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Villa Montessori Leesburg

Inspection · 2024-11-14

Date
2024-11-14
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
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
8VAC20-820 THE LICENSE.
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 to include standards found out of compliance during the previous inspection. 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 renewal inspection was initiated on 11/14/2024 and completed on 11/14/2024, as a part of the conditional licensure period. The on-site inspection began at 10:30am and ended at 1:00pm. The inspector reviewed compliance in the areas listed above. There were 72 children present and 10 staff. The inspector reviewed 7 children?s records and 6 staff records on-site and electronically on 11/18/2024.
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 11/25/2024. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-B-1
Licensees must obtain a completed sworn statement or affirmation prior to the employee's first day of employment.

Staff 4's record contained a sworn statement or affirmation check dated five days after hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
The licensee must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff 5's record contained the results of a national criminal background check dated five days after hire.
Plan of Correction: Will have completed criminal background check prior to start date.
Standard 22.1-289.035-B-3
The licensee must obtain the results of a central registry check for staff within 30 days of hire.

Staff 3's central registry check was obtained 64 days after hire.
Staff 4's central registry was obtained 108 days after hire.
Plan of Correction: Will obtain central registry for staff within 30 days.
Standard 22.1-289.035-B-4
The licensee is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff 3's criminal record check from another state was conducted 127 days after hire. The out of state central registry check on file does not contain the date the results were issued or received by the center..
Plan of Correction: Will receive out of state background checks and document date received.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff 1's record does not contain the results of a Tuberculosis screening conducted within thirty days prior to hire. Staff 1 has been working with children for two days.

Staff 2's Tuberculosis screening was conducted 236 days prior to hire.
Plan of Correction: Staff 1 and 2 TB screening results are retaken.
Standard 8VAC20-780-50-A
Staff and children's records shall be treated confidentially.

The "Supplemental Page" from the previous licensing inspection was posted in the hallway and main office. The page contains identifying information about children and states that the information on the page is confidential.
Plan of Correction: Supplemental page removed on site.
Standard 8VAC20-780-510-L
Medication shall be kept in a locked place using a safe locking method that prevents access by children.

A box of children's antihistamine was observed unlocked in the front office.
Plan of Correction: Will have the sworn statement prior to employee's first day.
Standard 8VAC20-780-60-A
Children's records shall be maintained with all required information.

Child 5's record did not contain the name, address, and phone number for one of the two required emergency contacts.
Plan of Correction: Child 5 second emergency contact added.
Standard 8VAC20-780-70
Staff records shall contain all required information.

Staff 1's record did not contain the date of hire, emergency contact information, or the results of a Tuberculosis screening.

Staff 6's record did not contain the results of two reference checks.
Plan of Correction: Staff 1 date of hire emergency contact entered.

Staff 6 is no longer employed.
View original record on Virginia Department of Social Services