Montessori School of Alexandria

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 A , who is currently working, was dated seven days after their first day of employment.”

Rule 22.1-289.035-B-1.

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 A’s national criminal background check was not obtained prior to the first day of employment. The results were received 10 days after the first date of employment.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children, that was conducted within the last 30 calendar days of the date of employment. The screening for Staff A was completed five days after hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff A’s record did not include documentation of references being checked prior to employment. The references on file were dated the date of hire.”

Rule 8VAC20-780-70.

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

“The most recent national criminal record search result for Board Member A was not repeated in the allowable 5 year time frame. The results were overdue by 1 day.”

Rule 22.1-289.036-A.

Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“The annually updated injury prevention plan was not available for review during the inspection.”

Rule 8VAC20-780-40-J.

8VAC20-780-420-A

“Before the child’s first day of attending, parents shall be provided in writing the following: The custodial parent’s right to be admitted to the center as required by ? 22.1-289.054 of the Code of Virginia. The parent handbook provided to all families, did not contain a custodial parent’s rights statement.”

Rule 8VAC20-780-420-A.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information; documentation of child updates and confirmation of up-to-date information in the child’s record. Child #6’s record did not contain an updated allergy action plan. The update was overdue by 2 weeks. Child #1’s record di not contain an updated allergy action plan. The plan was overdue by 5 years.”

Rule 8VAC20-780-60-A.

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

“Staff #1?s updated screening was due 20 days ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

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

“Staff #3’s updated TB screening but did not have verifying identification.”

Rule 8VAC20-780-160-C.

The staff-to-children ratios are required whenever children are in care.

“During the inspection, In one of the 3-6 year old classrooms. There were 2 staff members and 23 children exceeding the required 1:10 ratio.”

Rule 8VAC20-780-350-B-4.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“The center has a license that has an age range of 3 years to 12 years and 11 months. During the inspection, the center had 2 children present under the age of 3 years old. Both children have been enrolled in the center for over a month.”

Rule 8VAC20-780-40-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 #4 has a documented food allergy noted on their physical examination form by a physician, however, there is no written care plan to include the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

Rule 8VAC20-780-60-A.

Based on record review and interview. the center did not obtain all the required information for each child’s record.

“Evidence: Child #3 is missing proof of identity.”

Rule 8VAC20-780-60-A.

Based on record review and interview, injury prevention procedures were not updated at least annually based on documentation of injuries and a review of the activities and services.

“Evidence: There was no documentation that injury prevention procedures were updated at least annually based on documentation of injuries and a review of the activities and services.”

Rule 8VAC20-780-40-J.

Based on a review of medication, the facility did not ensure that there is written parental authorization for each medication.

“Evidence: The medication authorization for Child #3 is missing a parent’s signature.”

Rule 8VAC20-780-510-B.

Based on documentation and interview, for each group of children, the center failed to maintain a written record of daily attendance that documents the departure of each child in care as it occurs.

“Evidence: The daily attendance record documents when the children arrive but not when the children depart from the center.”

Rule 8VAC20-780-80-A.

Based on record review and interview, the center did not obtain the results of an out-of-state central registry check for all states employees have resided in within the previous five years.

“Evidence: Staff #2’s (DOH: 8/12/2023) record did not contain a central registry check results from a state they have listed as residing in within the previous five years.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the center did not obtain the results of an central registry check for a staff member by end of 30th day of employment.

“Evidence: There was no documentation of a central registry check and results for staff #5. Date of hire for staff #5 is 8/15/2022.”

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

Based on record review and interview, the center did not develop a written policy that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“Evidence: There was no documentation of a written policy that describes how the center will ensure that each group of children receives care by consistent staff.”

Rule 8VAC20-780-350-F.

Based on record review and interview, the center did not obtain all the required information for each child’s record.

“Evidence: Child #2 is missing proof of identity.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center did not obtain all the required information for each staff record.

“Evidence: Staff #1 is missing a name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

Based on observation, not all of the food containers brought from home were clearly dated and labeled in a way that identifies the owner.

“Evidence: 9 out of 9 lunch boxes reviewed were not dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-240-A

“8VAC20-780-240-A Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The record for Staff #3 (start date 10/14/2021) did not contain documentation that certifies that the Virginia Department of Education-sponsored orientation course had been completed. The center director stated that Staff #3 has not completed the course.”

Rule 8VAC20-780-240-A.

8VAC20-780-530-A-1

“8VAC20-780-530- A-1 Based on record review and interview, the center did not ensure that there is at least one staff with CPR certification in each classroom where children are present. Evidence: 1) The center director stated that the 2 staff persons assigned to room Green have not completed certification in CPR.”

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

8VAC20-780-530-A-2

“8VAC20-780-530- A-2 Based on record review and interview, the center did not ensure that there is at least one staff with first aid certification in each classroom where children are present. Evidence: 1) The center director stated that the 2 staff persons assigned to room Green have not completed certification in first aid.”

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