VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wild Fern Montessori School
7511 Brook Road
Richmond, VA 23227
(804) 299-9162

Current Inspector: Jaime Harris (804) 807-3278

Inspection Date: Feb. 21, 2020

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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Comments:

An unannounced monitoring inspection was conducted on 02/21/2020 from 9:20 am to 1:25 pm. The children were observed working with learning materials on mats, cutting and gluing activities, reading books, drawing, and playing outside on the playground. A formal observation was completed. The center does not provide meals. The children bring food from home. Interviews were held with staff throughout the inspection, and the inspector interacted with children in the classroom when appropriate. The classroom, playground and all areas utilized by children were inspected. The center does not provide transportation. Records were reviewed for five children and five employees. Medication is being administered and was reviewed. Injury reports were reviewed. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 01/17/2020 Last shelter-in-place drill: 11/13/2019 Census during inspection: 13 children If you have any questions about this inspection, please contact the licensing inspector, Jennifer Moore, at (804) 662-9716

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review, one of five children's records did not contain all required documentation. Evidence: 1. Child #1 was missing emergency contact addresses, immunization records prior to enrollment, and a physical record before attendance or within one month after attendance.
Plan of Correction:	Child #1 has submitted medical documentation as well as current emergency contact addresses. The child's file has been updated.
Standard #:	22VAC40-185-70-A
Description:	Based on record review, two of five staff records were incomplete. Evidence: Staff #2 and #3 were missing documentation of 2 reference checks prior to hire.
Plan of Correction:	References have been updated and placed in booth staff #2 and staff # 3 files.
Standard #:	22VAC40-185-260-A
Description:	Based on record review and interview, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. Documentation of an annual fire inspection was not available for review at the time of the inspection. 2. The last fire inspection was completed in 2018. 3. The administration confirmed that they did not have an updated inspection report.
Plan of Correction:	Fire inspector contacted and inspection completed 2/26/2020.
Standard #:	22VAC40-185-260-B
Description:	Based on record review and interview, the center did not have record of annual approval from the health department. Evidence: 1. Documentation of annual approval from the health department was not available for review at the time of the inspection. 2. The last health inspection record located was dated May 7, 2018. 3. The administration confirmed that the annual approval had not been completed.
Plan of Correction:	Emailed department on 02/21, received a call back on 02/24. GACM called and left a message on 02/25, 02/28, and 03/04, Will continue to contact.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a record review and interview, the center did not ensure each employee had a central registry finding within 30 days of employment. Evidence: 1. Staff #1 (DOH: 07/08/2019) did not have the results of a central registry finding. 2. Staff # 3 (DOH: 10/21/2019) did not have the results of a central registry finding within 30 days of employment. The central registry finding was dated 01/13/2020. 3. Staff # 4 (DOH: 09/11/2019) did not have the results of a central registry finding within 30 days of employment. The central registry finding was dated 12/05/2019. 4. Staff #5 (DOH: 07/01/2018) did not have the results of a central registry finding within 30 days of employment. The central registry finding was dated 10/14/2018. 5. The administration confirmed that they did not receive the findings within 30 days.
Plan of Correction:	Staff #1: Central Registry contacted 02/27/20 records received 03/04/20. Moving forward, central registry will be completed within 30 days or employment will be suspended until completed.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on review of documentation and interview, the center failed to ensure fingerprint background checks were conducted prior to employment. Evidence: 1. Staff #1 had a documented start date of 07/08/2019 and fingerprint results dated 08/28/2019. 2. Staff #4 had a documented start date of 09/11/2019 and fingerprint results dated 11/05/2019. 3. Staff #5 had a documented start date of 07/01/2018 and fingerprint results on 08/06/2018. 4. The administration confirmed that staff #1, #4 and #5 were hired for employment before completion of a fingerprint background check.
Plan of Correction:	Moving forward, the employment date will be contingent on completion and results of fingerprinting.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of documentation and interview, the center failed to request an out of state search of child abuse and neglect registry or equivalent registry maintained by any other state in which the employee has resided in the preceding five years. Evidence: 1. An out of state child abuse and neglect registry search was not requested for staff #2 (DOH 08/23/2019) and staff #3 (DOH 10/21/2019). 2. Staff #2 and #3 resided in another state within the preceding five years prior to employment. 3. The administration confirmed that the searches had not been initiated.
Plan of Correction:	Staff #2: MA Central Registry has been sent. Called on 03/05 to confirm receipt. Staff #3: NC central Registry has been sent. Awaiting results. Will follow up March 8.