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Montessori Children's House of Loudoun

Inspection · 2023-09-20

Date
2023-09-20
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced Renewal inspection was conducted today. A total of 102 children with 19 staff were onsite. The children were transitioning from the lunch room to either nap time or quiet activities. School aged children were observed on the playground. Staff were strategically positioned on the playground to ensure appropriate supervision. Observation of all occupied classrooms was made. Staff interviews were conducted regarding emergency procedures and children's individual needs. Medication were stored in the classrooms along with a list of children's allergies. The classrooms were neat and maintained. Staff were observed sitting between children, gently patting backs to encourage sleep. In the infant classrooms, staff were observed sitting on the floor interacting with the infants with toys. In the second infant room, the children were observed sleeping in cribs with two staff rocking children to sleep. Ratios were maintained and exceeded the standard requirement. A total of 5 staff records and records/documentation were reviewed for 9 children which included medication authorizations and allergy action plans. Some violations were found today. A corrective action was discussed along with a date for corrections. This inspection occurred between 11:30am and 3:40pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations

4
Standard 8VAC20-780-420-E-3
Based on review of children's records, parent confirmation that information in a child's record was not updated.
Evidence:
The allergy action plan for Child #2 was not updated. The most recent allergy action plan on file is dated August 2022.
Plan of Correction: All action plans will be reviewed to ensure that they have been updated annually by the physician.
Standard 8VAC20-780-500-B
Based on observation of the center, the diapering area was not maintained.
Evidence:
1. The diaper surface in Class #10 had a crack in the plastic and is no longer non-absorbent.
Plan of Correction: A new diaper mat will be purchased for this class.
Standard 8VAC20-780-510-B
Based on review of medication, the center failed to follow their own medication policy.
Evidence:
1. The center's medication policy requires methods to prevent expired medication.
2. A liquid medication for Child #1 was found in Room 9 had expired in June 2023.
3. The medication policy requires duration of medication authorizations.
4. The medication authorization for Child #2and #4 did not include duration for the medication.
5. Child #1 has 2 long term medications. The authorizations for both medication was not signed by the physician.
Plan of Correction: The expired medication will be disposed of. We have requested updated authorizations for the medication. If the updated authorizations are not returned, the medication will be returned to the parent.
Standard 8VAC20-780-60-A-8
Based on review of children's records, a written care plan that includes instructions from a physician was not obtained.
Evidence:
The allergy action plan for Child #3 was not signed by a physician.
Plan of Correction: We will have the allergy action plan signed by the physician.
View original record on Virginia Department of Social Services