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Mountainside Montessori School
4206 Belvoir Road
Marshall, VA 20115
(540) 253-5025

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Oct. 7, 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
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Technical Assistance:
Provided consultation on:

8VAC20-780-10 Disinfecting wipes are not an acceptable substitute for sanitizing surfaces since the surface cannot be sprayed or dipped into the disinfecting solution and then allowed to air dry for the 2 minutes required.

8VAC20-780-60 A3 & 15-Child records must contain parent?s work place and phone number and documentation of viewing proof of the child?s identity and age.

8VAC20-780-330B Resilient surfacing must meet the requirements indicated in the resilient surfacing depth chart.

8VAC20-780-510 I3 Medications must be kept in their original container.

Comments:
An unannounced monitoring inspection was conducted on 10/07/2022 from 10:00am to 12:30pm. There were 40 children ages 3 years old to age 6 years old supervised by 4 staff. The physical plant, outdoor playground area, programming, menus, 3 staff records, 5 children?s records, 2 medications with corresponding authorization records, emergency drills, and emergency supplies were reviewed. Children were observed participating in snack, geography activities, math activities, fine motor skill development and circle time. There was an adequate number of staff present with current certification in MAT, CPR and First Aid, and DHO training. Areas of non-compliance are identified in the Violation Notice.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 10/19/2022. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on review of 3 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire.

Evidence: The record for Staff #2 (Date of Hire 8/15/22), did not contain documentation of a fingerprint background check completed prior to their date of hire.

Plan of Correction: Rescheduled a new appt w/fieldprint. 10/11/22 appt done. Results received 10/21/2022. Staff will not work until fingerprint results are returned.

Standard #: 8VAC20-780-140-A
Description: Based on review of 4 child records, the center did not have documentation of a physical in each child record within 30 days of first attendance.

Evidence: The record for Child #3 (start date 8/23/21) did not contain documentation of a physical.

Plan of Correction: Requested recent physical form from family.

Standard #: 8VAC20-780-40-M
Description: Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area.

Evidence:
1)In the Yellow House, there was no dated allergy list posted for the staff. Child #1 has a physician diagnosed food allergy and is in this classroom.
2)In the Green House, the allergy list was dated ?2021-2022? school year.
3)In the Toddler room, the allergy list had no date.

Plan of Correction: Allergy info is contained in online system. A written list is now posted in each classroom.

Standard #: 8VAC20-780-60-A-8
Description: Based on review of 4 child records, the provider did not ensure they had a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record for Child #1 did not contain an allergy care plan for their physician diagnosed food allergy.

Plan of Correction: FARE forms will be collected for all food allergy children.

Standard #: 8VAC20-780-70
Description: Based on review of 3 staff records, the center did not obtain all of the required documentation for staff records.

Evidence:
1)The center did not have documentation for Staff #2 that two or more references as to character and reputation as well as competency were checked before employment.
2) The center did not have documentation for Staff #2 that they possess the education and experience required by the job position.

Plan of Correction: Requested documentation from staff member.

Standard #: 8VAC20-780-80-A
Description: Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.


Evidence: The Yellow House and the Green House classrooms had electronic documentation of which children were present for the day that was only able to be accessed on a personal cell phone and on a classroom computer. Both the phone and computer required a passcode to access the information.

Plan of Correction: Create new sheets for each class.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence: In the gardening area of both the Yellow House and the Green House, there were tree stumps being used with nails for the children to hammer into the wood stump. Several nails were not completely hammered into the stump and the nail heads were sticking out of the stumps by as much as an inch causing a risk of skin snagging on the exposed nail heads.

Plan of Correction: Nail heads will be pounded in when left out

Standard #: 8VAC20-780-280-B
Description: Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1)In the Yellow House room, there was an unlocked cabinet containing a disinfectant, a window cleaner and a ?goo? remover.
2)In the Yellow House restroom and in the Green House classroom, there were disinfecting wipes sitting out on an open shelf.
3)In the Green House restroom, there was toilet cleaner and a disinfecting spray sitting out on an open shelf.

Plan of Correction: Lock applied to cabinet
Ordered locking cabinet for installation

Standard #: 8VAC20-780-290-A-3
Description: Based on observation, the center did not ensure that electrical outlets have protective covers.

Evidence: In the Green House, Yellow House and Toddler gardening areas, there were 9 outlets that did not have protective covers.

Plan of Correction: Cover outdoor outlets

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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