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Montessori Academy at Belmont Greene

Inspection · 2025-01-15

Date
2025-01-15
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
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

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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 01/15/2025. The on-site inspection began at 10 am and ended at 2 pm. The inspector reviewed compliance in the areas listed above. CDC: There were (78) children present and (17) staff. The inspector reviewed (5) children?s records and (5) new staff records on-site on 01/15/2025.

This inspection included: document review (files, policies and procedures, emergency drill logs, medication administration logs, authorization forms); tour of the facility; interviews; and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

6
Standard 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.
Plan of Correction: A plan will be developed and sent to both VDOE & VDH.
Standard 22.1-289.057-B
The program is required to submit results of potable water testing to VDH.

The program did not have evidence of submitting test results to VDH.
Plan of Correction: Testing results will be retained and sent to both VDOE & VDH.
Standard 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 #5, who had been attending for two months, did not have documentation of an immunization record on file.
Plan of Correction: All missing paperwork and/or information will be obtained and placed on file.
Standard 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 #5, who had been enrolled for two months.
Plan of Correction: All missing paperwork and/or information will be obtained and placed on file.
Standard 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 #13 is currently working and has a TB screening that was dated 30 days after their first day of employment.
Plan of Correction: All missing paperwork and/or information will be obtained and placed on file.
Standard 8VAC20-780-80-B
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 #5, enrolled for two months, was missing the following required components: Documentation of viewing proof of the child's identity and age.
Plan of Correction: All missing paperwork and/or information will be obtained and placed on file.