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: Sept. 12, 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 (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Before leaving on a field trip, a schedule of the trip's events and locations shall be posted and visible at the center site. Parental permission for transportation and field trips shall be secured before the scheduled activity. If a blanket permission is used instead of a separate written permission, the following shall apply: 1. Parents shall be notified of the field trip; and 2. Parents shall be given the opportunity to withdraw their children from the field trip.

Comments:

A monitoring inspection was initiated on 09/12/2023 and concluded on 09/12/2023 from 1:29 PM to 3:45 PM. There were 26 children present, ranging in ages from two to six, with nine staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of five children?s records, the five staff?s records and three board officer?s records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint results prior to the first day of employment. Evidence: 1. The record for staff 2 documents the first day of employment as 8/28/23. The fingerprint results are dated 9/13/23. 2. Staff 6 verified the date of employment and date of fingerprint results.
Plan of Correction:	Do not allow staff to start until fingerprint results are obtained.
Standard #:	22.1-289.036-B-2
Description:	Based on interviews, the center failed to obtain fingerprint background checks prior to the first day of service for two out of three agents of the center. Evidence: 1. Staff 6 was unable to provide fingerprint results for board officer 1. Staff 6 stated board officer 1 started as a board officer on 9/23/21. 2. Board officer 3's fingerprint results are dated 11/5/21. 3. Staff 6 stated board officer 3 started as a board officer on 9/23/21.
Plan of Correction:	All paperwork for board members must be received prior to them starting a position.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on record review and interview, the center failed to have an agent of the center sign a sworn disclosure statement prior to the first day of service and have a completed central registry record check by the end of the 30th day of service. Evidence: 1. Staff 6 stated board officer 1 has not completed a sworn disclosure statement and has not completed a central registry record check. 2. Staff 6 stated board officer 1 started as a board officer on 9/23/21. 3. Board officer 3 completed the sworn statement on 11/4/21 and the central registry findings were dated 12/28/21. 4. Staff 6 stated board officer 3 started as a board officer on 9/23/21.
Plan of Correction:	All paperwork for board members must be received prior to them starting a position.
Standard #:	8VAC20-780-210-A
Description:	Based on record review and interview, the center failed to ensure two out of five staff met one of the requirements to be a program leader. Evidence: 1. Staff 2 was observed alone with children on the playground. The record for staff 2 was reviewed. The record did not contain documentation of an education requirement to meet program leader qualifications. 2. Staff 6 stated staff 2 does not have the educational requirements to meet program leader qualifications. 3. Staff 6 stated staff 4 was the lead teacher downstairs in the afternoon. 4. The record for staff 4 did not contain documentation showing staff 4 meets the educational requirements to be a program leader. 5. Staff 6 verified staff 4 does not have the educational requirements to meet program leader qualifications.
Plan of Correction:	Staff records will reflect program leader requirements and files will be checked twice a month.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the upstairs classroom an unlabeled bottle of Steramine sanitizer was on an open shelf out of reach of children. Staff 6 verified the bottle contained Steramine. 2. In the downstairs classroom a spray bottle of Goo Gone was on an open shelf out of reach of children.
Plan of Correction:	All spray bottles with hazardous substances are to be kept locked. Admin will check this 1X/week.
Standard #:	8VAC20-780-280-G
Description:	Based on observation, the center failed to keep a hazardous substance that was not in its original container in a container that is clearly labeled indicating its contents. Evidence: 1. In the upstairs classroom a clear spray bottle was on an open shelf with no label of its contents. 2. Staff 6 stated the bottle contained the sanitizer Steramine and should have been labeled.
Plan of Correction:	All bottles will be labeled and stored according to their contents. Locked up mostly.
Standard #:	8VAC20-780-510-F
Description:	Based on interview, the center failed to maintain a medication authorization for two medications at the center. Evidence; 1. In the upstairs classroom a tube of Cortizone and itch relief cream was on a shelf. 2. Staff 6 stated both creams belong to children in care and the center did not have medication authorizations for either medication.
Plan of Correction:	Parents were given forms to complete and returned them correctly completed. All meds go to lock box in the office or refrigerator.
Standard #:	8VAC20-780-510-G
Description:	Based on observation and interview, the center failed to label medication with the dosage amount and times to be given. Evidence: 1. In the upstairs classroom a tube of Cortizone and Itch relief ointment was found. Neither product was labeled with the dosage and time to be given. 2. Staff 6 verified both creams were for children in care.
Plan of Correction:	No meds will be received by the school unless proper completed paperwork is present.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, the center failed to keep medication in a locked location using a safe locking method that prevents access by children. Evidence: 1. In the upstairs classroom, on a high shelf, was a tube of Cortizone and itch relief cream. 2. Staff 6 verified both medications belonged to children in care.
Plan of Correction:	Medicine moved to lock box.
Standard #:	8VAC20-780-510-N
Description:	Based on interview, the center did not keep a record of medication given to children. Evidence: A tube of Cortizone and Itch Relief Cream was found in the upstairs classroom. Staff 6 verified the over-the-counter medications were for children and both had been administered a few times. No documentation had been completed for either medication.
Plan of Correction:	All medications are now stored in the front office with the log binder.
Standard #:	8VAC20-780-530-A
Description:	Based on record review and observation, the center failed to ensure at least one staff in each classroom or area where children are present has a current certification in CPR & first aid. Evidence: 1. Staff 2 was alone outside with children. The record for staff 2 did not contain a certification in CPR & first aid. 2. Staff 4 was alone with children during nap in the main space downstairs. The record for staff 4 did not contain a certification in CPR & first aid. 3. Staff 6 verified staff 2 and staff 4 do not have certification in CPR & first aid.
Plan of Correction:	Staff 2 received CPR & First Aid training on 9/25/23. We will create a schedule to ensure there is always at least 1 staff member with the correct certificates with the children.