VIRGINIA DEPARTMENT OF SOCIAL SERVICES

McDonald Montessori School
4200 Granby Street
Norfolk, VA 23504
(757) 423-1800

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: July 24, 2019

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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced monitoring inspection was conducted from 11:15am through 2:30pm on July 27, 2019. There were 13 children ages three to six years old present with one staff at the onset of the inspection. Two additional staff were present in the building. However, these staff did not join the group for three to five minutes after the inspector entered the building. Children and staff records were reviewed. Medication, over-the-counter skin care products, first aid kit, required postings and annual inspections were reviewed. Violations were identified in the following areas of the Standards for Licensed Child Care Centers: administration, staff qualifications and training, physical plan, staffing and supervision and special care provisions and emergencies. These violations were reviewed with the owner during an exit meeting at the Eastern Regional office on August 8, 2019.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review and interview the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and will be completed within 12 months prior to or 21 days after employing. Evidence: 1 - The record for staff 2 does not contain documentation of a negative tuberculosis screening. a. Staff 2 has a documented date of hire of March 11, 2019. b. Staff 2 was present and providing direct care to children enrolled in the program during the inspection. 2 - Staff 1, the summer program director was unable to answer questions regarding the missing documentation.
Plan of Correction:	The employee received TB screening and the proper documentation is in the file.
Standard #:	22VAC40-185-50-A
Description:	Based on observation and interview the center failed to ensure that staff and children's records are treated confidentially. Evidence: 1 - The children's and staff records were stored in the unlocked office, in a file cabinet that was unlocked during the entire inspection, making them accessible to anyone in the building. 2 - Staff 1 confirmed that the file cabinet and office were not locked during the inspection.
Plan of Correction:	All files are kept in a filing cabinet.
Standard #:	22VAC40-185-70-A
Description:	Based on record review and interview the center failed to ensure that each staff record contains all required information. Evidence: 1 - The record for staff 1 does not contain documentation that orientation was completed, current job title or the written information to demonstrate that she possesses the education, orientation training, staff development, certification, and experience required by the job position. a. Staff 1 has a documented date of hire as August 27, 2018. b. Staff 1 was present working with children in care during the inspection functioning in the role of summer program director. 2 - The record for staff 2 does not contain documentation that orientation was completed, emergency contact information, documentation of age verification or documentation that two references were checked prior to the staff being hired. a. Staff 2 has a documented date of hire as March 11, 2019 b. Staff 2 was present during the inspection providing direct care to children enrolled in the program. 3 - The record for staff 3 does not contain documentation written information to demonstrate that the she possesses the education, orientation training, staff development, certification, and experience required by the job position program leader. a. Staff 3 has a documented date of hire as November 23, 2018. b. Staff 3 was present during the inspection providing direct care to children functioning in the role of program leader. 4 ? Staff 1 confirmed that the information was missing from the records of staff 1, 2 and 3.
Plan of Correction:	All employee files were updated with current and/or proper documentation.
Standard #:	22VAC40-185-200-A
Description:	Based on record review, observation and interview the center failed to have a qualified program director or back-up program director who meets one of the director qualifications who is regularly on site at least 50% of the center's hours of operation. Evidence: 1 - There were three staff present providing care to 13 children ages 3 - 6 years old. However, none of the three staff records list their job title as program director. 2 - Staff 1 was present working in the role as summer program director however, the record for staff 1 does not include any documentation that staff 1 meets any of the director qualifications. 3 ? The owner (who does meet program director qualifications) was not present during the inspection. Furthermore, staff 1 stated that the owner was present approximately 20% centers hours of operation during the summer. 4 - Staff 1 stated that she was responsible for the summer program operations.
Plan of Correction:	On her file.
Standard #:	22VAC40-185-240-D-5
Description:	Based on record review and interview the center failed to ensure that there is always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1 - There is no information in the records of staff 1, 2, or 3 who were the only staff working during the inspection, that daily health observation training has been completed. a. Staff 1 confirmed that she was not aware of any staff present today having obtained instruction in performing the daily health observation of children.
Plan of Correction:	Employees received DHO certificate from online course.
Standard #:	22VAC40-185-260-B
Description:	Based on review of documentation and interview the center failed to ensure that after the first license, annual approval from the health department is provided. Evidence: 1 - The most recent health inspection available for review is dated June 5, 2018. 2 - Staff 1 stated that she did not know where a more recent inspection was located in the center office, if a more recent inspection had been completed.
Plan of Correction:	The Health Department conducted an inspection and reissued our food permit.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and interview the center failed to ensure that areas and equipment are maintained in safe condition. Evidence: 1 - There were dangling electrical cords in two center locations accessible to children, creating entanglement and toppling hazards. a. There was a dangling cord from a world globe in the summer child care room. The cord hangs down the side of shelf in such a way that it creates an entanglement hazard. Furthermore, the globe could be pulled down from the shelf and land on top of a child. b. Staff 1 stated that during the summer program children spend the majority of the day in this room. Children were observed in the classroom during the entire inspection. c. There was a dangling electrical cord from a fan in the school age room. The fan is located more than seven feet off the floor on top of cabinet. The cord extends down the side of the cabinet to within reach of the three children present in the room. The dangling cord poses an entanglement hazard. Additionally the dangling cord poses a toppling hazard; if the cord is pulled the fan could fall off the shelf may cause injury to child. 2 - There was a set of cube shaped, wire baskets stacked in the summer child care room that are not secured to the wall. These unsecured baskets pose a toppling hazard. The baskets are 12 square inches in size and are stacked four tall and approximately eight wide, creating a "wall" that is approximately four feet tall, eight feet wide and 12 inches deep. The baskets are filled with a variety of items used by children throughout the day. 3 - In the summer child care room, stored in a lower cabinet under the sink there was a plastic shopping, grocery bag filled with other plastic shopping bags. The cabinet is an unlocked location, therefore, the bags are accessible to children in care and pose a suffocation hazard. 4 ? In the school age classroom there were three tables with two chairs each, stacked on top of the tables. These chairs pose a toppling hazard.
Plan of Correction:	Everything was fixed immediately by removal or proper storage.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and interview the center failed to ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 - Also in the summer child care room, in an unlocked storage closet, there was a package of floor cleaning pads. a. The package states keep out of reach of children and eye irritant. b. The closet was standing open with pads sitting on top of a box approximately two feet off the floor. 2 - In the adult bathroom there was an unlocked cabinet that is sitting on the floor, there are four spray cans of air freshener. a. The spray cans state keep out of reach of children and eye irritant. b. The door to the adult bathroom remained open during the inspection. Children were observed walking past the bathroom in order to enter the school age room. 3- In the school age classroom there was an unlocked cabinet under the sink that contains eight bottles and cans of a variety of chemicals including cleaning solvents, butane fuel, root kill, alcohol, and disinfectant. Each container has a label that reads keep out reach of children and one other warning including but not limited to , flammable, caution, harmful if swallowed and eye irritant. a. Three children were observed participating in a craft activity in the school age classroom where these unlocked chemicals are stored.
Plan of Correction:	Child locks were installed on all cabinets and dangerous/hazardous materials were put in these locked cabinets.
Standard #:	22VAC40-185-330-B
Description:	Based on observation and interview the center failed to ensure that where playground equipment is provided, resilient surfacing, fall and use zones are in compliance with safety standards. Evidence: 1 - The climb and slide equipment on the playground does not have the required depth of resilient surface. The resilient surface measured approximately 1/4 inch to two inches deep where a minimum depth of six inches in required. 2 - Additionally, near each piece of equipment there were large areas of ground that have no resilient surface at all. The bare ground was exposed. When these areas were stepped on the ground felt hard and compacted. These bare areas were within the fall and use zone of each climb and slide piece of equipment 3 - Children ages three to six years old were observed engaged in climb and slide play activities on each piece of equipment on the playground. 4 - Additionally, there was grass and weeds growing up in areas where there is resilient surface within fall and use zones of the climb and slide equipment.
Plan of Correction:	Ten inches of mulch was installed. All plants were sprayed with weed killer while school was closed.
Standard #:	22VAC40-185-340-D
Description:	Based on record review, observation and interview the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: 1 ? Staff 3?s file does not include information to demonstrate that she meets program director or program leader qualifications. However, the staff was present, alone and providing care to three school age children from 1pm through 2pm. 2 ? Staff 1 confirmed that staff 3 was alone providing care to children in the school age classroom. 3 ? Staff 3 stated that she was a classroom assistant during the school year.
Plan of Correction:	Proper documentation was put in the files.
Standard #:	22VAC40-185-510-E
Description:	Based on review of medication and interview the center failed to ensure that medication is labeled with the child's name. Evidence: 1 - There was a bottle liquid of allergy medication in the center that does not have child 2?s name on the medication. 2 - Staff 1 confirmed that the medication did not have child 2?s name on the container.
Plan of Correction:	All medicines were relabeled properly.
Standard #:	22VAC40-185-510-J
Description:	Based on observation and interview the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 ? The unlocked top drawer of a file cabinet located in an unlocked office, accessible to children contained one bottle of over-the counter cough medicine, one bottle of allergy medicine, and one epinephrine injectable medicine. 2 - Staff 1 confirmed that the medication was stored in the unlocked file cabinet.
Plan of Correction:	The file cabinet is now locked. Medicines are stored in lock bags.
Standard #:	22VAC40-185-510-N
Description:	Based on record review and interview the center failed to ensure that medication is picked up within 14 days of authorization expiration or the parent must renew the authorization. Evidence: 1 - There was a bottle of cough medicine in the center for child 1. Documentation showed that the last time the medication was administered was on February 1, 2019. The medication was in the center today. The medication was not returned to the parent or disposed of as required. a. There are two parent authorization forms available for child 1. One parent signature is dated 1/30 with no year indicated. The second parent authorization is dated1/24/18. The documentation showed that the medication was administered to child 1 on 1/24/19. 2 - Staff 1 confirmed that the medication was present in the center beyond the allowed 14 days.
Plan of Correction:	Medicine paperwork was updated.
Standard #:	22VAC40-185-520-B
Description:	Based on observation and interview the center failed to ensure that sunscreen is labeled with the child's name. Evidenced 1 - Four out of 16 sunscreens reviewed were not labeled with the child's name. 2 - Staff 1 confirmed that there were four sunscreens that were not labeled with a child's name.
Plan of Correction:	All sun screen were relabeled.
Standard #:	22VAC40-185-540-A
Description:	Based on observation and interview the center failed to ensure that a first aid kit is accessible to outdoor play areas. Evidence: 1 - A first aid kit was not accessible to the outside play space when a group of 13 children went out to the playground with two staff today. a. There is not direct access from the playground to the inside of the building and the lobby. The lobby is where the first aid kit is stored. In order to gain access to the first aid kit staff must walk; through the playground gate, up the walk way (approximately 50 feet), through the first set of doors (unlocked), through the second set of doors (locked) into the lobby, around the counter, into the office, unlock the file cabinet, then retrace steps back to the playground.
Plan of Correction:	First aid kits are available on the playground at all times.