VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mountainside Montessori School
4206 Belvoir Road
Marshall, VA 20115
(540) 253-5025

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Feb. 22, 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 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

8VAC20-780-10 Reviewed definitions for cleaning versus sanitizing as well as EPA requirements for cleaners and sanitizers. 8VAC20-780-70 Reviewed requirements of what is needed in each staff member?s file- references prior to start, preservice training within 90 days, 16 hours of annual training, documentation of lead qualifications. 8VAC20-780-340F All children under the age of 10 should always be within actual sight and sound supervision of a staff member. 8VAC20-780-510L Medications should be kept in a locked area or container at all times. 8VAC20-780-550 Evacuation drills should be completed monthly, shelter in place drills should be completed twice per year and lockdown drills should be completed annually. 8VAC20-780-560 F Menus must be available for parents for the current week and be dated, list food substitutions and kept on file for one week. 8VAC20-780-560G All food from home, including water bottles if filled at home, will need to be labeled with name and date.

Comments:

An unannounced monitoring inspection was conducted on 02/22/2023 from 12:30pm to 4:45pm. There were 46 children ages 18 months to age 12 years old supervised by 7 staff. The physical plant, outdoor playground area, programming, attendance, menus, 3 staff records, 4 children?s records, 2 medications with corresponding authorization records, emergency drills, injury reports, and policies were reviewed. Children were observed participating in nap time, writing activities, literacy activities, writing, art and outside play. Handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT) and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 3/16/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of 3 staff records, the center did not obtain the results of a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #3 (date of hire 1/3/23) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	Based on review of 4 child records, the center did not obtain documentation of immunizations for a child prior to the first day of attendance. Evidence: The record for Child #1 (Start date 1/3/23) and Child #3 (start date 2/16/23) did not contain documentation of immunizations prior to the first day of attendance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on review of 4 child records, the center did not obtain documentation of a physical examination under the direction of a physician for a child prior to the first day of attendance or within 30 days after the first day of attendance. Evidence: The record for Child #1 (Start date 1/3/23) and Child #3 (start date 2/16/23) did not contain documentation of a physical prior to the first day of attendance or within 30 days after the first day of attendance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: 1)In the Toddler classroom, there was no dated allergy list posted for the staff and there were 2 children in the classroom with a physician diagnosed food allergy. 2)In the School age classroom, there was no dated allergy list posted for the staff.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of 4 child files, the center did not obtain all of the required documentation for child records. Evidence: 1)There was no documentation for the parent work place and phone number for Child #2 (Start date 8/27/18) and Child #3 (start date 2/16/23). 2)There was no documentation for the doctor?s name and phone number for Child #1 (Start date 1/3/23) and Child #3 (start date 2/16/23). 3)There was no documentation for 2 emergency contacts for Child #3 (start date 2/16/23). There was no documentation of the address for the 2 emergency contacts for Child #1 (Start date 1/3/23). 4)There was no documentation of authorized pick-ups, proof of birth, allergies, previous or current schools attending, or special accommodations necessary for Child #3 (start date 2/16/23).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the Toddler classroom, there were 4 children present, but the written record reflected there were no children present. 2)During inspection in the Yellow House classroom, there were 21 children present, but the written record reflected there were 25 children present. 3)During inspection in the School Age classroom, there were 6 children present, but the written record reflected there were no children present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the licensee did not to ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: 1)The Primary playground had 0? of wood chips under the swings and 2? of wood chips at 160? from the swing. The required depth of wood chips, both under the swings, 6 feet on either side of the swings, and measuring 160?? out from the swing in both front and back, is 6 inches deep. 2)The Primary playground has a slide 51? from the ground with 2? of wood chips at the base of the slide. The required depth of wood chips is 6 inches deep extending 6 feet in all directions. 3)The School age playground has a swing that is 69? from the ground that is placed 64? from the fence, and 56? from a ciderblock. Swings should have a fall zone that extends 138? both in front of the swing and behind the swing as well as 6 feet on each side of the swing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-D
Description:	Based on observation, the center did not ensure that swings are constructed of flexible material. Evidence: On the School age playground, there was a swing with a non-flexible seat made of wood.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-C
Description:	Based on review of written attendance records, child file review, staff interviews, and observation, the center did not maintain the required mixed age group supervision ratio of staff to children where the ratio applies to the youngest child in the group. Evidence: In the Yellow House classroom, there were 21 children present ages 2 years old to 6 years old with only 2 staff members present. The staff to child ratio for 2 year olds is 1 staff member per 8 children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A
Description:	Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification. Evidence: The Toddler classroom did not have a staff member present with children that had obtained first aid and CPR certification.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-A-6
Description:	Based on observation and staff interview, the center did not ensure they operate within the terms of their license with regards to the age range of children for whom they provide care. Evidence: The School age classroom had 6 children present ages 6 years old through 12 years old and the center?s license states the center is licensed for children 18 months old through age 9 years and 11 months.
Plan of Correction:	Not available online. Contact Inspector for more information.