VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ghent Montessori School
610 Mowbray Arch
Norfolk, VA 23507
(757) 622-8174

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Sept. 7, 2021 and Sept. 15, 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 63.2 Facilities & Programs.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A 60 day monitoring inspection was initiated on 9/7/21 and concluded on 9/15/21. The director was contacted by telephone and a virtual inspection was conducted. There were 49 children present with 7 staff supervising. Children were observed engaging in morning learning activities. A total of 3 child records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing. Evidence: 1. The record for staff 1 (date of hire:8/23/21) does not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the documentation of a negative tuberculosis screening had not been received for staff 1.
Plan of Correction:	The center responded with the following: Staff 1 will obtain a TB screening and the results will be placed in the staff's record.
Standard #:	22VAC40-185-60-A
Description:	Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 9/7/21) does not contain documentation of viewing proof of the child's identity and age. 2. The center director confirmed that documentation of child 1's proof of identity and age was not viewed.
Plan of Correction:	The center responded with the following: The parent will be contacted to bring in the child's birth certificate for viewing and it will be documented in the child's record.
Standard #:	22VAC40-185-70-A
Description:	Based on record review and interview, the center did not ensure that staff records contain all of the required information. Evidence: 1. The records for staff 1 (date of hire: 8/23/21) and staff 2 (date of hire: 9/8/21) do not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the required two references were not checked for staff 1 or staff 2 prior to employment.
Plan of Correction:	The center responded with the following: The required references for staff 1 and staff 2 will be obtained and documented in their record.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center did not ensure that the results of the fingerprint based criminal history records check is obtained before an employee's first day of employment. Evidence: 1. Staff 1 has a hire date of 8/23/21. The results of the fingerprint based background check for staff 1 was not received until 9/10/21. 2. The center director confirmed that staff 1 began employment prior to the results of the fingerprint background checks being received.
Plan of Correction:	The center responded with the following: Going forward, all fingerprint based background checks will be obtained before new staff begin employment.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on record review and interview, the center did not ensure that a copy of the results of a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 2 has a hire date of 9/8/21. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of New York within the past five years. The results of a sex offender registry check were not available for staff 2 from the state of New York. 2. The center director confirmed that the out-of-state sex offender registry check for staff 2 had not been obtained prior to employment.
Plan of Correction:	The center responded with the following: The out-of-state sex offender registry check for staff 2 was completed during the inspection. Going forward, the center will ensure that all out-of-state background checks are completed in the required timeframes.