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Cardinal Montessori School

Inspection · 2025-02-04

Date
2025-02-04
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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.
8VAC20-770 Background Checks

Inspector Notes

An unannounced monitoring inspection was initiated on 2/4/25 and completed on 2/28/25 in response to a self-report received by the licensing office on 1/30/25 relating to supervision. The inspector reviewed 1 child's record and 2 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. Though not a part of the original self report, violations that were not reported were found related to staff records and background checks and 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 3/7/25. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-1
Prior to employment, a sworn statement of affirmation is required.

Staff A's sworn statement of affirmation was completed 5 months after employment..
Plan of Correction: Employee staff file was completed prior lo employment. When Incident occured file could not be found. Once this came to our attention action was taken immediately and employee filled out form and put in file.
Standard 22.1-289.035-B-3
Prior to employment a central registry background check must be requested.

Staff A was employed approximately 5 months prior and there is no documentation that a central registry background check had been requested.
Plan of Correction: Employee staff file was completed prior to employment. When Incident occured file could not be found. Once this came lo our attention action was taken Immediately. On lhe same day paperwork was filled out and sent to
Central Registry for a background check. It has been received.
Standard 22.1-289.036-B-2
Prior to employment, a national fingerprint background check must be completed .

Staff A did not have a fingerprint background check on file until 5 months after employment.
Plan of Correction: Employee staff fi!e was completed prior to employment. When incident occured file could not be found. Once this came to our attention action was taken immediately.On the same day pape!Work was filled out and sent to get fingerprint background check. It has been received.
Standard 8VAC20-780-340-F
Repeat Violation:
Children under 10 years of age shall always be within sight and sound supervision of staff, provided that staff check on children who has not returned from the restroom after five minutes.
On 1/29/25 while on the playground, child A (5years of age) left their assigned group, walked through a vacant classroom on route to the bathroom located in the hallway. The child was in the bathroom for approximately 10 minutes. None of the 3 staff ( A, B and C ) responsible for the child?s supervision checked on the child in the bathroom.
Child A exits the bathroom and while unsupervised walks down the hallway, through an empty classroom, out the door toward the playground. Child A was discovered by a parent who found the child outside alone. The child was out of supervision for approximately 2 to 4 minutes.
Plan of Correction: Child A was instructed to go Inside where the evening staff monitors that area. On that day that d!d not happen and we have talked to our staff. We also reviewed and have adjusted our policy. We are taking children to use the restroom before they go
outside. If they need to go Inside a staff member escorts the student and takes other students with them, If need be, to make sure we stay ln ratio. Before returning Inside, attendance is taken again to Insure all students are accounted for. When Inside, we are ln the process of hiring
another front desk staff member to ensure additional person always has sight and sounds with our students. In addition, we have reminded our parents the school pollcy for pick up that states they must have their student with them prior to being signed out.
Standard 8VAC20-780-70
A staff record shall be kept for each staff person to include job title, verification of age, references, documentation of education, health information etc., at the time of employment.

At the time of employment, this information had not been obtained for staff A and it wasn't until 5 months later had this information been obtained.
Plan of Correction: Employee staff file was completed prior lo employment. When Incident occured file could not be found. Once this came to our attention action was taken immediately and employee filled out form and put in file.
View original record on Virginia Department of Social Services