VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fulton Montessori School
1620 Williamsburg Road
Richmond, VA 23231
(804) 893-7244

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Nov. 2, 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 minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated and concluded on 11/2/2022. The inspector was on site from approximately 9:00 am-11:15 am. There were 24 children present, ranging in ages from two (2) to five (5) years, with six (6) staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of five (5) child records and five (5) 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. 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 business 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 #:	8VAC20-780-60-A
Description:	Based on a review of five (5) children's records and interview, the center did not ensure to keep a separate record for one (1) child that contained the required information. Evidence: 1. The record of child #1 (date of attendance: 9/6/2022) had two (2) missing emergency contact addresses. The record is required to contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. The record of child #1 was missing documentation of viewing proof of the child's identity and age. 2. Administration acknowledged that the record was incomplete.
Plan of Correction:	Steps taken to correct were notifying the parent on 11/3/22 to add missing information and to bring proof of identity and age. To prevent this in the future, Admin is transitioning to online enrollment process to better track forms. Admin will begin Fall enrollment sooner to allow for more time to process all new student forms.
Standard #:	8VAC20-780-70
Description:	Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff had a complete record. Evidence: 1. The record of staff #3 (date of employment: 8/23/2022) did not contain documentation to demonstrate that the individual possessed the education required by the job position. 2. Administration acknowledged that staff #3 was a program leader and the documentation of education was not in the record.
Plan of Correction:	Steps taken to correct our emails and verbal reminders to staff to submit missing documents. To prevent this in future, admin is creating new onboarding tracking document to organize incoming new employee paperwork.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. On the playground, three (3) splintering boards were observed on the fence. Eleven (11) protruding screw points were observed on one section of the fence. 2. Administration acknowledged that the areas required maintenance.
Plan of Correction:	Steps taken to correct are to sand down the splintering boards on the fence and to replace the long screws in the fence with screws that will not protrude. Plans for preventing this in the future are for Admin to use a calendar reminder to schedule monthly building and grounds inspections.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation and interview, the center did not ensure that in areas used by children of preschool age or younger, that the electrical outlets had protective covers. Evidence: 1. On 11/2/2022, three (3) uncovered outlets were observed in classroom #1 which is an area used by preschool aged children. 2. Administration acknowledged that the outlets did not have protective covers.
Plan of Correction:	Steps taken to correct were verbal requests to staff on 11/2/22 to replace all outlet covers immediately. Plans for preventing this in the future are a written memo for staff in classroom #1 to acknowledge their responsibility to correct and prevent this violation at all times. Admin will regular review all indoor and outdoor spaces to ensure compliance to licensing regulations.
Standard #:	8VAC20-780-550-G
Description:	Based on review of documentation and interview, the center did not ensure that documentation of the emergency evacuation drills were maintained. Evidence: 1. Documentation of the September and October 2022 evacuation drills were not documented. 2. Administration stated that the "drills were completed but not documented."
Plan of Correction:	Steps taken to correct have been completing the drill records with the missing information for the months of September and October. To prevent this in the future, Admin will set calendar appointments for drills and immediately complete the drill record once the drill is completed.