VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Forever Young Montessori School and Day Care
4613 - 4621 Pembroke Lake Circle
Virginia beach, VA 23455
(757) 499-0570

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Aug. 15, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An investigation was initiated on 6/20/19 in response to a complaint received by the Eastern Regional Office on 6/19/19 regarding supervision, children's records and children's injuries. An on-site inspection was conducted by two licensing inspectors on 8/15/19. Interviews with staff were conducted and documentation and records related to the complaint were reviewed. The investigation was concluded on 9/17/19. Based on the information gathered during the investigation, the complaint is determined to be valid. Violations in the areas of administration, staffing and supervision, special care provisions and emergencies, background checks and license and regulation procedures are cited on the violation notice and were discussed with center administration during an exit interview on 10/1/19..

Violations:

Standard #:	22VAC40-185-130-A
Complaint related:	No
Description:	Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Health was obtained before the child can attend the center. Evidence: 1. Child 1, age 18 months, had a date of enrollment of 1/7/19 and documentation of immunizations was not obtained until 2/25/19. 2. Staff 4 confirmed that documentation of immunizations for child 1 was not obtained until after the child began attending the center.
Plan of Correction:	The center responded with the following: Will ensure that no child will be allowed to start until shot records are received.
Standard #:	22VAC40-185-140-A
Complaint related:	No
Description:	Based on record review and interview, the center did not ensure that each child shall have a physical by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: 1. Child 1, age 18 months, had a date of enrollment of 1/7/19. Documentation of a physical examination was not obtained until 2/25/19, which is more than one month after attendance. 2. Staff 4 confirmed that documentation of a physical examination was not obtained within the required time frame for child 1.
Plan of Correction:	The center responded with the following: Plan of action in place to ensure that files are checked weekly for updated information as needed.
Standard #:	22VAC40-185-60-A
Complaint related:	No
Description:	Based on record review and interview, the center did not ensure that each child's record shall contain all the required information. Evidence: 1. The record for child 1 (date of enrollment:1/7/19) does not contain the addresses for the two designated people to call in an emergency if a parent cannot be reached. Child 1 was in care on the day of the inspection. 2. The record for child 2 (date of enrollment: 4/8/19) does not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. 3. Staff 4 confirmed that the records for child 1 and child 2 are lacking the required information for emergency contacts.
Plan of Correction:	The center responded with the following: Obtained the information on two designated people to call in an emergency if parent cannot be reached. Will ensure that all forms are fully complete.
Standard #:	22VAC40-185-70-A
Complaint related:	No
Description:	Based on record review and interview, the center did not ensure that staff records shall contain all the required information. Evidence: 1. The record for staff 1(date of hire: 6/10/19) does not contain documentation of two or more references as to character and reputation as well as competency; written information to demonstrate that the individual possesses the orientation training required for the job position; and, date of separation from employment. 2. Staff 4 stated that staff 2 was hired and worked for one day during the summer. There was no record for staff 2 available for review during the inspection. 3. The record for staff 3 (date of hire: 4/29/19) does not contain a job title. 4. Staff 4 confirmed that the records for staff 1, staff 2 and staff 3 are lacking all the required information.
Plan of Correction:	The center responded with the following: 1. Will ensure that each employee has required (2 or more) references as to character and reputation as well as competency. 2. Record for staff 2 was located. 3. Will ensure that center put job title for each staff member. 4. Will ensure have obtained all information for staff members.
Standard #:	22VAC40-185-340-F
Complaint related:	No
Description:	Based on observation, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Child 1, age 18 months, was observed to be asleep in a crib in the infant room with no staff person present. Child 1 was assigned to the toddler classroom with staff 4; however, the other 5 toddler's were with staff 4 in a classroom adjacent to the infant room. From where staff 4 was positioned in the toddler classroom, there was not a direct line of sight to child 1 in the infant room. 2. All lights in the center were turned off due to it being nap time and the curtains in the 3 and 4 year old classroom and school-age (ages 4-6 years) classroom were closed. The classrooms throughout the center were too dark for staff to be able to directly see the children on their cots and observe if assistance was needed. In addition, some of the children's cots in the 3 and 4 year old classroom and the school-age classroom were positioned behind bookcases and shelves, placing them out of direct sight of staff. 3. Staff 5, who was to be supervising the napping children in the 3 and 4 year old classroom, was observed frequently walking out of the classroom into the toddler room and had to be repeatedly redirected back to her supervision duties in her classroom by staff 4.
Plan of Correction:	The center responded with the following: 1. Staff members have been reminded that if they leave the room they are to ensure another staff member is in the room. 2. Blinds are kept opened to allow light in the rooms. Children have been relocated so they are in clear sight of staff at all times.
Standard #:	22VAC40-185-550-M
Complaint related:	No
Description:	Based on record review and interview, it was determined the center did not ensure that the written record of all children's serious and minor injuries contained all of the required components. Evidence: 1. Six out of six children's injury reports did not contain the time when parents were notified of the injury or future action to prevent recurrence of the injury. 2. Staff 4 confirmed that the injury reports did not contain all the required information.
Plan of Correction:	The center responded with the following: New injury/accident report has been written to include all information required.
Standard #:	22VAC40-191-60-B
Complaint related:	No
Description:	Based on record review and interviews, the center did not ensure that each staff member completed a sworn statement or affirmation prior to beginning service. Evidence: 1. Staff 4 stated that staff 2 was hired and worked at the center for one day. There was no sworn statement or affirmation available for review during the inspection for staff 2. 2. Staff 4 confirmed that there was no sworn statement available for review for staff 2.
Plan of Correction:	The center responded with the following: File for staff member #2 was located; locks have been placed on the file cabinet to ensure all records are secure.
Standard #:	63.2(17)-1720.1-B-2
Complaint related:	No
Description:	Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment. Evidence 1. Staff 1 has a hire date of 6/10/19 and the results of the fingerprint based background check were not received by the center until 6/11/19. 2. There was no results for the fingerprint based background check on file for staff 2. Staff 4 stated that staff 2 was hired and worked for one day in the summer. 3. Staff 4 confirmed that staff 1 was hired before the results of the fingerprint based background check was received and that the results of staff 2's fingerprint results could not be located.
Plan of Correction:	The center responded with the following: Will ensure fingerprint results are received before staff starts.