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Wild Fern Montessori School

Inspection · 2021-04-27

Date
2021-04-27
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A renewal inspection was initiated on 04/27/2021 and concluded on 04/28/2021. The director was contacted by telephone to initiate the inspection. There were 31 children present and 6 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records, 3 staff records, and 3 officer records submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

5
Standard 22VAC40-185-550-D
Based on record review and interview, the center did not ensure a minimum of two shelter-in-place practice drills per year were conducted for the most likely to occur scenarios.

Evidence:
1. The center only had a record of one shelter-in-place drill in 2020.
2. Administration confirmed that they only completed one of the two required shelter-in-place drills.
Plan of Correction: Shelter in place drills will be scheduled in advance to ensure they are completed.
Standard 22VAC40-191-40-D-1-A
Based on record review and interview, the center did not ensure to obtain a central registry check for each officer of the board before the end of 30 days after the change of officer.

Evidence:
1. The record of officer #2 (date to office: 10/26/2020) contained central registry results dated 04/07/2021.
2. Administration acknowledged that the central registry results were received late.
Plan of Correction: All background checks and central registry will be completed prior to onboarding. Copies of all records will be kept for reference.
Standard 22VAC40-191-60-C-2
Based on record review and interview, the center did not ensure that each employee had a central registry finding within 30 days of employment as required.

Evidence:
1. The record of staff #2 (DOH:12/10/2020) contained a central registry finding dated 04/09/2021.
2. The record of staff #3 (DOH: 12/10/2020) contained a central registry finding dated 04/09/2021.
3. Administration acknowledged that the central registry results were not received within 30 days.
Plan of Correction: All background checks and central registry will be completed prior to onboarding. Copies of all records will be kept for reference.
Standard 63.2(17)-1720.1-B-2
Based on record review and interview, the center did not ensure that the results of a fingerprint background check were obtained for each staff member prior to the first date of employment as required.

Evidence:
1. The record of employee #2 (DOH:12/10/2020) contained the results of a fingerprint background check dated 12/22/2020.
2. Administration acknowledged that the fingerprint background check was completed after hire.
Plan of Correction: All background checks and central registry will be completed prior to onboarding. Copies of all records will be kept for reference.
Standard 63.2(17)-1721.1-B-4
Based on record review and interview, the center did not ensure to obtain the results of an out of state child abuse and neglect search, out of state criminal history record information check, and out of state sex offender registry by the end of the 30th day for all new officers from any state in which the individual had resided in the preceding five years as required:

Evidence:
1. The record of officer #1 (date to office: 10/26/2020) indicated that the individual had resided outside of Virginia within the past 5 years. The record contained out of state central registry results dated 04/23/2021 and out of state criminal history and sex offender results dated 04/26/2021.
2. Administration acknowledged that the results were received late.
Plan of Correction: All background checks and central registry will be completed prior to onboarding. Copies of all records will be kept for reference.
View original record on Virginia Department of Social Services