VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ixora Montessori, Inc.
3051 Ironbound Road
Williamsburg, VA 23185

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Feb. 15, 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. 8VAC20-820 The License. 8VAC20-820 The Licensing Process. 8VAC20-820 Hearing Procedures. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on February 15, 2023 and concluded on February 16, 2023. There were 16 children present, ranging in ages from 20 months to age 6, with 3 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.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: The records for Child #3 and Child #4, first date of attendance for both was 1-2-2023 and there was not documentation of a physical.
Plan of Correction:	Parents notified of this & will get the physical examinations.
Standard #:	8VAC20-780-160-A
Description:	Based on review of 3 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1)Staff #1?s date of hire was 1-2-2023 and a TB screenings/ test conducted was not conducted. 2) Staff #2?s date of hire was 1-2-2023 and a TB screenings/ test conducted was not conducted. 3) Staff #3?s date of hire was 1-2-23 and their TB screenings/ test conducted was dated 10-16-2020.
Plan of Correction:	Staff were notified & went & got their TB test.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In the Toddler Room, Child #1 has a diagnosed food allergy and staff were aware of the allergy however, there was not an allergy list available for staff to review in a confidential location.
Plan of Correction:	A written list of all children's allergies sensitivities, and dietary restrictions was created/dated and placed in a confidential area in the classroom.
Standard #:	8VAC20-780-510-G
Description:	Based on observation and staff interviews, the licensee did not ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: An epinephrine auto-injectors, was observed and it did not have the dosage amount and the time or times to be given. Center staff confirmed the epinephrine auto-injector belonged to Child #1 and it had not been administered.
Plan of Correction:	Medicine with child's name, medicine name & dosage to be given was brought in in its original package.