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Siena Academy Catholic Montessori Pre-School
1020 Springvale Road
Great falls, VA 22066
(703) 759-4129

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: April 28, 2021

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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Reviewed proof of identity verification requirements

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A monitoring inspection was initiated on 04/28/2021 and concluded on 04/28/2021. The director was contacted by telephone to initiate the inspection. There were 49 children present and 7 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on record review, 1 of 3 children's records reviewed did not have documentation that a physical was conducted by a physician within 30 days of the first date of attendance.

Evidence:
1. The record for Child #1 (start date 01/05/2021) did not contain documentation of a physical examination.

Plan of Correction: We will call the parents and have them provide us with the documentation.

Standard #: 22VAC40-185-40-G
Description: Based on record review, the center did not meet proof of age and identity requirements as stated in the Code of Virginia for one child.

Evidence:
1. Documentation in the record for Child #2 (start date 11/16/2020) indicated the original proof of age and identity document was viewed on 2/9/2021.
2. The document was not reviewed within seven business days of the start date for Child #2 as required by the Code of Virginia.

Plan of Correction: Documentation for the child was viewed and documented in the file. We will be more vehement of getting documentation in within the required deadlines.

Standard #: 22VAC40-185-550-M
Description: Based on record review, 1 record of injury document did not contain all required information.

Evidence:
1. An injury report dated 11/6/2020 did not contain documentation of future action to prevent recurrence of the injury.

Plan of Correction: We will review the requirement with staff. We will also review our injury form to see if we can add wording to remind staff it is required.

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.

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