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Village Montessori Academy

Inspection · 2024-12-19

Date
2024-12-19
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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 Early Childhood Care and Education.
63.2 Child Abuse & Neglect.

During the inspection, the inspector reviewed the areas listed above. 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 on December 19, 2024 and completed on December 19, 2024. The on-site inspection began at 11:05 AM and ended at 1:00 PM. The inspector reviewed compliance in the areas listed above. There were 20 children present and three staff. The inspector reviewed five children?s records and four staff records on-site. This inspection included document review, 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on January 14, 2024. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

1. The sworn statement for staff #2, who is currently employed, was dated 24 days after their first day of employment.
2. The sworn statement for staff #4, who is currently employed, was dated seven days after their first day of employment.
Plan of Correction: Follow hiring flow chart and ensure the sworn statement is completed prior to beginning work.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

1. The national criminal background check for staff #2, who is currently employed, was dated 29 days after the first day of employment.
2. The national criminal background check for staff #3, who is currently employed, was dated one day after the first day of employment.
3. The national criminal background check for staff #4, who is currently employed, was dated eight days after the first day of employment.
Plan of Correction: Follow hiring flow chart and ensure that all future employees
have a current background check prior to employment.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

The central registry search for staff #4, who has been employed for 59 days was not received within the required timeframe. The provider documented a follow up 20 days after the required timeframe.
Plan of Correction: Follow hiring flow chart and ensure that all future employees have required paperwork prior to working.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The record for staff #3, employed 297 days, did not have documentation of requesting an out of state Child Abuse and Neglect search for one state.
Plan of Correction: Complete all out of state search requirements for all future employees and ensure staff file is updated.
Standard 8VAC20-780-160-A
**REPEAT VIOLATION**
Each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming into contact with the children.

1. The record for staff #2 had documentation of a TB screening 31 days after beginning employment.
2. The record for staff #3 had documentation of a TB screening 22 days after beginning employment.
3. The record for staff #4 had documentation of a TB screening seven days after beginning employment.
Plan of Correction: Creation and implementation of hiring flow chart to ensure the each requirement is completed within the required time frame. Staff will be required to submit
proof of TB screening prior to working with children.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

The record for staff #1 did not have documentation of the updated TB screening. The TB screening was due 181 days ago.
Plan of Correction: Get TB screening updated immediately and submit documentation.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

The record for staff #3, had documentation of completed orientation training five days after the date of assuming job responsibilities.
Plan of Correction: Follow hiring flow chart and ensure the orientation is provided after background check and before working.
Standard 8VAC20-780-560-G
When food is brought from home the food container must be clearly dated.

Five children?s food containers were not clearly dated and labeled in a way that identifies the owner.
Plan of Correction: Parents were notified to label lunch containers daily with the date.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

1. The record for child #1, enrolled for 135 days and child #4, enrolled 256 days did not have documentation of proof of identity.
2. The record for child # 2, had immunization records that were received 344 days after the date of enrollment. The record for child #4, had immunization records that were received 117 days after the date of enrollment.
3. The record for child #2 had a physical examination that was received 301 days after it was required. The record for child #4 had a physical examination that was received 86 days after it was required.
Plan of Correction: Ensure families provide required documentation prior to child's start date. Will
begin utilizing enrollment management software this year.
View original record on Virginia Department of Social Services