VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Virginia Montessori Academy
248 Loudoun Street SW
Leesburg, VA 20175
(703) 777-9012

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: April 3, 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 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed documentation of the CPR/FA orientation training.

Comments:

A monitoring inspection was conducted on 04/03/2023 between the hours of approximately 12:20 pm and 1:20 pm. There were 12 children present, ranging in ages from 3 to 5 years, with 4 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 3 child records and 2 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff person. Evidence: 1) The record for Staff #2 (start date 08/15/2022) contained a fingerprint-based criminal history check determination letter, however, these results were addressed to a different employer.
Plan of Correction:	The center's director will request a background portability for Staff #2. This was done 04/03.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, it was determined that the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Central Registry search request within 30 days of employment and that an out-of-state Criminal History Name Check search request was obtained prior to the first day of employment. Evidence: 1) The record for Staff #1 (start date 07/24/2022) did not contain documentation of an out-of-state Central Registry search request or a Criminal History Name Check search request. Staff -#1 had declared in their sworn statement having lived out of the state of VA within the last 5 years before employment.
Plan of Correction:	The out-of-state background checks for Staff #1 were requested today during the inspection visit.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, it was determined that the center did not ensure that Central Registry search results were obtained by the end of the 30th day of employment. Evidence: 1) The record for Staff #2 (start date 08/15/2022) contained Central Registry search results, however, these results were addressed to a different employer.
Plan of Correction:	The center's director will request a background portability for Staff #2.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center did not ensure that documentation of negative tuberculosis (Tb) screening for each employee met all requirements. Evidence: 1) The documentation shall have been completed within the last 30 calendar days of the date of employment. The Tb screening form in Staff #2's (start date 08/15/2022) record was dated 04/01/2022. The documentation shall have been completed within the last 30 calendar days of the date of employment
Plan of Correction:	Staff #2 will be requested to complete a new Tb screening ASAP.