Mountainside Montessori School
4206 Belvoir Road
Marshall, VA 20115-2336
Current Inspector: Stephanie Reed (540) 272-6558
Inspection Date: Sept. 26, 2019
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
- Technical Assistance:
"Balanced mixed-age grouping" means a program using a curriculum designed to meet the needs and interests of children in the group and is planned for children who enter the program at three through five years of age. The enrollment in the balance mixed-age grouping comprises a relatively even allocation of children in each of three ages (three to six years) and is designed for children and staff to remain together with turnover planned only for the replacement of exiting students with children of ages that maintain the class balance.
A six foot fall zone is required around equipment to anticipate the trajectory in the event of a fall while the equipment is in use. A minimum of six inches of resilient surfacing is required in use zones and fall zones.
An unannounced renewal inspection was was conducted from 8:30 a.m. to 1:15 p.m. An exit meeting was conducted on October 8, 2019 beginning at 1:15 p.m. with the assistant head of school. There were 50 children in care ranging in age from 18 months through 5 years of age under the care and supervision of 7 staff members. Children were observed participating in structured Montessori Activities. Classrooms were observed. The playground was inspected.
Ten children's records were reviewed and in compliance. Nine staff records were reviewed. The most recent emergency drill was conducted 3/28/2019. There were five medications and authorizations reviewed. There are currently six staff members on site who are MAT (Medication Administration Training) certified. The fire inspection, health inspection, and insurance were reviewed and current.
Please have the plan of correction for each area of noncompliance and date to be corrected by returned no later than close of business on 10/15/2019.
If you have questions regarding this inspection you may contact Stephanie Reed at 540-272-6558 or S.Reed@dss,virginia.gov.
Standard #: 22VAC40-185-160-C Description: Based on review of documentation, it was determined that the facility did not obtain documentation of a repeat Tuberculosis (TB) screening every two years as required. Evidence: Staff #1's most recent TB test or screening was dated 7/20/2017. Plan of Correction: Staff #1 will obtain a TB screening
Standard #: 22VAC40-185-70-A Description: Based on review of staff records, the center did not have documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: Staff #1, Staff #2,Staff #3, Staff #5, Staff #6, Staff #7, Staff #8 and Staff #9 did not have documentation of two references in their staff file. Plan of Correction: Since HOS notes have not been located, all staff will need to resend three references for HOS to check. HOS will keep worksheet of the time contacted as evidence.
Standard #: 22VAC40-185-270-A Description: Based on observation, it was determined that not all areas of the center were maintained in safe, operable condition. Evidence: In the Yellow House Primary Class, there were hanging cord blinds on the back windowsill that create a strangulation hazard. On the playground, the rope climbers and rope ladders are connected to the ground by loose metal chains that create entanglement and tripping hazards. There are seven washers located on the top side of the metal climbing bars that are bent open more than 1/8 inch and create an entanglement hazard. There were large jagged pieces of wood chips that measured approximately six inches in length and three inches in width, as well as twigs, and sticks that were all part of the resilient surfacing used on the playground. These large jagged pieces of wood chips, sticks and twigs create impalement hazards. Plan of Correction: Cord hooks have been ordered to pull cords back. Installer to come back to tighten chains. Installer to come back to tighten washers. Staff and older students to conduct a large mulch piece cleanup.
Standard #: 22VAC40-185-280-B Description: Based on observation, it was determined the center failed to ensure all hazardous substances were kept in a locked place. Evidence: In the Yellow House Primary class, there were disinfectant wipes, laundry spray, dishwasher liquid, two disinfectant sprays, and bleach in a cabinet above the counter with the coffee maker and toaster oven on it. There were disinfectant wipes in the bathroom on the right in an unlocked cabinet. In the toddler room, there was dishwasher soap, plant food, window cleaner, bleach, spray paint primer, ant and roach spray, disinfectant, Tea Tree spray, Bleach in a spray bottle and disinfectant wipes in a high unlocked cabinet above the counter. There were disinfectant wipes and disinfectant spray in the bathroom on a open high shelf. In the Blue House Primary Room, there was bleach, air freshner spray, disinfectant wipes, cleaning spray and bleach cleaner in a high unlocked cabinet above the counter. There was disinfectant on the bathroom shelf near the light switch. Plan of Correction: Child cabinet locks have been ordered. Locks will be installed on cabinets where products are kept.
Standard #: 22VAC40-185-280-E Description: Based on observation, cleaning materials and insecticides were not stored in areas physically separate from each other. Evidence: In the Yellow House Primary Room, there was dishwasher detergent, plant food/fertilizer, window cleaner, bleach, disinfectant, Tea Tree spray, bleach in a spray bottle and disinfectant wipes stored with ant and roach spray. Plan of Correction: Cleaning products and insecticides will be kept separately
Standard #: 22VAC40-185-290-3 Description: Based on observation, not all electrical outlets were equipped with protective covers in areas that preschoolers are in care. Evidence: In the Yellow House Primary Room, there was an uncovered outlet near the carpeted area in the back of the classroom. In the toddler room, there was an uncovered outlet near the tall mirror. Plan of Correction: Outlets have been covered
Standard #: 22VAC40-185-330-B Description: Based on observation and measurements, it was determined that the center did not maintain the required resilient surfacing for all playground equipement. Evidence: During the inspection, the Licensing Inspector (LI) measured wood mulch in fall zones and use zone areas of the playground equipment.
1. Dirt was visible under the swing seats and mulch measured .5 inch.
2. Mulch in use zones of the swings measured 4" in front of the swings, 2" at the left back of the swings and 2" at the right back of the swings.
3. Mulch in the use zones and fall zones of the oblong climber measured 4" in fall zone and 3" in the front fall/use zones.
4. Mulch in the use zone of Slide 1 measured 1" in the front of the slide chute and 3.5" in the fall zone. 5. Mulch in the use zone of Slide 2 measured 3" and there is a large dirt mound in the right side use/fall zone measured at 5'2" and the use/fall zone required is 6" on all sides.
6. On the toddler playground/outdoor area, there is a Step2 slide that has a use/fall zone that measured 4" in the front of the slide, 3" on the right, 2"8' on the left and then a brick walkway and 5" at the access point of the slide and there is a wood climber located in the use/fall zone of 5". The wood climber had no resilient surfacing and was installed on top of grass.
Plan of Correction: Another truckload of mulch will be ordered. A new rake for raking mulch in siwng area will be ordered and the area raked at the end of each recess. Base of hill will be dug out and 10 inches more to fall zone for slide 2.
Standard #: 22VAC40-185-340-A Description: Based on observation, it was determined that staff did not ensure the care, protection and guidance of all children in care. Evidence: In the Blue House Primary Room, there were two children in the back of the class that appeared to be having disagreement. Child #1 grabbed Child #2 by the cheek with his fingers in a pinching motion and held on for several seconds. Child #2 had a visible red mark on his cheek after the incident. Not until the Licensing Inspector inquired about the incident did staff approach the children. Staff was not aware it had occurred. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-350-C Description: Based on observation and interview with staff, it was determined that staff to children ratios were not followed as required when children are in regularly ongoing mixed age groups. Evidence: In the Blue House Primary room, there were 22 children under the care and supervision of 2 staff. Children were ages 2 years through 5 years old. Two year old children require a ratio of one staff member to eight children. Plan of Correction: Criteria for advancement of toddlers will be reviewed with the goal of keeping all toddlers under the age of three in A to I
Standard #: 22VAC40-185-510-C Description: Based on review of documentation, it was determined that the center failed to follow it's procedures for medication. Evidence:
1. Nonprescription medication for Child #2 was not consistent with the manufacturer's instructions for age, duration and dosage. Child #2 has Motrin Infant Drops on site with a short-term authorization from the parent to administer 2.5ml. The maximum dosage allowed by the manufacturer is 1.875 ml.
2. The short term authorization exceeded the maximum 10 day authorization by the parent and was not accompanied by a long term authorization.
Plan of Correction: All classroom MAT staff will receive a memo to review policy with respect to manufacturer's instructions. They will need to initial memo to indicate they've completed review. Child #2 paperwork will be updated
Standard #: 22VAC40-185-510-E Description: Based on review of medications, the center failed to ensure that medication was labeled with the child's name, name of the medication, dosage and time or times to be given. Evidence: Levalbuterol for Child #2 was stored in a ziploc bag and had no prescription label. Plan of Correction: Child #2's parent will be contacted and asked to provide a new label
Standard #: 22VAC40-185-550-D Description: Based on review of the emergency drill log and interview with the administration, it was determined that the center did not practice monthly evacuation drills. Evidence: The last fire drill documented was March 28, 2019. The school operated until May 29, 2019. Summer school began June 3, 3019 and ended August 2, 2019. The first day of school for the 2019-2020 year was August 26, 2019. There were no fire drills documented for April 2019, May 2019, June 2019, July 2019, August 2019. Plan of Correction: Staff will be reminded to bring drill sheets to the office immediately after drill has been completed. Summer staff will conduct emergency drills each month.
Standard #: 22VAC40-185-560-F-4 Description: Based on observation, children three years and younger were offered foods that are considered to be a potential choking hazard. Evidence: In the Blue Primary room, children age two years to five years of age are in care. Whole grapes were offered as part of morning snack. Plan of Correction: Though rarely offered, grapes will be cut in half when served. Popcorn, whole nuts, hot dogs will not be offered.
Standard #: 22VAC40-191-40-C-1-B Description: Based on review of documentation and interview with administration, it was determined that not all new agent's obtained the required central registry and sworn statement or affirmation within 30 days of appointment as a board officer. Evidence: Agent 1, Agent 2 and Agent 3 are listed as officers of the corporation on the licensing renewal application and there is no documentation of a sworn statement or affirmation or a central registry background check. Plan of Correction: Paperwork has been provided to Board members. Any Board member not agreeing to searches will step down from Board. Searches will be sent by 10/25/19.
Standard #: 63.2(17)-1721.1-B-2 Description: Based on review of documentation and interview with administration, it was determined that not all new agent's obtained the required National fingerprint background check within 30 days of appointment as a board officer. Evidence: Agent 1, Agent 2 and Agent 3 are listed as officers of the corporation on the licensing renewal application and there is not documentation of fingerprint results. Plan of Correction: Paperwork has been provided to Board members. Any Board member not agreeing to searches will step down from Board. Searches will be sent by 10/25/19.
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.