neither bottle was labeled. Staff showed the licensing inspector the original container the soap came from and confirmed that it was labeled “keep out of reach of children” and “caution”.”

Rule 8VAC20-780-280-G.

8VAC20-780-380-A

“Based on observation and staff interview, the center did not ensure there shall be a posted daily schedule that allows for flexibility as children’s needs require. Evidence: Staff confirmed there was no daily schedule posted in the Children’s House 3 classroom.”

Rule 8VAC20-780-380-A.

Based on observation and staff interview the center did not ensure the current written list of all children’s allergies, sensitivities, and dietary restrictions was dated.

“Evidence: Staff in the Toddler 2 room confirmed that the allergy list was not dated.”

Rule 8VAC20-780-40-M.

Based on observation and provider interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector.

“Evidence: Center Director confirmed they did not have a carbon monoxide detector.”

Rule 22.1-289.058.

Based on record review and staff interviews, the licensee did not ensure that staff have documentation to demonstrate the individuals have the education, training and certification, required by the job position.

“Evidence: Staff #1 and Staff #5 were both designated Afterschool Program Leads and they did not have the documentation to demonstrate they have the qualifications required for Program Lead.”

Rule 8VAC20-770-70-A.

Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

Rule 8VAC20-780-330-A.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care

“Evidence: Staff #1 was the only staff on the middle playground with 7 afterschool schoolage children and Staff #5 was the only staff on the last playground with 4 afterschool schoolage children and neither Staff #1 or Staff #5 had obtained certification in CPR and First Aid certification”

Rule 8VAC20-780-530-A.

Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: There were 5 separate groups of children observed and the following groups did not have attendance sheets indicating their arrival and departure. 1.Staff #1 confirmed they did not have an attendance sheet for the 7 children they were supervising on the middle playground. 2.Children’s House #1 staff confirmed Child #6, who was in care was not listed on the attendance sheet. Staff #6 said ?because they do not normally attend the afterschool program?.”

Rule 8VAC20-780-80-A.

Based on record review of three staff records and staff interviews, the licensee did not ensure, all staff obtained a Virginia Fingerprint Check /Criminal Record Check prior to the first day of employment

“Evidence: Staff #2’s first date of employment was June 30, 2022 and the Criminal Records Check was dated July 6, 2022.”

Rule 22.1-289.035-B-2.

Based on record review and staff interviews, the licensee did not ensure, all staff and volunteers obtained an out of state criminal history name check prior to the first day of employment, service, and by end of 30th day for new board officers/agents (volunteers).

Rule 22.1-289.035-B-4.

Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Two out of five records reviewed did not have documentation of TB screening/ test available for review, that was conducted in the required timeframe. 1. .Staff #2’s TB screening was dated July 5, 2022 and the first date of employment was June 30, 2022. 2.Staff #3 ‘s TB screening was dated January 11, 2022 and the first date of employment was June 22, 2022.”

Rule 8VAC20-780-160-A.

Based on review of documentation and staff interviews, the licensee did not ensure employees had obtained the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: Staff #4’s date of hire April 12, 2022 does not have documentation of the required training. Center staff confirmed staff #4 had not completed the training”

Rule 8VAC20-780-240-A.

Based on a review of five staff records and staff interviews, the licensee did not ensure that each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Evidence: Staff #4’s date of hire April 12, 2022 does not have documentation of CPR / first aid training within the timeframe.”

Rule 8VAC20-780-240-E.

Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Evidence: In the Elementary room there were two medications with expired authorizations and the medications were not sent home as required. 1. The authorization for the allergy relief medication for child #2 was signed September 16, 2021. 2. The authorization for the pain reliever medication for child #3 was signed October 25, 2021. Center staff confirmed both medications had not been administered. The medication authorizations for child #2 and child #3 expired after 10 work days from the signature /authorization date.”

Rule 8VAC20-780-510-P.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care

“Evidence: In the following classrooms there was not a staff member who obtained CPR certification. 1. In the Children’s House room, there were three staff (staff #2, #4 and #6) and 13 children. There was not a staff member with CPR certification in the classroom. The children were ages 3 to 6. 2. In the Toddler #1 room, there was only one staff member (staff #7) with eight children ages 2 to3 and staff #7 does not have CPR certification.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

Rule 8VAC20-780-530-A-2.

Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: in the Elementary classroom six out of six lunch boxes observed did not have the date and five out of six were not labeled in a way that identifies the owner.”

Rule 8VAC20-780-550-G.

Based on review of documentation and staff interviews, the licensee did not ensure employees had obtained the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: The record for staff #1 date of hire 11-4-2021 did not include documentation of training. Center staff confirmed staff #1 had not completed the training”

Rule 8VAC20-780-240-A.

Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Evidence: One medication (Motrin) for child #3 had an expired authorization as of 10-21-2021 and the medication had not been sent home in the required timeframe and was at the center on 3-29-2022. Center staff confirmed it had not been administered.”

Rule 8VAC20-780-510-P.