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: Nov. 16, 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 8VAC20-790 Subsidy Regulations

Comments:

An unannounced renewal inspection was conducted on 11/16/2023 from 9:30 am-12:15 pm. There were 13 children supervised by 5 direct care staff. The physical plant, 5 staff records, 5 children?s records, medications, evacuation drills, emergency supplies, and policies were inspected. Children were observed participating in group play and eating breakfast. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. Please submit your plan of correction within 5 business days for it to be included on the website. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	22.1-289-036-B-4
Description:	Based on record review and staff interview, 1 of 3 board member files indicated that the center failed to obtain an out-of-state child abuse and neglect search request by the end of 30th day of employment. Evidence: There was no documentation of an out-of-state central registry check for board member #3.
Plan of Correction:	We will work to ensure that all staff, including board members, have the required background and central registry checks. Board member #3 has already initiated the out-of-state central registry check. This documentation will be maintained in staff files.
Standard #:	22.1-289.011-F
Description:	Based on record review and staff interview, not all required documentation was posted. Evidence: The findings of the most recent inspection of the facility (09/21/2023) were not posted.
Plan of Correction:	We will post the inspection findings.
Standard #:	22.1-289.035-B-4
Description:	Based on record review and staff interview, 1 of 5 staff files indicated that the center failed to obtain an out-of-state child abuse and neglect search request by the end of 30th day of employment. Evidence: There was no documentation of an out-of-state central registry check for Staff #5 hired on 10/10/2023.
Plan of Correction:	We will work to ensure that we obtain the results of all required central registry checks, including out-of-state, for all new hires by the end of 30th day of employment. This documentation will be maintained in the staff file. The check for Staff #5 has already been initiated.
Standard #:	8VAC20-770-60-C-2
Description:	REPEAT VIOLATION Based on record review and staff interview, 1 of 5 staff files indicated that the center did not obtain the results of a central registry check by the end of the 30th day of employment. Evidence: There was no documentation of a central registry check for Staff #1 (acting director since 9/1/2023)
Plan of Correction:	We will work to ensure that all staff have the required background and central registry checks. Staff #1 has already initiated the central registry check. This documentation will be maintained in staff files.
Standard #:	8VAC20-780-160-A
Description:	REPEAT VIOLATION Based on record review and interview, 1 of 5 staff files indicated that the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: 1. The tuberculosis test documentation on file for Staff #5 was dated 10/10/2022. 2. The employment date for Staff #5 was listed in their record as 10/10/2023.
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 #:	8VAC20-780-40-K
Description:	Based on record review and staff interview, the center did not develop written procedures for the prevention of abusive head trauma. Evidence: There was no documentation of a written policy and procedure for the prevention of abusive head trauma.
Plan of Correction:	We will draft and finalize a written policy and procedures for the prevention of abusive head trauma
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on record review and staff interview, the center did not obtain all the required information for each child's record. Evidence: 1. Child #4 is missing proof of identity. 2. Child #4's start date is 4/17/2023
Plan of Correction:	We will work to ensure that all the required information for each child?s record is obtained and complete prior to the child?s start date.
Standard #:	8VAC20-780-350-F
Description:	Based on record review and interview, the center did not develop a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff or a team of staff members. Evidence: There was no documentation of a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff.
Plan of Correction:	We will draft and finalize a written center policy and procedure that ensures consistency of staff for each group of children.
Standard #:	8VAC20-780-510-B
Description:	Based on a review of medications, the center did not have parental written authorization to administer medication. Evidence: The medication authorization form for Child #3's emergency medication was not signed by the parent.
Plan of Correction:	We will work to ensure that all required information for each child?s record is obtained and complete, including parent?s signatures on required documents, prior to the child?s start date.
Standard #:	8VAC20-780-510-L
Description:	Based on observation and staff interview, the facility did not ensure that all medication was kept in a locked place, using a safe locking method that prevents access by children. Evidence: 1. Child #3's bookbag in the Pre-Primary classroom had an epi-pen. 2. The bookbag was at the bottom of Child #3's cubby. 3. The bookbag was not kept in a locked place, using a safe locking method that prevents access by children.
Plan of Correction:	We will work to ensure that parents are informed about the facility?s medication policy and check children?s backpacks/bags/coats upon arrival at the facility to ensure no medications arrive at the facility without being locked away and inaccessible to other children.
Standard #:	8VAC20-780-540-E
Description:	Based on record review and staff interview, the center did not have all the following required nonmedical emergency supplies. Evidence: The center did not have a battery-operated radio in the building used by children.
Plan of Correction:	We will ensure the required nonmedical emergency supplies are onsite and accessible to staff.
Standard #:	8VAC20-780-550-G
Description:	Based on record review and staff interview, documentation was not maintained for emergency evacuation drills. Evidence: There was no documentation of a June, September, and October 2023 evacuation drills being practiced.
Plan of Correction:	We will work to ensure that all emergency evacuation drills are documented.