VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Loudoun Montessori School
21690 Red Rum Drive
Suites 182 - 192
Ashburn, VA 20147
(571) 291-2875

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: May 2, 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:

A link for the additional medication training was provided. A model form for staff orientation training was provided.

Comments:

An unannounced Monitoring inspection was conducted today. 34 children with 5 staff were onsite today. All occupied and unoccupied classrooms were observed today along with the playground, indoor gross motor room and after care room. All medications onsite were reviewed. All areas of the Standards were reviewed. The children were eating lunch at the beginning of the inspection and were observed washing hands and transitioning to nap time. Staff rotated to allow for staff breaks. Some staff were observed assisting children to sleep by gently patting their backs and encouraging them to nap. A total of 5 children's records and 1 new staff record was reviewed. Due to staff coverage, additional recordation was not reviewed due to difficulty accessing the documents. This inspection began at approximately 12:15pm and ended at approximately 2pm. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on staff record review, one background check was not obtained within 30 days of hire. Evidence: Staff #2 was hired on 03/06/2023. Results from a Central Registry search was not found.
Plan of Correction:	Staff #2? s start date was 3/16/2023, please see attached CPS filing.
Standard #:	8VAC20-780-140-A
Description:	Based on child record review, a physical examination was not obtained within 30 days of their start date for 1 child. Evidence: Child #5 started on 01/04/2023. A physical examination was not found for this child
Plan of Correction:	The physical examination form has been obtained and all requirements have been completed.
Standard #:	8VAC20-780-150-A
Description:	Based on child record review, the current form required by the Virginia Department of Health or a physician's form that includes all information on the Virginia Department of Health form was not used to report immunizations received and the results of the required physical examination. Evidence: 1.Child #4?s physical exam form and immunization form do not include all required information. 2.A statement Child #4 and #5 has been adequately immunized was not found. 3.Both the physical exam form and the immunization form for Child #4 was not signed by a physician. 4.Child #5?s immunization form was not signed by the physician.
Plan of Correction:	1. All requirements have been completed. The physical exam and immunization forms have been sent to the parents for completion and for signatures
Standard #:	8VAC20-780-160-A
Description:	Based on staff record review, a TB health screening was not obtained prior to hire. Evidence: Staff #2 was hired on 03/06/2023. The TB risk assessment is dated 03/08/2023.
Plan of Correction:	This was an error. Staff #2?s start date was 3/16/2023/ We fixed this error in her file and changed the start date.
Standard #:	8VAC20-780-40-L
Description:	Based on a staff statement, the center failed to inform 1 staff of children?s allergies. Evidence: 1.Staff are required to know which children have food allergies. 2. Staff are trained to recognize allergic reactions. 3. Staff #1 was the only staff in Classroom 1. 4. When asked, Staff #1 stated ?There are no children with food allergies in this class.? 5. Staff #1 was unable to locate the list of allergies for Classroom 1. 3. After reviewing the list of food allergies for the center, Classroom 1 has one child with a nut allergy.
Plan of Correction:	We had an emergency staff meeting in which we talked all about the students with allergies and the necessary actions to be taken. Additionally, allergy signs and lists of students with allergies have been posted in all 3 classrooms. Please see the attachment.
Standard #:	8VAC20-780-60-A
Description:	Based on child record review, children?s records were found incomplete. Evidence: 1.A start date for Child #1 was not found in their record. 2.The phone numbers and addresses for Child #3?s emergency contacts were not found in their record. 3.Acknowledgement that the parent handbook was provided that included policies on communicable diseases and requirements to pick a child up ill was not found in Child #3?s record. 4.Child #1 has a diagnosed food allergy. A signed physician allergy action plan was not found in their record.
Plan of Correction:	All requirements have been completed
Standard #:	8VAC20-780-240-B
Description:	Based on review of staff records, orientation training for 1 staff was not completed within the first 7 days of starting their responsibilities. Evidence: 1.Staff #2 was hired on 03/06/2023. 2.The orientation training maintained in the staff record did not include training on shaking baby syndrome, abusive head trauma, preventing and recognizing allergic reactions and playground safety procedures.
Plan of Correction:	Staff #2 is finishing the training and it will be completed by tomorrow. The certificate will be sent to you as soon the training is completed
Standard #:	8VAC20-780-245-J-3
Description:	Based on review of onsite medications, one child who has an emergency medication was not in the presence of a staff who has completed the appropriate medication training. Evidence: 1.An emergency seizure medication was found for Child #1. 2.This medication is required to be administered rectally. 3.Staff #3 stated that the additional rectal medication training has not been completed by any staff present today.
Plan of Correction:	The required training has been completed by the necessary staff. Please see the attachment.
Standard #:	8VAC20-780-270-A
Description:	Based on observation of the center, one area of the building was not maintained in a safe and operable manner. Evidence: The top drawer of the changing table located in the bathroom near the aftercare classroom was broken and hanging off the frame.
Plan of Correction:	We removed the drawer, and it is no longer a hazard.
Standard #:	8VAC20-780-280-B
Description:	Based on observation of the center, hazardous substances were found in unlocked areas. Evidence: 1.The storage closet located in the bathroom near the aftercare classroom was unlocked and contained cleaning agents. 2.The storage closet located in classroom #1 was unlocked and contained cleaning agents.
Plan of Correction:	1. We put up a sign in Spanish and English to lock the door after each use. 2. We put up a sign in Spanish and English to lock the door after each use. Each morning before the start of school, each opening staff will be checking it regularly.
Standard #:	8VAC20-780-380-A
Description:	Based on observation of the center a daily schedule of activities was not posted. Evidence: A daily schedule of activities was not posted in all 3 classrooms.
Plan of Correction:	A daily schedule of activities has been posted in all 3 classrooms
Standard #:	8VAC20-780-510-E
Description:	Based on review of onsite medication, the center failed to follow their own medication policy. Evidence: 1.A signed physician medication authorization was not found for 2 emergency medications for Child #1. 2.A signed physician medication authorization was not found for Child #2?s emergency medication.
Plan of Correction:	We have given the physician medication forms for the respective medications to the parents and to the parents who need to obtain the signatures.