VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wild Fern Montessori School
7511 Brook Road
Richmond, VA 23227
(804) 299-9162

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 11, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 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

Comments:

An unannounced monitoring inspection was conducted on 4/11/2022 from 9:08 am-11:40 am. The children were observed matching picture and word cards, reading, tracing with stencils, eating morning snack and playing outside. There were 26 children in attendance ranging in age from 2 to 5 years. A formal observation was completed with the 3-6 year old classroom. The center does not provide lunch and the children bring food from home. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. All classrooms and playgrounds were inspected today. 4 children?s records and 4 employee records were reviewed during this inspection. Medication is administered at the center and were reviewed. The center does not provide transportation. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 3/24/2022 Last shelter-in-place drill: 9/7/2021 Last lockdown drill: 1/4/2021 Last fire inspection: 11/25/2020 Last health inspection: 12/30/2020 Total enrollment: Today, the following child to staff ratios were observed: Twos? 8:2 Threes/Fours/Fives: 18:2 If you have any questions about this inspection, please contact the licensing inspector, Jennifer Moore, at (540) 430-0384. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289-036-B-4
Description:	Based on a review of four staff records and interview, the center did not ensure to obtain a sex offender registry background check for one staff who resided outside of Virginia within the preceding five years a required. Evidence: 1. The record of staff #3 (DOH:3/15/2022) contained a sworn statement that indicated that the staff had resided outside of Virginia within the preceding five years. The record did not contain an out of state sex offender name check for the state listed. 2. Administration acknowledged that the out of state sex offender background check had not been completed.
Plan of Correction:	sex offender check has been completed and will be completed prior to DOH in the future.
Standard #:	8VAC20-770-60-C-2
Description:	Based review of 5 staff records and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for one staff as required. Evidence: 1. The record of staff #2 (DOH: 11/01/2021) contained the results of a central registry background check dated 12/9/2021. 2. Administration acknowledged that it was not received within the required time frame.
Plan of Correction:	central registry will be followed up weekly and recorded
Standard #:	8VAC20-780-160-C
Description:	Based on a review of four staff records and interview, the center did not ensure to obtain the results of a follow-up tuberculosis (TB) screening every two years for one staff as required. Evidence: 1. The record of staff #4 (DOH:7/8/2019) contained a TB screening dated 8/9/2019. 2. Administration acknowledged that the screening was expired.
Plan of Correction:	check system has been put in place to update staff of expiring records.
Standard #:	8VAC20-780-40-K
Description:	Based on review of documentation and interview, the center did not ensure to develop written procedures for prevention of abusive head trauma as required. Evidence: 1. A written procedure for abusive head trauma was not observed during the inspection. 2. Administration acknowledged that the procedure had not been created.
Plan of Correction:	Updated plan with procedures will be written by executive director.
Standard #:	8VAC20-780-70
Description:	Based on review of four staff records and interview, the center did not ensure one record contained the required information. Evidence: 1. The record of staff #3 (DOH:3/15/2022) was missing documentation that two or more references as to character and reputation as well as competency were checked before employment, documentation of orientation, information about any health problems that may interfere with fulfilling the job responsibilities, and the name, address, and telephone number of a person to be notified in an emergency. 2. Administration acknowledged that the record was incomplete.
Plan of Correction:	References will be checked post submission of application, orientation will occur on first day of employment, health information will be documented on application.
Standard #:	8VAC20-780-245-L
Description:	Based on record review and interview, the center did not ensure that there was always at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Administration was unable to provide proof of a current daily health observation training for staff during the inspection.
Plan of Correction:	class will be taken-system has been put in place to prevent this in the future
Standard #:	8VAC20-780-260-A
Description:	Based on record review and interview, the center did not ensure to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last fire inspection was dated 11/25/2020. 2. Administration acknowledged that they were missing an annual inspection from 2021.
Plan of Correction:	inspection has been scheduled
Standard #:	8VAC20-780-260-B
Description:	Based on record review and interview, the provider did not ensure to obtain annual approval from the health department or approvals of a plan of correction, for meeting requirements for: 1. Water supply; 2. Sewage disposal system; and 3. Food service, if applicable. Evidence: 1. The last health inspection was dated 12/30/2020. 2. Administration acknowledged that they were missing a 2021 approval from VDH.
Plan of Correction:	Appt. has been scheduled