VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Guidepost Montessori at Burke
6000 School House Woods Rd.
Burke, VA 22015
(571) 404-6991

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Feb. 24, 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 (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed with Head of School: *Definition of Balanced Mixed Age Group: 3, 4 and 5 year old children. (Page 1of 85: Standards for Licensed Child Day Centers effective 10/13/2021) *Staff reviewing food from home (choking hazards for children under 4) *Documentation concerning dates of hire for staff (Offer letters)

Comments:

An in person monitoring inspection was conducted today. All groups were in ratio during the inspection. Children were observed: playing outdoors, enjoying a "Dance party" for a child's birthday, during diapering, eating lunch and washing hands. Emergency supplies, first aid supplies, injury reports, 4 child records, 3 staff records, emergency evacuation drills, medications, policies and procedures were reviewed. See violation notice for non-compliances cited. If you have questions regarding this inspection, please contact me at (703)479-4678 or at Sarah.Marbert@doe.virginia.gov. Licensing Inspectors Marbert and Savittiere were present today from 9:30 AM - 12:45 PM

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of records, staff records do not contain documentation of a completed nationwide fingerprint search prior to employment. Evidence: 3 of 3 records reviewed did not contain documentation of a the fingerprint results prior to employment. *Staff A (DOH 9/5/22) Fingerprint results are dated 9/15/22. *Staff B (DOH:6/20/22) Fingerprint results re dated 6/23/22. *Staff C (DOH: 12/02/20) Fingerprint results are dated 12/30/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of records, staff records did not contain documentation of a competed Sorn Disclosure Statement prior to employment. Evidence: 2 of 3 staff records reviewed were missing SDSs prior to employment. *Staff A (DOH: 9/5/22) SDS is dated 9/13/22 *Staff B (DOH:6/20/22) SDS is dated 7/8/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of records, staff records do not have documentation of Tuberculosis (TB) screening in the allowable time frame. Evidence: 2 of 3 staff records reviewed did not have a TB screening documented prior to employment and completed within the previous 30 days. *Staff A: Date of Hire (DOH) in 9/5/22. TB documentation is dated 9/23/21, more than 30 days previous to employment. *Staff B: DOH 6/20/22. TB documentation is dated 9/30/22, not previous to employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of records, one staff record does not contain documentation of a subsequent TB screening within the allowable time frame. Evidence: 1 of 3 records reviewed had a Tb screening that was not repeated within 2 years. The screening available for review is dated 12/02/2020. (Expired)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of records, child records do not contain all required documentation. Evidence: 4 of 4 records reviewed were missing documentation of viewing a child's proof of birth. There was no documentation available for review. (Children 1,2,3,4)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	Based on a review of policies, specific policies that are to be included in staff orientation are not available for review. Evidence: Missing policies include: prevention of Abusive Head Trauma (ABH).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on direct observation, a child under 10 years of age was not kept within actual sight and sound supervision. Evidence: Staff were observed on the playground congregated on the brick "patio" area outside the Toddler room door. As the Licensing Inspector moved onto the playground and around the corner of the building, a child was observed alone and out of the sight of the staff.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-420-A
Description:	Based on a review of policies, those policies that parents are to be provided in writing before the first day of attending, some policies could not be located. Evidence: *Custodial Rights Statement". The parent handbook states the facility has an open door policy; however, this is insufficient. *Policy for reporting suspected Child Abuse and Neglect. The handbook only states that staff are mandated reporters.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, diapering for a child was not done on a changing table or countertop. Evidence: LI observed a child having a diaper change in the bathroom area of the Toddler room. The staff was using a stand up method of diaper changing. There is no Allowable Variance (AV) on file for this facility regarding stand up diapering.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-E
Description:	Based on a review of medication authorizations, one authorization is incomplete. Evidence: The authorization for a long term medication, does not include the length of authorization. (Child 3)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-F
Description:	Based on a review of medication authorizations, medication at the center does not have authorizations available. Evidence: 2 medications at the center have no authorizations available for review during the inspection. (Child 2)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	Based on a review of medications, one medication was not in the original, labeled container. Evidence: One Epi-pen at the center does not have a prescription label attached. (Child 3).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-G
Description:	Based on a review of emergency evacuation, shelter-in-place and lockdown drills documentation, a record of drills has not been maintained. Evidence: There is no documentation of emergency evacuation drills since November 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-P
Description:	Based on a review of injury reports, all required components are not included in completed reports. Evidence: Th injury report form in use does not have a space to note the time the parent was notified. 5 reports reviewed did not include time of parent notification.
Plan of Correction:	Not available online. Contact Inspector for more information.