VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Think Play Learn - A Reggio Montessori School
13880 Metrotech Drive
Chantilly, VA 20151
(571) 752-6232

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Sept. 21, 2023

Complaint Related: Yes

Areas Reviewed:

8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Staffing and Supervision.

Comments:

A complaint investigation concerning staff qualifications and supervision was initiated on 9/21/2023, from a report received by the Fairfax County Licensing office on 9/12/2023. The investigation was conducted on 9/21/2023, in the morning between 11:15 am and 2:00 pm, and completed on 10/11/2023. The inspection included interviews with the administration and staff. The physical plant and 6 staff records were inspected. The preponderance of evidence does support the allegation and the complaint has been deemed valid. For violation details, please refer to the Violation Notice. If you have any questions, please e-mail me at Kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Complaint related:	No
Description:	Based on record review, 2 of 6 staff files indicated that the center failed to obtain a Criminal History Records Check Prior to 1st Day of Employment. Evidence: 1. The record of Staff #4 (hired 05/4/2023) criminal history check is dated 05/08/2023 2. The record of Staff #3 (hired 01/30/2023) criminal history check is dated 05/10/2023.
Plan of Correction:	We will work to ensure that all new hires will have a Criminal History Records Check prior to 1st day of employment. This documentation will be maintained in the staff file.
Standard #:	8VAC20-770-60-C-2
Complaint related:	No
Description:	REPEAT VIOLATION Based on record review, 2 of 3 staff files indicated that the center did not obtain the results of a central registry check by end of 30th day of employment. Evidence: 1. There was no documentation of a central registry check for Staff #2 (DHO is 8/14/2023) 2. There was no documentation of a central registry check for Staff #6 (acting director since 9/1/2023)
Plan of Correction:	We will work to ensure that we obtain the results of a Central Registry Check for all new hires by the end of 30th day of employment. This documentation will be maintained in the staff file.
Standard #:	8VAC20-780-160-A
Complaint related:	No
Description:	REPEAT VIOLATION Based on record review, the facility failed to obtain documentation of a negative tuberculosis screening (TB) at the time of employment and documentation that a tuberculosis screening (TB) had been completed within the last 30 calendar days of the date of employment. Evidence: 1. There was no documentation of a tuberculosis test on file for Staff #2. The start date for Staff #2 is listed as 08/14/2023. 2. The TB test documentation on file for Staff #4 was dated 05/7/2023. The start date for Staff #4 is listed as 05/04/2023. 3. The TB test documentation on file for Staff #3 was dated 09/28/2022. The start date for Staff #3 is listed as 01/30/2023.
Plan of Correction:	We will work to ensure that we obtain documentation of a negative tuberculosis screening within 30 calendar days of employment and before interacting with children. This documentation will be maintained in the staff file.
Standard #:	8VAC20-780-70
Complaint related:	No
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure all staff records had all the required documentation. Evidence: 1. There was no documentation of two reference checks for Staff #4. 2. 1 out of 2 references are missing for Staff #6. 3. There was no documentation of orientation for Staff #2, Staff #4, Staff #5, and Staff #6. 4. There was no documentation of programmatic experience for Staff #6
Plan of Correction:	We will work to ensure that all staff files include required documentation including reference checks, documentation of orientation, and programmatic experience.
Standard #:	8VAC20-780-190-A
Complaint related:	No
Description:	Based on record review and interview, the center did not ensure that staff met the qualifications to be a program director. Evidence: 1. Staff #5 and Staff #6 are acting directors. 2. Staff #6 confirmed that staff #5 and staff 6 have been acting directors as of 9/1/2023. 3. Staff #5 and Staff #6 do not meet the required qualifications to be a program director.
Plan of Correction:	We will ensure that the acting directors obtain the appropriate training to satisfy the program director qualifications. In addition, we will embark on a search for a qualified program director.
Standard #:	8VAC20-780-200-A
Complaint related:	No
Description:	Based on record review and interview, the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications and shall regularly be on-site at least 50% of the center's hours of operation. Evidence: 1. There are no qualified program directors or a qualified back- program directors who meet one of the director qualifications and who shall regularly be on-site at least 50% of the center's hours of operation.
Plan of Correction:	We will ensure the acting directors obtain the appropriate training to satisfy the program director qualifications. In addition, we will embark on a search for a qualified program director who will be onsite consistently for at least 50% time.
Standard #:	8VAC20-780-210-A-4-b
Complaint related:	No
Description:	Based on record review, the center did not obtain documentation that all program leaders were qualified. Evidence: 1. There was no verification of program leader qualification for Staff #1 (DOH:12/19/2022), Staff #2 (DOH: 8/14/2023), and Staff #4 (DOH: 9/1/2023).
Plan of Correction:	We will acquire the appropriate documentation needed for each program leader that will reflect their qualifications for program leader. Staff will also receive necessary training to ensure they meet program leader qualifications per regulation requirements.
Standard #:	8VAC20-780-340-B
Complaint related:	No
Description:	Based on review of attendance records and staff interviews, the center failed to ensure that the staff-to-child ratios are required whenever children are in care. Evidence: 1. The attendance sheet on Wednesday, September 20, 2023, documented the group being over ratio during the following approximate times: 3:38 pm-3:45 pm. 2. There were 17 children between the ages of 2 years old to school age with 2 staff on the playground exceeding the 1:8 ratio. 3. The ratio between the approximate hours of 3:38 pm-3:45 pm should have been 1:8. 4. There were approximately four 2-year-olds on the the playground during the approximate times of 3:38 pm-3:45 pm. 5. The ratio of the youngest age must be followed in a mixed-age grouping such as this. 6. Witness A confirmed they were out of ratio while on the playground on Wednesday, September 20, 2023. 7. The attendance sheet on Monday, September 11, 2023, documented the group being over ratio during the following approximate times: 7:45 am-8:10 am. 8. There were 7 children with one staff the youngest being 23 months. 9. The ratio between the approximate hours of 7:45 am-8:10 am should have been 1:5. 10. Witness A confirmed they were out of ratio on Monday, September 11, 2023. 11. The attendance sheet on Monday, September 11, 2023, documented the group being over ratio during the following approximate times: 8:30 am-9:00 am. 12. There were 19 children with two staff. Six out of 19 children were two years old. The ratio should have been 1:8. 13. Witness A confirmed they were out of ratio on Monday, September 11, 2023.
Plan of Correction:	We will ensure accurate attendance sheet documentation of staff-to-child ratios and adjust staff schedules as needed to be in ratio per regulation requirements.
Standard #:	8VAC20-780-340-D
Complaint related:	No
Description:	Based on record review, in each grouping of children at least one staff member who meets the qualifications of a program leader was not regularly present. Evidence: 1. Staff #1 who is the lead teacher in the Pre-Primary classroom is not program leader qualified. 2. Staff #4 who is the lead teacher in the Primary classroom is not program leader qualified. 3. Staff #2 who is the lead teacher in the Infant classroom is not program leader qualified.
Plan of Correction:	We will acquire the appropriate documentation needed for each program leader that will reflect their qualifications for program leader. Staff will also receive necessary training to ensure they meet program leader qualifications per regulation requirements.