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Ixora Montessori, Inc.
3051 Ironbound Road
Williamsburg, VA 23185

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Feb. 21, 2024

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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Technical Assistance:
Discussed in detail ( 8VAC20-780-10.4) the definition of ?Volunteer" means a person who works at the center and:
1. Is not paid;
2. Is not counted in the staff-to-children ratios; and
3. Is in sight and sound supervision of a staff member when working with a child.
Any unpaid person not meeting this definition shall be considered "staff" and shall meet staff requirements.

Comments:
An unannounced monitoring inspection was started in the center on February 21, 2024 from 9:00 AM until10:05:00 AM and concluded on February 21, 024. At the time of entrance, 19 children were in care with 6 staff members. The sample size consisted of 5 children's records and 5 staff records. Children were observed playing outside on the playground and working on puzzles and eating snack.

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 contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment

Evidence: The records for Staff #1, #2, #4, #5 and #6 did not include documentation of obtaining a fingerprint check and were observed working during the inspection. Staff #2 began working on 2-20-2024 and Staff #1, #4, #5 and #6 began working on 2-21-2024.

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

Standard #: 8VAC20-770-60-B
Description: Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to 1st day of employment.

Evidence: : The records for Staff #1, #4, #5 and #6 did not include a sworn statement and were observed working during the inspection. Staff #1, #4, #5 and #6 began working on 2-21-2024

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

Standard #: 8VAC20-770-70-A
Description: Repeat
Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation.

Evidence: The records for Staff #1, #2, #4, #5 and #6 were requested for review records and Staff #3, center director confirmed they were not available for review

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

Standard #: 8VAC20-780-160-A
Description: Repeat
Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children.

Evidence: The records for Staff #1, #2, #4, #5 and #6 did not include documentation of a negative TB screening and were observed working during the inspection. Staff #2 began working on 2-20-2024 and Staff #1, #4, #5 and #6 began working on 2-21-2024.

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

Standard #: 8VAC20-780-80-A
Description: Based on documentation review and staff interviews, the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: There was not an attendance record for the 7 children observed in the two?s room or an attendance record for the 12 preschool children observed on the playground.

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

Standard #: 8VAC20-780-260-B
Description: Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department.

Evidence: Staff #1 confirmed the most recent copy of the health inspection available for review was dated 11-14-2022.

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

Standard #: 8VAC20-780-340-D
Description: each grouping of children at least one staff member who meets the qualifications of a program leader.

Evidence: Staff #1 am Staff #2 were observed on the playground with 12 preschool age children and Staff #1 and Staff #2 do not have documentation of meeting program leader qualifications.

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

Standard #: 8VAC20-780-530-A-1
Description: Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care

Evidence: Staff #1 and Staff #6 were observed as the only persons supervising 12 preschool children on the playground and they do not have a current certification in CPR as required

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

Standard #: 8VAC20-780-530-A-2
Description: Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid.

Evidence: Staff #1 and Staff #6 were observed as the only persons supervising 12 preschool children on the playground and they do not have a certification in first aid as required.

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

Standard #: 8VAC20-780-530-C
Description: Based on observation, record review and staff interviews, the licensee did not ensure there were at least two staff members who obtained CPR and first aid training on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care.

Evidence: There was not a second person at the center that had obtained CPR and first aid Training as required.

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

Standard #: 8VAC20-780-550-F
Description: Based on staff interviews and review of documentation, the licensee did not ensure to practice annually a lockdown drill procedure.

Evidence: Center Director verified they did not have documentation of a lock down drill practiced in 2023.

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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