VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Guidepost Montessori at West Alexandria
3475 N. Beauregard St., Suite 301
Alexandria, VA 22302
(571) 206-1687

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Feb. 9, 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 nd 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:

An unannounced renewal study was conducted today. All rooms are in ratio during the inspection. Reviewed today: staff and child records, emergency evacuation drills, emergency supplies, medications, classroom activities and labeled food containers from home. The current Parent handbook, Staff handbook and the Emergency Preparedness Plan were provided for review of policies and procedures. See Violation Notice for non-compliances cited. The inspection report will be typed off site and emailed to the facility for signatures. LI was present today from 9:05 AM - 2:30 PM. If you have questions about this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of records, one staff record does not contain documentation of completed Out-of-state Criminal History Search prior to employment or a Child Abuse and Neglect Search within 45 days of employment, for a residence outside of Virginia in the past 5 years. Evidence: 1 of 4 staff records reviewed did not contain documentation of a completed Criminal History or a Child Abuse and Neglect search for a residence outside of Virginia in the past 5 years. No search results are on file. (Staff C; Date of Hire 10/08/2020)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of records, staff records do not contain documentation of follow-up tuberculosis screening at least every two years. Evidence: 3 of 4 staff records reviewed did not contain documentation of subsequent TB screening documentation within 2 years. *Staff A TB screening result is dated 10/04/20. (expired) *Staff C TB screening result is dated 10/06/20. (expired) *Staff D TB screening result is dated 12/11/20. (expired)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Based on a review of policies, the center does not have documentation of all required policies, and failed to follow their medication policy. Evidence: *Regarding the medications policy, the parent handbook states: "It is the parent's responsibility to keep a record at home and to maintain medications at school that are up-to date." One Epi-pen at the center is expired.(1/2023; Child 2). There is no documentation of a written policy for: *Prevention of Abusive Head Trauma (AHT). *Prevention and control of disease.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-J
Description:	Based on a review of documentation, injury prevention procedures have not been updated at least annually. Evidence: There is no updated injury prevention plan available for review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of records, one child record does not include documentation of all required components. Evidence: 1 of 5 child records reviewed did not included documentation of father's work information. (Child 4).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of records, children with a diagnosed food allergy do not have any allergy action plan with physician's instructions for steps to be taken in case of a suspected or confirmed allergic reaction. Evidence: 2 of 5 child records reviewed contain documentation of a diagnosed food allergy. There is no allergy action plan available for review. (Children 1, 2)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-M
Description:	Based on a review of documentation, the log of ongoing training does not contain all required components. Evidence: The log in use for documenting ongoing training does not include the method of delivery for the training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-420-A
Description:	Based on a review of policies and procedures provided in writing to parents, the policy for the departure of children is not acceptable. Evidence: The parent handbook, regarding Elementary Pick ups states: "If you want your child to walk, bike or bus home alone, please ask our campus administrative staff for our Elementary Independent Dismissal Form. Per standard 8VAC20-780-350.J: Staff shall not allow a child to leave the center unsupervised.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-420-A
Description:	Based on a review of documentation, parent's have not been provided in writing prior to the first day of attending, the Custodial Parent's rights statement. Evidence: The parent handbook lists an open door policy; however, the statement does not meet the ? 22.1-289.054 of the Code of Virginia requirement with wording of "Custodial parents have the right to be admitted to the child day center any time their child is in care."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-F
Description:	Based on a review of medications, one medication does not have any authorization available for review. Evidence: There is no authorization available for an Epi-Pen at the center. (Child 2)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, medication was not stored locked in one classroom. evidence: In the Children's House 3 room one medication was not stored locked. The medication bag's zipper was not completely closed, and under the locking tab. (Child 1)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-P
Description:	Based on a review of medications, when an authorization for medication expires, the parent was not notified to pick up the medication or renew the authorization. Evidence: *Two medications present at the center had expired authorizations. Medications were not picked up, and the authorizations were not renewed.(Child 1 authorization expired 9/2022) (Child 3 authorization expired 1/21/23).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-P
Description:	Based on a review of injury reports, the reports do not include all required components. Evidence: 5 of 5 reports reviewed did not include documentation of the time the parents were notified of the injury. The form in use does not include that component on the form.
Plan of Correction:	Not available online. Contact Inspector for more information.