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Salem Montessori School, Inc.
101 Corporate Boulevard
Salem, VA 24153
(540) 387-1523

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Aug. 14, 2023

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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Comments:
An unannounced monitoring inspection was conducted on 8/14/2023 from 9:55 am to 2:15 pm. There were 44 children in care, ages three years to six years, in three groups under the care of five staff. The Licensing Inspector reviewed four children?s records, five medications and associated records, five staff records, and other program records. The children were observed on the playground, quiet activities, washing hands, and having lunch.

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-A
Description: Based on staff record review, the center failed to ensure that required background checks are repeated every 5 years per the Code of Virginia.

EVIDENCE:
The most recent Criminal Record Fingerprint Eligibility letter for Staff 4 was dated 7/18/2018.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-B-2
Description: Based on staff record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

EVIDENCE:
1. Staff 1 had a documented hire date of 6/21/2023 and there was no fingerprint letter of eligibility available for review. Staff 6 confirmed it was not in the record.

2. Staff 2 had a documented hire date of 3/17/2023 and the fingerprint letter of eligibility was dated 3/20/2023.

3. Staff 3 had a documented hire date of 2/23/2023 and the fingerprint letter of eligibility was dated2/28/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-B-4
Description: Based on staff record review and interview, the center failed to obtain an out-of-state child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

EVIDENCE:
Staff 2 had a documented hire date of 3/17/2023. The record contained documentation that Staff 2 had resided outside of the state within the preceding five years. There was no child abuse and neglect registry check from the state in which Staff 2 resided. Staff 6 confirmed it was not in the record.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment.

EVIDENCE:
Staff 1 had a documented hire date of 6/21/2023. Results of the Virginia Central Registry check were not available for review. Staff 6 confirmed it was not in the record.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based on staff record reviews, the center failed to obtain TB screenings for new staff prior to employment.

EVIDENCE:
1. Staff 1 had a documented hire date of 6/21/2023. The TB screening was dated 7/3/2023.

2. Staff 2 had a documented hire date of 3/17/2023. The TB screening was dated 3/24/2023.

3. Staff 3 had a documented hire date of 2/23/2023. The TB screening was dated 2/27/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A-8
Description: Based on child record review, the center failed to obtain a written allergy care plan for a child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

EVIDENCE:
The physical exam form for Child 3, signed by the physician on 6/8/2023, shows this child is allergic to eggs and peanuts. The record for Child 3 does not have a written allergy care plan.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on staff record review, the facility failed to have references for a staff person prior to beginning employment.

EVIDENCE:
Staff 1 had a documented hire date of 6/21/2023. References were obtained on 7/6/2023 and 7/14/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-245-A
Description: REPEAT VIOLATION

Based on record review and interview, the facility failed to ensure that a staff person completed a minimum of 16 hours of annual training appropriate to the age of children in care.

EVIDENCE:
The record for Staff 4 had no documentation to support that 16 hours of training had been completed in the past year.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-280-B
Description: Based on observation, the center failed to have hazardous substances kept in a locked place using a safe locking method that prevents access by children.

EVIDENCE:
1. The laundry room was unlocked and a shelf in the room had multiple containers of bleach and laundry detergent.

2. Toilet bowl cleaner, Soft Scrub, and disinfectant wipes were stored in a basket on a shelf in the unlocked children?s bathroom in the Maple room.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-G
Description: Based on observation, the center failed to ensure that medication for a child was labeled with all required elements.

EVIDENCE:
A prescription medication, EpiPen was in a plastic bag. The bag had the name of Child 4 written on it. The medication itself did not have the prescription label and was missing the child?s name, dosage amount, or the time or times to be given.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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