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Montessori School of Fairfax LLC

Inspection · 2024-09-10

Date
2024-09-10
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 9/10/2024. The on-site inspection began at 9:13am and ended at 1:00pm. The inspector reviewed compliance in the areas listed above. There were (68) children present and (10) staff. The inspector reviewed (3) children?s records and (7) staff records[on-site on 9/10/2024. This inspection included document review of emergency drill logs, medication authorization forms, tour of the facility 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on (9/18/2024). A POC submitted after this date will not appear on the public website.

Violations

17
Standard 22.1-289.035-A
Based on record review, two staff records did not update the national fingerprint results report every five years.
Evidence:
1. Staff #1 had fingerprint results dated 2/25/2019 and Staff #7 had fingerprint results dated 3/01/2019..
Plan of Correction: Scheduled and waiting for results to update file
Standard 22.1-289.035-B-1
Based on review of staff records, the center did not have a completed sworn disclosure statement for each staff prior to date of hire.
Evidence:
1. Staff #4 (Date of hire 9/08/2009) and Staff #5 (Date of hire 8/10/2021) had sworn disclosure statements dated 9/10/2024.
Plan of Correction: Staff files are being reviewed and updated
Standard 8VAC20-780-240-A
Based on record review, one staff member did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1.Staff #6 (start date 11/01/2023) had not completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Plan of Correction: Corrected
Standard 8VAC20-780-240-E
Based on record review, one staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment.
Evidence:
1.Staff #6 (start date 11/01/2023) had not completed the orientation training in first aid and cardiopulmonary resuscitation (CPR) within 30 days of employment.
Plan of Correction: Corrected
Standard 8VAC20-780-245-A
Based on review of training hours and interview, four staff did not complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1.Staff #3, #4, #5 and #7 did not complete 16 hours of training for the 2023/2024 school year.
Plan of Correction: Will keep record for verification because staff do fulfull their hours, but
I was not keeping a yearly record, rather an academic yr record. Corrrected.
Standard 8VAC20-780-270-A
Based on observation, Areas of the center outside were not maintained in a safe and operable condition.
Evidence:
1. On the playground, a green metal bar with a sharp edge was hanging from the structure with a missing piece to hold it in place. The hole had rust around it and on the bar.
2. The playground also had a rope hanging from the play structure causing a hanging or strangulation hazard and two ropes hanging from white tubes on a wall..
Plan of Correction: The metal bar and rope are removed
Standard 8VAC20-780-280-B
Based on observation, hazardous substances were not kept in a locked place using a safe
locking method that prevent access by children.
Evidence:
1. In Classroom A, Lysol spray and disinfectant spray were inside a bathroom high level cabinet that was unlocked.
2.In Classroom B, a Lysol spray, furniture polish and sanitizing spray were inside a bathroom high level cabinet that was unlocked.
3. In Classroom C's first bathroom, Sanitizer, Lysol spray and cleaning product were inside a bathroom high level cabinet that was unlocked. In the 2nd bathroom, Lysol spray and disinfectant spray were inside a bathroom high level cabinet that was unlocked.
4. In the Toddler Classroom, Clorox and Bleach Cleaning Spray were inside a bathroom high level cabinet above the changing table that was unlocked.
Plan of Correction: All cabinets have child proof locks installed
Standard 8VAC20-780-420-E-3
Based on record review, one child's records did not contain the parent confirmation that the required information in the child's record is up to date.
Evidence:
1. Child #3 (start date 8/19/2022) did not have parent confirmation that the required information in the child's record is up to date since the child's start date.
Plan of Correction: Corrected
Standard 8VAC20-780-50-A
Based on observation, staff and children's records were not treated confidentially.
Evidence:
1. The supplemental page from the inspection on 2/07/2024 was posted on the bulletin board. The page is considered confidential.
Plan of Correction: Corrected
Standard 8VAC20-780-510-P
Based on review of medications, the center did not return medication within 14 days when an authorization for medication expired or dissolve the medication down the sink if the parent did not renew the authorization.
Evidence:
1. Child #10 had a medication at the center that had an expired authorization form dated 9/29/2023.
2. Child #1 had a medication at the center that had an expired authorization form dated 12/15/2023 and was only signed by the parent.
Plan of Correction: Corrected
Standard 8VAC20-780-550-D
Based on interview and review of drill records, the center did not implement a monthly practice evacuation drill.
Evidence:
1. The center failed to do a monthly evacuation drill the months of 2/2024, 3/2024, 5/2024, 6/2024 or 7/2024.
Plan of Correction: Will have one every month
Standard 8VAC20-780-550-E
Based on interview and review of drill records, the center did not practice shelter in place drills a minimum of twice per year.
Evidence:
1. The center did not have record of doing two shelter in place drills for the 9/2023-8/2024 school year.
Plan of Correction: Will have drill and record
Standard 8VAC20-780-550-F
Based on interview and review of drill records, the center did not practice lockdown procedures at least annually..
Evidence:
1. The center did not practice lock down procedures for the 9/2023-8/2024 school year
Plan of Correction: will have drill
Standard 8VAC20-780-60-A
Based on record review, one child's record did not have complete information.
Evidence:
1. Child #2 was missing one parent's work phone number.
Plan of Correction: Corrected
Standard 8VAC20-780-60-A-8
Based on review of children's records, the center did not obtain a written care plan 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.
Evidence:
1. Child #2, Child #3, Child #4, Child #5, Child #6, Child #7 and Child #11 were listed on the center's allergy list and documented in their record that they all had food allergies. The center did not have a written care plan for each child with a food allergy to include instructions from a physician and steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: Parents have been asked to distinguish between food intolerance and or
allergy and accompany with Dr. note. Files are being updated.Some were food
intolerances and parent preference. Files have been updated with written
confirmation from parents.
Standard 8VAC20-780-70
Repeat Violation
Based on review of records, two staff records did not include all required information.
Evidence:
1. Staff #5 (Date of hire 8/10/2021) was missing one reference and Staff #7 (Date of hire 9/2014) was missing two references.
Plan of Correction: Corrected
Standard 8VAC20-780-80-A
Based on interview and review of the daily attendance, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.for each group of children.
Evidence:
1. In Classroom A, the attendance had not been taken as of approximately 9:23am. The staff member stated they take it during circle time and not as it occurs.
Plan of Correction: That was coincidental for Class A. All other classes do have time
in/out recorded.