VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Salem Montessori School - Infant & Toddler Program
107 Corporate Blvd
Salem, VA 24153
(540) 387-1521

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: June 4, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

On June 4, 2019, an unannounced mandated inspection took place beginning at 10:30am and ended at 4:00pm. During this time, the inspector observed outside time, free play, lunch time, diapering practices, hand washing, and nap time. Additionally, the inspector also reviewed drills,the first aid kit, and the health and fire inspections. 1 medication record, 8 staff records,and 7 children's records were reviewed. On this day, there were 75 children in care.

Violations:

Standard #:	22VAC40-185-40-E
Description:	Based on observation and review of program policies and procedures, the center did not follow it's own policies and procedures for playground safety. Evidence: 1. Staff did not position themselves on the playground to allow for adequate supervision of the children according to the playground safety plan. 2. Staff did not provide an adequate resilient surface for the playground area according to the playground safety plan.
Plan of Correction:	Staff plans to meet and discuss with all employees to ensure that all remain in their "stations" at all times. Staff also plans to look at their "request" process for mulch as well as their policies and procedures for who is responsible for playground maintenance.
Standard #:	22VAC40-185-60-A
Description:	Based on observation, the provider failed to maintain and keep at the center a separate record for each child enrolled which shall contain allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation. Evidence: 1 Child (1) did not include allergies in his/her record.
Plan of Correction:	Staff plans to have parents fill out missing information regarding allergies
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the provider failed to maintain areas and equipment outside the center in a safe and operable condition. Evidence: 1. There were several wooden benches located on the playground that had protruding screws that posed a potential risk of skin snag or clothing entanglement. 2. Grass and/or weeds located on the playgrounds were approximately ten to twelves inches high and if left uncut, could carry the risk of rodent or insect harborage. 3. The wooden floor supports in the playhouse are brittle, expose a screw, and could pose risk of clothing entanglement or skin snag. Children were seen using the playhouse. 4. The plastic tricycle was missing the seat and a child was visible using it. The missing seat could have caused injury. 5. There are some areas of the wooden beams located around the perimeter of the playground, that have uneven, splintered and worn areas that could pose as a trip hazard, as well as a potential skin snag. There were children playing on and near the structures at the time of inspection.
Plan of Correction:	Staff plans to discuss repairs or replacement with maintenance staff. The tricycle seat was replaced during the inspection.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the provider failed to keep a hazardous substance in a locked place using a safe locking method that prevents access by children. Evidence: 1. An aerosol can of air freshener was located on the top shelf of the bathroom in the " "Buttercup" room.
Plan of Correction:	Staff removed the can of air freshener during the inspection.
Standard #:	22VAC40-185-330-B
Description:	Based on observation, the playground area lacked resilient surfacing around the play structure. Evidence: 1. The mulch around the play structure was approximately 2 inches tall and there was visible dirt.
Plan of Correction:	Staff plans to remove play structures or add more mulch.
Standard #:	22VAC40-185-370
Description:	Based on interviews with staff, the provider failed to comply with the standard: daily activities for infants. There shall be a flexible daily schedule for infants based on their individual needs. During the day, infants shall be provided with outdoor time if weather and air quality allows. Evidence : 1. Staff stated that children in the "Daisy" room had not been outside since yesterday. According to the weather application, the temperature outside yesterday was 75 degrees.
Plan of Correction:	Children were not outside due to cleaning needed for equipment. The equipment was cleaned during the inspection.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the provider failed to provide, for children younger than three years, a surface such as a changing table or counter top designated for changing, for diapering. Evidence: 1. The changing area for "Buttercup" was not a surface such as a changing table or counter top. The surface was a changing pad on the floor.
Plan of Correction:	A changing table is on premises and will be placed in the room for future use.