VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Williamsburg Montessori School
4200 Longhill Road
Williamsburg, VA 23188
(757) 565-0977

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: July 20, 2022

Complaint Related: 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. 8VAC20-770 BACKGROUND CHECKS 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A renewal inspection was initiated on July 20, 2022 and concluded on July 21, 2022. There were 43 children present, ranging in ages from 2 to 10, with 9 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. 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.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review of three staff records and staff interviews, the licensee did not ensure, all staff obtained a Virginia Fingerprint Check /Criminal Record Check prior to the first day of employment Evidence: Staff #2's first date of employment was June 30, 2022 and the Criminal Records Check was dated July 6, 2022.
Plan of Correction:	Staff #2 Out of state criminal records check requested 6/30/22 - child abuse/neglect clearance received 6/30/22, Rl criminal record check received 7/6/22. All backgrounds checks completed and in employee file
Standard #:	22.1-289.035-B-4
Description:	Based on record review and staff interviews, the licensee did not ensure, all staff and volunteers obtained an out of state criminal history name check prior to the first day of employment, service, and by end of 30th day for new board officers/agents (volunteers). Evidence: Out of five staff records reviewed and three volunteer (board members) records; it was determined two individuals had not obtained the required out of state criminal records checks. 1. Staff #2's first date of employment was June 30, 2022 and they had not obtained an out of state criminal records check for Rhode Island where they had lived within the last five years. 2. Volunteer #2's first date of volunteering (board member) was September 11, 2020 and they had not obtained an out of state criminal records check for the District of Columbia where they had lived within the last five years.
Plan of Correction:	1. Out of state criminal records check requested 6/30/22 - child abuse/neglect clearance received 6/30/22, RI criminal record check received 7/6/22. All backgrounds checks completed and in employee file 2. 7/21/22 - for volunteer #2 - new out of state record request prepared, notarized and shipped by Federal Express to District of Columbia Police Department.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Two out of five records reviewed did not have documentation of TB screening/ test available for review, that was conducted in the required timeframe. 1. .Staff #2's TB screening was dated July 5, 2022 and the first date of employment was June 30, 2022. 2.Staff #3 's TB screening was dated January 11, 2022 and the first date of employment was June 22, 2022.
Plan of Correction:	Staff #2 - Received TB after start of employment due to VDH backup on scheduling - TB screen date was 7/5/22. Staff #3 - TB test dated 1/11/22 which is current through 1/11/24 but not prior to within 30 days. Employee was seasonal and is no longer employed at WMS
Standard #:	8VAC20-780-240-A
Description:	Based on review of documentation and staff interviews, the licensee did not ensure employees had obtained the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #4's date of hire April 12, 2022 does not have documentation of the required training. Center staff confirmed staff #4 had not completed the training
Plan of Correction:	Preservice training link sent to employee to complete immediately. Staff member serves as a substitute and will not be returning to school until training is complete. I will forward a copy of the certificate when complete.
Standard #:	8VAC20-780-240-E
Description:	Based on a review of five staff records and staff interviews, the licensee did not ensure that each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff #4's date of hire April 12, 2022 does not have documentation of CPR / first aid training within the timeframe.
Plan of Correction:	Staff #4 will receive CPR/FA training on 8/30/22 before the start of the school year. Staff member serves as a substitute and will not be returning to school until training is complete. I will forward a copy of the certificate when complete.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the following classrooms hazardous chemicals were observed stored in an unlocked manner and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning". 1. In the Children's House on a shelf near the door there was one container of disinfectant wipes and in an unlocked cabinet below the fish tank there was a container of "algae gone" and "easy balance". 2. In the Toddler 1 room on a shelf there was one container of disinfectant wipes, one bottle of disinfectant spray and three containers of hand sanitizer. 3. In the Elementary room on a shelf near the entrance door there were three containers of hand sanitizer and on a top shelf in the rear of the room there were four containers of disinfectant wipes.
Plan of Correction:	All chemicals and cleaners have been moved to locked cabinets away from the reach of children. Policy has been reviewed with staff.
Standard #:	8VAC20-780-510-P
Description:	Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: In the Elementary room there were two medications with expired authorizations and the medications were not sent home as required. 1. The authorization for the allergy relief medication for child #2 was signed September 16, 2021. 2. The authorization for the pain reliever medication for child #3 was signed October 25, 2021. Center staff confirmed both medications had not been administered. The medication authorizations for child #2 and child #3 expired after 10 work days from the signature /authorization date.
Plan of Correction:	Medications for child #2 and child #3 have been removed from the classroom lock box and parents have picked up the medication.
Standard #:	8VAC20-780-530-A-1
Description:	Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care Evidence: In the following classrooms there was not a staff member who obtained CPR certification. 1. In the Children's House room, there were three staff (staff #2, #4 and #6) and 13 children. There was not a staff member with CPR certification in the classroom. The children were ages 3 to 6. 2. In the Toddler #1 room, there was only one staff member (staff #7) with eight children ages 2 to3 and staff #7 does not have CPR certification.
Plan of Correction:	CPR trained staff have been shifted to be in Toddler #1 and Childrens House classrooms at all times. Additional CPR training will be held before the start of the new school year (9/6/22 start date) to certify additional staff in all classrooms. In Toddler #1 ratio for child/teacher will be maintained by shifting an administrative staff member to the classroom when the staff member takes her lactation break.
Standard #:	8VAC20-780-530-A-2
Description:	Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid as appropriate to the age of the children in care Evidence: In the classrooms there was not a staff member who obtained first aid certification in the following classrooms. 1. In the Children's House room, there were three staff (staff #2, #4 and #6) and 13 children. There was not a staff member with first aid certification in the classroom. The children were ages 3 to 6. 2. In the Toddler #1 room, there was only one staff member (staff #7) with eight children ages 2 to 3 and staff #7 does not have first aid certification.
Plan of Correction:	CPR trained staff have been shifted to be in Toddler #1 and Childrens House classrooms at all times. Additional CPR training will be held before the start of the new school year (9/6/22 start date) to certify additional staff in all classrooms. In Toddler #1 ratio for child/teacher will be maintained by shifting an administrative staff member to the classroom when the staff member takes her lactation break.
Standard #:	8VAC20-780-550-G
Description:	Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: in the Elementary classroom six out of six lunch boxes observed did not have the date and five out of six were not labeled in a way that identifies the owner.
Plan of Correction:	Lunch boxes have been labeled with student's name and date and procedures reviewed with staff to conduct labeling every morning as the students arrive.