VIRGINIA DEPARTMENT OF SOCIAL SERVICES

University Montessori School
1034 Reservoir Road
Charlottesville, VA 22903
(434) 977-0583

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Feb. 3, 2021

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. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on February 3, 2021 and concluded on February 5, 2021. The director was contacted by telephone to initiate the inspection. There were 21 children present and six staff. The inspector emailed the director a list of items required to complete the inpsection. The inspector reviewed three children's records and six staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Bases on review of staff records, the center failed to obtain a negative tuberculosis screening within 21 days after employment. Evidence: 1. Staff #6's tuberculosis test was dated 12/6/2020. Date of employment for Staff #6 was 02/13/2019. 2. Staff verified the date of the tuberculosis test and the date of employment for Staff #6.
Plan of Correction:	A monthly file review to catch any oversights, outdated tests, etc. Additionally, document notice to employees to obtain test.
Standard #:	22VAC40-185-550-D
Description:	Based on review of evacuation drills, the center failed to ensure and document that monthly evacuation drills were conducted. Evidence: 1. There was no documentation that monthly practice evacuation drills had been completed for November 2020, December 2020 and January 2021. 2. Staff verified that the monthly practice evacuation drills had not been documented.
Plan of Correction:	Document fire drills at time of the drill, and directly onto the fire drill log.
Standard #:	22VAC40-191-60-B
Description:	Based on review of staff records, the center failed to ensure that a sworn statement was not signed prior to the first day of employment. Evidence: 1. Staff #3's sworn disclosure statement was dated 09/27/2020. Date of employment for Staff #3 was 9/21/2020. 2. Staff verified the date the sworn disclosure statement was signed, and the date of employment for Staff #3.
Plan of Correction:	Improve hiring policies and paperwork to ensure deadlines for signatures, etc are highlighted and adhered to.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of staff records, the center failed to obtain a central registry finding within 30 days of employment. Evidence: 1. Staff #2's file did not contain a completed Virginia Central Registry background check. Date of employment for Staff #2 was 09/21/2020. 2 There was documentation stating that the central registry background check had been mailed on 09/23/2020. 3. Staff verified that there was not a completed Virginia Central Regsitry background check in Staff #2's record. Staff verified that there had not been follow-up on the status of the Virginia Central Registry background check.
Plan of Correction:	Emailed CRS to obtain background check. Schedule monthly review to catch any oversights, and unreturned forms. Submit evidence to the Licensing Inspector within 10 business days that the background check has been completed or re-submitted.