VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hampton Roads International Montessori School
11790 Jefferson Avenue, Suite 200
Newport news, VA 23606
(757) 873-8950

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: Jan. 4, 2023

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. 8VAC20-770 BACKGROUND CHECKS 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Technical Assistance:

Discussed in detail standard 8VAC20-780-500. B. (nonabsorbent surface for diapering or changing shall be used) as it relates to children younger than 3. Reviewed information regarding USDA guidelines/requirements related to 8VAC20-780-560.F.4 (children three years of age or younger may not be offered foods that are considered to be potential choking hazards).

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A monitoring inspection was initiated on January 4, 2023 and concluded on January 10, 2023. There were 91 children present, ranging in ages from 16 months to age 5, with 13 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 9 child records and 9 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.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector. Evidence: Staff #10 confirmed they do not have a carbon monoxide detector.
Plan of Correction:	Carbon monoxide detectors were purchased and installed.
Standard #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #10 confirmed there was not a policy available for review related to head trauma.
Plan of Correction:	Wording in our policy now includes the term "abusive head trauma", as updated.
Standard #:	8VAC20-780-60-A
Description:	Based on review of 9 children?s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information. Evidence: The records for child #1 through child #9 did not include the home addresses for both emergency contacts listed in each record. Staff #10 confirmed missing information.
Plan of Correction:	Forms have been updated to include home addresses of emergency contacts.
Standard #:	8VAC20-780-70
Description:	Based on a review of 9 staff records and staff interviews, the licensee did not ensure staff records included documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering and included all required documentation. Evidence: The following records had inadequate reference check information. 1. The record for Staff # 1 did not include a second reference check 2. The record for Staff #2 and Staff #3 did not the date of the reference check conducted and the signature of the person who conduct the check. 3.The record for Staff #4 and #9 did not include the date the check was conducted. 4. Staff #10 confirmed the missing information
Plan of Correction:	All reference checks are updated to include signature date and not only email dates as well as notes.
Standard #:	8VAC20-780-240-C
Description:	Based on a review of 9 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff #1 (hire date 12-5-2022), Staff #2 (hire date 11-2-2022), Staff #3 (hire date 8-8- 22) and Staff #9 (5-23-2022) did not include information indicating orientation related to prevention of shaken baby syndrome, abusive head trauma and procedures to cope with distraught children was conducted.
Plan of Correction:	All staff complete trainings as listed. Paperwork has been updated to include specific phrasing of shaken baby syndrome, abusive head trauma and distraught children.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, measurements and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In Toddler room 2, there was a microwave oven sitting on top of a small refrigerator that measures 33 inches high. The microwave is larger in width than the refrigerator. The microwave was not secure as it easily moved when touched. The microwave measured approximately 2 feet in width and the refrigerator measured approximately 18 inches in width. The microwave was accessible to children in care and posed a tipping hazard.
Plan of Correction:	Microwave was moved to counter.