VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holly Brook Montessori School
2455 Gallows Road
Dunn loring, VA 22027
(703) 573-7800

Current Inspector: Whitney Mcgrath (571) 835-4717

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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

Today an unannounced renewal Inspection took place between the hours of 11am and 1:15am. There were 3 classrooms observed with a total of 67 children with 8 staff within the supervision guidelines. The children were observed transitioning to play outside on the playground, eating lunches brought from home and other organized activities. A complete inspection of the physical plant, children and staff records, fire drill log, medication and emergency procedures were observed during this inspection. There was an abundant supply of materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. Areas of non-compliance are identified on the Violation Notice. If you have any questions, please e-mail me at whitney.mcgrath@doe.virginia.gov. Thank you for your cooperation during the inspection.

Violations:

Standard #:	22.1-289.058
Description:	Based on interview, each building that was built prior to 2015 that housed a child day program was not equipped with at least one carbon monoxide detector. Evidence: A carbon monoxide detector could not be located in the facility during todays inspection. Center management confirmed that there was no documentation of a carbon monoxide detector in the facility.
Plan of Correction:	We will order an install one.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, children's records did not contain all required information. Evidence: Child #6 and child #7s records contain an allergy action plan to be followed in case of the accidental ingestion of an allergen. The allergy care plans were not signed by a physician.
Plan of Correction:	We will modify our allergy plan form to include a physicians signature.
Standard #:	8VAC20-780-230-B
Description:	Based on observation, individual contractors who do not meet the staff qualifications were not within sigh and sound supervision of a staff member while in the presence of children. Evidence: At the start of the inspection, two children were observed working with a speech therapist in the hallways of the facility. Center management confirmed that the speech therapist does not meet all staff qualifications.
Plan of Correction:	We will create a form to have the parents sign and authorize for the children to be withdrawn from class to be with the therapist.
Standard #:	8VAC20-780-510-E
Description:	Based on record review and interview, procedures for administering medication were not followed. Evidence: Child #8s authorization to administer medication was signed by the parent in August 2023 and expired 10 days later. No long-term authorization had been obtained from a physician. Child #8s medication log documented that the medication was administered to the child in December 2023.
Plan of Correction:	We will make sure to have the long-term authorization.
Standard #:	8VAC20-780-510-G
Description:	Based on observation, medication was not labeled with a childs name. Evidence: An over-the-counter medication was observed in a classroom lockbox and was not labeled with a child's name.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-780-510-P
Description:	Based on observation, medication was not returned to a parent within 14 days of the medication authorization expiring. Evidence: Child #8s authorization to administer medication expired in August 2023. The medication was observed on-site during todays inspection.
Plan of Correction:	We will have the parent fill out a new short-term authorization so that we can keep the medication on-site and ask for the long-term authorization to be completed by the physician.