VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandpiper Montessori
2244 General Booth Boulevard
Virginia beach, VA 23456
(757) 427-0494

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: June 14, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A renewal inspection was conducted on 6/14/22. There were 25 children present with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 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 and discussed with the program director during the exit interview.

Violations:

Standard #:	22VAC40-185-550-B
Description:	Base upon review of the facility's emergency preparedness plan and staff interview, the facility has not ensured that all procedural components required of the plan are included. Evidence: 1. The emergency preparedness plan had not been updated to include new Standard requirements such as emergency scenarios and continuity of operations. 2, Staff 1 acknowledged that the emergency preparedness plan had not been updated to include requirements in the new standards.
Plan of Correction:	The facility responded with the following: The emergency preparedness plan will be re-written using the model form suggested by VDOE. All staff will be trained on the new plan/procedures.
Standard #:	8VAC20-780-130-A
Description:	Based upon review of children's records and staff interview, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of Health before attending. Evidence: 1. The immunization record in the record of child 1 included a statement from the physician that the child's immunization record is "not up to date". Child 1 has been attending care since 5/4/2022. 2. Staff 1 acknowledged that the immunization record for child 1 stated that it was not up to date. Staff 1 stated she had not addressed this with the parent.
Plan of Correction:	The facility responded with the following: The parent will be contacted and required to submit documentation from a physician that all required immunizations are up-to-date. In the future, care will be taken to ensure that all children's immunizations are up to date..
Standard #:	8VAC20-780-240-C
Description:	Based upon review of staff records, the facility has not ensured that the orientation training of staff includes all required topics. Evidence: 1. The orientation training in the record of staff 3 did not include documentation that prevention of sudden infant death syndrome/safe sleep, prevention of shaken baby syndrome/abusive head trauma and the prevention of and response to emergencies due to food and other allergic reactions was covered. 2. Staff 1 acknowledged that the orientation training of staff 3 did not include all required topics.
Plan of Correction:	The facility responded with the following: all staff will be re-trained using the new orientation checklist. All required topics/procedures will be covered and documented when orientating new staff.
Standard #:	8VAC20-780-510-P
Description:	Based upon review of children's medication and staff interview, the facility has not ensured that when an authorization for the administration of medication expires, the parent is notified that the medication must be picked up within 14 day or the parent must renew the authorization. Evidence: 1. There was Benadryl and AuviQ epinephrine stored for administration to child 6 in an emergency allergic reaction. The parent authorization for the administration of the medication expired on 6/18/2021 and had not been renewed. 2. Staff 1 acknowledged that the parent authorization for the administration of medication to child 6 was expired and that the medication was not returned to the parent or the authorization renewed.
Plan of Correction:	The facility responded with the following: The parent will be contacted today and asked to complete a new authorization form. A system will be put into place to track the timing of parent authorizations to ensure they are renewed in a timely fashion