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Mountainside Montessori School

Inspection · 2023-09-25

Date
2023-09-25
Complaint Related
No
Licensing Inspector
Angela Dudek
(804) 629-8167
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
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was conducted on 09/25/2023 from 9:30am to 12:25pm. There were 47 children ages 2 years old to age 5 years old supervised by 6 staff. The physical plant, outdoor playground area, programming, attendance, menus, 5 staff records, 5 children?s records, emergency drills, emergency supplies, and policies were reviewed. There were no medications on site. Children were observed participating in math activities, literacy activities, art, fine motor activities and outside play. Handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 10/6/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations

9
Standard 22.1-289.035-B-2
(Repeat Violation) Based on review of 5 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire.

Evidence: The record for Staff #2 (Date of Hire 6/1/22), did not contain documentation of a fingerprint background check completed prior to their date of hire. The fingerprint background check on file was dated 6/21/22.
Plan of Correction: Revise communication to potential employees about due dates for required documents.
Standard 8VAC20-770-60-B
Based on review of 5 staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire.

Evidence: The record for Staff #2 (date of hire 6/1/22) did not contain documentation of a completed sworn disclosure statement prior to the date of hire. The sworn disclosure statement on file was dated 6/4/22.
Plan of Correction: Revise communication to potential employees about due dates for required documents.
Standard 8VAC20-780-160-A
Based on review of 5 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children.

Evidence: The file for Staff #2 (date of hire 6/1/23) did not contain documentation of a negative tuberculosis (TB) test or screening at the time of employment and prior to contact with children. The negative tuberculosis (TB) test or screening contained in the file is dated 9/11/22.
Plan of Correction: Revise communication to potential employees about due dates for required documents.
Standard 8VAC20-780-240-A
Based on review of 5 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.

Evidence: The record for Staff #2 (date of hire 6/1/2022) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. The documentation of the completed training was dated 9/25/23.
Plan of Correction: Certificate supplied on 9/27/23.
Standard 8VAC20-780-245-A
Based on review of 5 staff records and staff interview, the center did not ensure that staff complete annually a minimum of 16 hours of training appropriate to the age of the children in care.

Evidence: The record for Staff #1 contained documentation of only 9 hours of annual training and the record for Staff #2 contained documentation of only 8 hours of annual training.
Plan of Correction: Training requirement fulfilled.
Standard 8VAC20-780-260-B
Based on documentation and staff interview, the center did not ensure that they receive annual approval from the health department or approvals of a plan of correction, for meeting requirements for water supply, sewage disposal system and food service if applicable.

Evidence: The center did not have an inspection completed from the health department within the last year. The last inspection documentation provided was dated 3/29/22.
Plan of Correction: The health inspection was conducted on 10/3/23.
Standard 8VAC20-780-350-C
(Repeat Violation) Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

Evidence:
During the inspection, the center did not maintain the required supervision ratio of 1 staff for every 8 children in the yellow house classroom where the youngest child was age 2.
Plan of Correction: Will be corrected the day after the child turns 3.
Standard 8VAC20-780-550-D
Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill.

Evidence: There was no documentation for an evacuation drills for May of 2023.
Plan of Correction: Drill sheets have been revised to include all types to ensure all drills are recorded accurately.
Standard 8VAC20-780-560-F
Based on observation and staff interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period was given to parents and kept on file for one week at the center.

Evidence: In the Yellow house classroom Staff stated there was no menu given to parents for the week of 9/18/23 or the week of 9/25/23.
Plan of Correction: All classrooms will follow notification system on TC. Discussed with staff on 10/4/23.
View original record on Virginia Department of Social Services