VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Montessori Academy of Virginia-Suffolk
5805 Harbourview Boulevard
Suffolk, VA 23435
(757) 484-4902

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: March 1, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 Physical plant. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 8VAC20-790 SUBSIDY REGULATIONS. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 SANCTIONS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (22VAC40-191) 20 Access to minor?s records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

Contact information for obtaining out of state background checks was provided to the program director following the inspection.

Comments:

This inspection was conducted by licensing staff, in part, by using an alternate remote protocol, including telephone contacts, documents review and interviews. A tour of the program was also conducted. A Renewal inspection was initiated on 3/1/2022 and concluded on 3/15/2022. The provider was contacted by telephone and documentation was reviewed virtually. On 3/1/2022 there were 80 children and 13 caregivers present at the time of arrival. Four staff records and 4 children?s records were reviewed. The inspector reviewed requirements and compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. 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 #:	22.1-289.035-B-4
Description:	Based on a review pf documentation and interview, the licensee was unable to demonstrate that an Out of State Sex Offender Registry and an Out of State Criminal History Name Check were obtained for each state, other than Virginia, that any individual employee has resided in the past 5 years, prior to their 1st day of employment/service at the center. Evidence:Four staff records were reviewed at the time of inspection on 3/1/2022. The record for staff #1 contained a Sworn Disclosure statement that indicated that staff #1 resided in Texas within 5 years of employment at the program. There were no results in the record for a Sex offender Registry search for the state of Texas. There were no results in the record for a Criminal Record Check for the state of Texas. The program director confirmed that these background checks had not been completed. Staff #1 was working in the center at the time of the inspection.
Plan of Correction:	The program director stated that she was confused about the out of state background check requirements and thought only a Search of the Central registry was not already covered by the Virginia Background checks that she had completed. The program director will submit requests for a Texas Sex offender Registry Search and A Texas Criminal Records Check within 10 days.
Standard #:	22.1-289.058
Description:	Based on observation and interview, the center is not equipped with at least one Carbon Monoxide detector. Evidence: A carbon monoxide detecter was not observed in the center during the inspection on 3/1/2022. The Program Director stated that the center was built before 2015 and she confirmed that a carbon monoxide detector was not installed in the building.
Plan of Correction:	The program director stated that she was not aware of this requirement and that she would purchase a carbon monoxide detector and install it in the center within 2 weeks.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on a review of documentation and interview, the program was not able to demonstrate that results of a search of the central registry had been obtained for the applicant. Evidence: The application received by the department for Renewal of the program's license listed applicant #1 as a designated applicant / licensee / registrant. However, at the inspection conducted on 3/1/2022, the program director confirmed that she was unable to locate documentation of the results of a Search of the Central Registry for Applicant #1 and was also unable to obtain this documentation from the licensee.
Plan of Correction:	A request for a Search of the Central Registry was completed for applicant #1 and a copy was sent to the licensing inspector. The results of the Central Registry Search will be forwarded to the inspector upon receipt.
Standard #:	8VAC20-780-260-A
Description:	Based on a review of records and interview, the licensee was not able to demonstrate that a fire inspection had been conducted within the past 12 months. Evidence: The most recent fire inspection available for review at the time of the inspection on 3/1/2022 was dated 8/25/2020. The program director confirmed that she did not have documentation of a more recent inspection having been conducted.
Plan of Correction:	The program director has contacted the Fire Marshall and requested that an updated inspection be conducted at the next available date.