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Middleburg Montessori School
7274 Rector's Lane
Marshall, VA 20115-3631
(540) 687-5210

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Dec. 17, 2018

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.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced renewal inspection was conducted from 10:45 am - 2:15 pm with the director and facility staff. There were 27 children in care, ranging from four months to five years of age, supervised by 6 staff/volunteers. The children were observed participating in structured Montessori play activities, playing outside with sidewalk chalk, singing songs, eating lunch, which is brought from home, and napping. Five children's records were reviewed. Four staff/volunteer records were reviewed. There were no medications to review. The emergency escape drill log was observed and in compliance. The last health inspection was: 8/31/2018 and the last fire inspection was: 8/31/2018. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of five children's files, the center did not obtain documentation that each child has received a physical examination before the child's first attendance or within one month after attendance. Evidence: The file for Child #3 (date of first attendance: 2/13/17) did not have documentation of a physical examination.

Plan of Correction: Child will not be allowed to return until parents provide documentation of a physical exam.

Standard #: 22VAC40-185-160-A
Description: Based on a review of four staff/volunteer files and an interview with staff, it was determined that not all staff/volunteers had a tuberculosis (TB) test/screening within 21 days of hire or 12 months prior to employment. Evidence: Volunteer staff #1 (date of hire: 10/1/18) did not have documentation of a negative tuberculosis screening on file.

Plan of Correction: We have TB results however they are in German. We will have them translated into English.

Standard #: 22VAC40-185-40-D
Description: Based on observation, and an interview with staff, the license was not posted in a place conspicuous to the public. Evidence: the LI was told that the license is posted inside the director's office. The director's office is located inside one of the classrooms and the door was closed.

Plan of Correction: Will move license to front lobby area.

Standard #: 22VAC40-185-60-A
Description: Based on a review of five children's files, it was determined that not all files were complete. Evidence: The file for child #2 was missing the street address for one emergency contact, and the address and phone number for a second emergency contact. The file for child #5 was missing the name, address and phone number for a second emergency contact.

Plan of Correction: Will get the missing information from the parents today.

Standard #: 22VAC40-185-70-A
Description: Based on a review of four staff/volunteer files, and an interview with staff, it was determined that the facility did not have all required information in each staff/volunteer's file. Evidence: For volunteer staff #1 (date of hire: 10/1/18) there was no file with documentation of job title, verification of age, name, address and telephone number for an emergency contact, documentation of orientation, or two references as to character and reputation as well as competency before employment. Volunteer staff #1 was left alone with one infant while staff left the room to change another infant's diaper.

Plan of Correction: Will obtain missing information today.

Standard #: 22VAC40-185-500-A
Description: Based on observation, and an interview with staff, the facility failed to wash children's hands as required with soap and running water after toileting. Evidence: after diapering an infant, staff did not wash the child's hands until asked to do so by the LI.

Plan of Correction: Will retrain staff on handwashing procedures and post the procedures as well.

Standard #: 22VAC40-185-500-B
Description: Based on observation, and an interview with staff, the facility failed to follow required procedures for diapering. Evidence: 1. There was no leakproof covered receptacle for soiled linens in the toddler classrooms. The basket had a liner, but did not have a cover. 2. The diaper disposal system for infants did not have a plastic liner. Diapers were seen in the trash can. 3. Infant classroom staff did not clean and sanitize the diaper pad as required. Staff used a chlorox wipe to clean the pad, but did not wash with soap and water, and then sanitize the diaper pad with sanitizer as required. *Sanitized means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of item is sprayed with the disinfectant solution and allowed to air dry after use.

Plan of Correction: Will retrain staff, and post procedures today.

Standard #: 22VAC40-191-60-B
Description: Based on review of four staff/volunteer records, it was determined that not all staff/volunteers had a completed sworn statement or affirmation before employment. Evidence: Volunteer staff #1 (date of hire: 10/1/18) did not have documentation of a sworn statement in their file. Volunteer staff #1 was left alone with one infant while another staff member left the room to change another infant's diaper.

Plan of Correction: Will obtain a sworn disclosure statement today.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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