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Fulton Montessori School
1620 Williamsburg Road
Richmond, VA 23231
(804) 893-7244

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 11, 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
22.1 Early Childhood Care and Education

An unannounced monitoring inspection was initiated and concluded on 4/11/2023. The inspector was on site from approximately 8:38 am-11:00 am. There were 31 children present, ranging in ages from 18 months to 6 years, with 8 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Standard #: 8VAC20-780-140-B
Description: Based on a review of five child records and interview, the center did not ensure that if a child has had a physical examination prior to attendance, it was within the required time period.

1. The record of child #4 (age two at the time of enrollment: DOE 2/13/23) contained a physical dated 6/29/21. Physicals are required to be completed within 12 months prior to attendance for children two years of age through five years of age.
2. Administration acknowledged that the physical did not occur within the required time frame.

Plan of Correction: 4.11.23 Notified parent of child #4 of
need to immediately provide an
updated physical examination form
that is from either within the last year
from 2023.
FMS administration will follow-up with
parent in two day increments from
today until the updated forms are
provided to FMS.

Standard #: 8VAC20-780-160-A
Description: Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children.

1. The record of staff #3 (date of employment: 4/10/23) did not contain a TB screening.
2. Administration acknowledged that the staff began employment prior to submitting a TB screening.

Plan of Correction: 1. Administration gave instructions to
new employee to reschedule start
date with FMS if TB form/test was incomplete
before scheduled Mon
4.10.23 start date. New employee did
not notify admin and FMS admin
wrongly assumed form would be
turned in before coming into the building
on 4.11.23.
New staff member has been placed
on administrative leave as of 4.11.23
until TB screen and form is complete
and submitted to FMS. Staff member
said they were going immediately to get
screening and form completed.

Standard #: 8VAC20-780-160-C
Description: Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a repeat tuberculosis (TB) screening for one staff at least every two years from the date of the first initial screening as required.

1. The record of staff #5 (date of employment: 4/16/21) contained a TB screening dated 4/3/21.
2. Administration acknowledged that staff #5 had not completed the repeat TB screening.

Plan of Correction: 1. Staff #5 has scheduled her TB
screening and is anticipated to turn
in her completed results and DOE
form on 4.12.23

Standard #: 8VAC20-780-270-A
Description: Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

1. On the preschool playground, several wooden boards and posts on the fence were observed to be cracked and splintered. Two bikes were rusted and two bikes were missing handles and had seats with cracked vinyl. A sharp, rusted piece of metal was observed hanging from a playhouse. Children were observed using the broken play equipment.
2. Administration acknowledged that the areas required maintenance.

Plan of Correction: FMS acknowledges the age of the
fence is continually requiring close
observation for splintering and warping
boards that cause sharp edges.
FMS will sand all areas that are protruding
and will begin replacing wooden
boards in need of replacement.
FMS has removed all broken bikes
and has repaired items that could
repaired, and discarded unrepairable
FMS removed the small metal rusted
piece from the play area.
All equipment is now safe and in good
FMS will also implement and plan for
internal monthly building maintenance
of indoors and outdoor spaces.
Staff memo to clarify for all staff about
what "clean, safe, operable" looks like.

Standard #: 8VAC20-780-550-D
Description: Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill.

1. An evacuation drill was not documented in January and March of 2023.
2. Administration acknowledged that the drills had not been completed.

Plan of Correction: FMS will ensure that a total of 4
drills occur by the end of April 2023.
Evacuation Drill #2 occurred 4.11.23
at 3:48pm
4.20.23 Evacuation Drill #3
4.24.23 Evacuation Drill #4
5.3.23 Evacuation Drill #5
These drills have been scheduled on
the FMS calendar with reminders set
to ensure Admin will be prepared.

Standard #: 8VAC20-780-550-P
Description: Based on review of documentation and interview, the center did not ensure that the minor injury records contained the required information.

1. A minor injury record from 2/3/2023 was reviewed that contained one staff signature. The records are required to contain a staff and parent signature or two staff signatures.
2. Administration acknowledged that the report was incomplete.

Plan of Correction: 2. Staff member who created form
has been reminded to always either
have parent sign or to have another
staff member sign.

Standard #: 8VAC20-780-560-G
Description: Based on observation and interview, the center dd not ensure that when food was brought from home that the containers were clearly dated and labeled in a way that identified the owner.

1. Labels and dates were not observed on the children's food from home containers.
2. In interview, administration stated that they had created a system to label and date the food containers, but that it was not being utilized.

Plan of Correction: FMS administration had new labelling
system created for lunch boxes and
will implement with parents and staff
as of 4.12.23


A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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