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Guidepost Montessori at West Alexandria
3475 N. Beauregard St., Suite 301
Alexandria, VA 22302
(571) 206-1687

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: July 6, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Discussed with Head of School:
*renewal application process through the online portal
*First aid/CPR certifications may not be through 100% online course and must be through course listed in the regulations.
*Delivery of a response letter from DOE regarding Balanced Mixed Age groups (per previous discussion)

Comments:
An unannounced monitoring inspection was conducted today per the Provisional License requirements.
All rooms inspected today were in ratio. Children were observed participating in a variety of activities.
3 staff and 3 child records were reviewed. Violations were reviewed with the Head of School.
Staff records: background searches, first aid/CPR certifications, orientation documentation, TB documentation, Child record components, Custodial Parents Rights statement, Staff purse not stored inaccessible to children.
The report will be typed off site and emailed for signatures.
DOE is trying to coordinate a training for Admin staff and facility staff. If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present from 10:30 AM- 1:01 PM.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of records, one staff record did not contain documentation of a nationwide fingerprint search prior to employment.
Evidence:
Staff C's record documents DOH as 4/17/23 for this facility as a transfer. Staff C transferred from a facility with a different LLC as the owner, therefore, the employee is considered a new hire. New background searches are required. The results on file are for the previous facility.

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 completed Sworn Disclosure Statement (SDS) prior to employment.
Evidence:
*Staff A's record contained a completed SDS dated 5/16/23. Date of Hire (DOH) is documented as 5/15/2023.
*Staff C's record contained as SDS dated 4/3/21. Staff C transferred from a facility with a different LLC as the owner. The staff member is considered a new hire to this LLC, requiring new background searches.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of records, one staff record did not contain documentation of a complete Central Registry Search within 30 days of employment.
Evidence:
Staff C?s record documents DOH as 4/17/23 ? for this facility as a transfer. Staff C transferred from a facility with a different LLC as the owner, therefore, the employee is considered a new hire. New background searches are required. The Central Registry results on file are dated 4/14/21; however, they are for the previous facility.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based on a review of records, one staff record did not contain documentation of a negative Tuberculosis (TB) screening submitted at the time of employment and completed within the past 30 calendar days.
Evidence:
*Staff B's DOH is documented as 6/26/23. TB results on file are dated 7/7/22.
*Staff C's DOH (transfer date) is documented as 4/17/23. Staff that transferred from a facility owned by a different LLC are considered new hires. TB results on file are dated 1/4/22.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-40-E
Description: Based on a review of policies, the center failed to follow their own policy.
Evidence:
Regarding medication, the parent handbook states; "It is the parent's responsibility to keep a record at home to maintain medications at the school that are up-to-date." One epi-pen at the center expired 1/2023. The Head of School stated she had contacted the parent, but failed to follow up with them.

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 did not contain all required information.
Evidence:
3 child records were reviewed. Missing information included:
*Emergency contact complete addresses. (Children 1,2)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A-8
Description: Based on a review of child records and Head of School statement, child records did not
contain an allergy action plan for a diagnosed food allergy.
Evidence:
Child #2 has a documented food allergy on the physical form signed by the physician. There is no food allergy action plan available.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-B
Description: Based on a review of records, one staff record did not contain documentation of orientation by the end of the first week of employment or prior to being left alone with children.
Evidence:
Staff B?s record had no documentation of orientation available. (DOH: 6/26/23).

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-280-H
Description: Based on observation, cosmetics, medications or other harmful agents were not stored in an area inaccessible to children.
Evidence:
A staff purse was hanging on a hook in an area accessible to children in the Toddler room.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-420-A
Description: Based on a review of documentation, parents have not been provided in writing prior to the first day of attending, the Custodial Parent's rights statement.
Evidence:
The parent handbook lists an open door policy; however, the statement does not meet the ? 22.1-289.054 of the Code of Virginia requirement with wording of "Custodial parents have the right to be admitted to the child day center any time their child is in care."

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

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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