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Virginia Montessori Academy

Inspection · 2024-08-26

Date
2024-08-26
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was conducted on 08/26/2024 , as a part of the licensure period. The inspector reviewed compliance in the areas listed above. There were 21 children present and 8 staff.
The inspector reviewed 3 children?s records and 4 staff records on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility, and interviews.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were 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 5 business days from today, which will be the close of business on 09/05/2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.011-F
Based on review of required posted documents, the center did not ensure that all required documents related to the terms of the license were posted on the premises of the program.
Evidence:
1) On the date of inspection, the findings of the most recent inspection of the facility (02/20/2024) were not posted.
Plan of Correction: Posted new report.
Standard 22.1-289.035-B-4
Based on record review and interview, it was determined that the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Child Abuse and Neglect search request within 30 days of employment.
Evidence:
1) On the date of inspection, the record for Staff #4 (start date 08/22/2023) did not contain documentation of an out-of-state Child Abuse and Neglect search request. Staff #4 had declared in their sworn statement having lived out of the state of VA within the last 5 years before employment.
Plan of Correction: Corrected. The results of the out-of-state Child Abuse and Neglect search were obtained on 08/28/2024.
Standard 8VAC20-780-160-A
Based on record review, the center did not ensure to obtain documentation of negative tuberculosis (Tb) screening for each employee at the time of employment and prior to coming into contact with children.
Evidence:
1) The record for Staff #2 (start date 08/12/2024) did not contain the results of a Tb screening.
Plan of Correction: The staff had it complete, lost the form. She is asking the doctor for a copy.
Standard 8VAC20-780-240-B
Based on record review, staff did not complete required orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1) The record for Staff #3 (start date 08/12/2024) did not contain documentation that the employee completed orientation training as required.
Plan of Correction: Training provided next day. Confusion on completion time. Made note of 7th day completion time.
Standard 8VAC20-780-270-A
Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.
Evidence:
1) Areas with peeling paint were observed on the walls of the stairwell leading up to the second floor.
2) An area with peeling wallpaper was observed on Room 2.
3) Some areas of rotten wood and loose wooden planks were observed on the wooden fence on the playground.
Plan of Correction: Will repair peeling paint, scheduled maintenance this week. Playground fence - waiting on landlord date.
Standard 8VAC20-780-510-P
Based on medication review, medication was not picked up by the parent after the authorization for medication or the medication expired.
Evidence:
1) A medication authorization form for Child #2 had an expiration date of 05/17/2024. The medication had not been picked up by the parent nor disposed of by the center.
Plan of Correction: Returned meds.
Standard 8VAC20-780-60-A
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #2 did not contain the work phone number of each parent who has custody.
Plan of Correction: Had parents fill n/a.