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Guidepost Montessori at Fairfax
3909 Oak St
Fairfax, VA 22030
(703) 934-0920

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: March 12, 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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Discussed with Head of School:
Injury report form (model form will be sent)
Injury prevention plan (sample plan provided)

Comments:
An unannounced renewal inspection was conducted today,
There were 8 children present with 2 staff.
6 staff records and 2 child records were reviewed.
Children were observed serving themselves snack, playing with toys, working independently with blocks and cards and playing on the playground.
See the Violation Notice for non-compliances cited today.
Due to staff availability, you will have until close of business on 3/13/24 to send me the requested documentation.
If you have questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov
LI was present today from 3:10 PM - 6:00PM.

Please submit your plan of correction within 5 business days in order for it to be included on the website.

Violations:
Standard #: 22.1-289.035-B-4
Description: Repeat Violation
Systemic Deficiency
Based on a review of records, one staff record did not contain documentation of an out of state background checks for residences outside of Virginia in the past 5 years, in the required time frames.
Evidence:
1. Staff A's record had no documentation of a completed Child Abuse and Neglect search within 45 days of employment for two residences outside of Virginia in the past 5 years.
2. Staff A's record had no documentation of a completed Criminal History search for one residence outside of the state of Virginia in the past 5 years, prior to employment.
(Date of Hire: 03/27/23)

Plan of Correction: Background checks are underway. Updated onboarding checklist is in place.

Standard #: 8VAC20-770-60-C-2
Description: Repeat Violation
Based on a review of staff records, the center failed to discontinue employment of staff when Central Registry Search (CRS) results were not obtained within 30 days of employment.
Evidence:
1. Staff C's record contained no CRS results. (Date of Hire (DOH): 4/4/23)
2. Staff E's record contained no CRS results. (DOH:11/28/23)

Plan of Correction: New CRS searches have been completed. Staff E's results on file; awaiting Staff C's results.

Standard #: 8VAC20-780-130-A
Description: Based on a review of records, one child record did not contain documentation of immunizations,before the first date of attendance.
Evidence:
Child #1's record did not contain an immunization record. (First date of attendance: 2/1/24)

Plan of Correction: Request for documentation has been made.

Standard #: 8VAC20-780-140-A
Description: Based on a review of records, one child record did not contain documentation of a completed physical within 30 days of enrollment.
Evidence:
Child 1's record contained no completed physical, (First day of attendance: 2/1/24)

Plan of Correction: Request for documentation has been made.

Standard #: 8VAC20-780-160-C
Description: Based on a review of records, one staff record did not contain documentation of a follow up tuberculosis screening at least every two years.
Evidence:
Staff F's record contained documentation of a tuberculosis screening result that was dated 10/8/21 (expired)

Plan of Correction: Staff F has been notified to update this record.

Standard #: 8VAC20-780-40-I
Description: Based on staff statement and a review of available documentation, the center has not developed a written injury prevention plan.
Evidence:
No plan could be located during the inspection.

Plan of Correction: Plan will be developed and reviewed.

Standard #: 8VAC20-780-60-A
Description: Repeat Violation
Based on a review of records, one child record did not contain all required in formation.
Evidence:
1 of 2 records reviewed was incomplete. Missing information included:
1. No documentation of having viewed proof of birth within 7 days of enrollment.
2. A complete second emergency contact's information.
(First date of attendance: 2/1/24)

Plan of Correction: Child records reviewed. Missing documentation will be requested and added to files.

Standard #: 8VAC20-780-70
Description: Repeat Violation
Systemic Deficiency
Based on a review of records, one staff record did not contain documentation of all required components.
Evidence:
Staff E's record did not contain documentation of two references obtained prior to employment. The references available for review were not dated.

Plan of Correction: Second reference has been obtained. Dated will be added to all new employee reference records.

Standard #: 8VAC20-780-80-A
Description: Based on a review of the attendance sheet, the center did not maintain a written record of daily attendance documenting the arrival and departure of each child as it occurred.
Evidence:
The attendance sheet for the Children's House room showed 9 children present. There were 8 children in the room.

Plan of Correction: An updated process has been put in place for documenting this inclusive attendance situation.

Standard #: 8VAC20-780-240-A
Description: Repeat Violation
Based on a review of records, one staff record did not contain documentation of completion for the required 10 hour Pre-Service course within 90 days of employment,
Evidence:
Staff C's record did not contain documentation of completion of the required course.
(Date of Hire: 4/4/23)

Plan of Correction: Training was completed at time of hire. Certificate has been added to Staff C's file.

Standard #: 8VAC20-780-420-E-3
Description: Repeat Violation:
Based on a review of records, one child record was not updated annually.
Evidence:
Child 2's record was dated 2/24/22.

Plan of Correction: Annual records review will be conducted.

Standard #: 8VAC20-780-510-B
Description: Based on Staff statement and a review of medication log, medication was not administered according to written authorization.
Evidence:
Child 2's authorization for an Over-The-Counter (OTC) medication stated to administer the medication at 11:30 and 3:30 daily. Medication was not administered on 3/12/24. A new medication authorization was not completed when the times for administering the medication changed to "as needed".

Plan of Correction: Staff followed verbal directions from parent at drop off, and had parent complete an updated for the next day.

Standard #: 8VAC20-780-550-E
Description: Based on a review of available documentation, Shelter-in-place (SIP) drills were not practiced a minimum of twice a year.
Evidence:
There was no record of 2 SIP drills being conducted in 2023.

Plan of Correction: Drill logs will be consolidated and updated.

Standard #: 8VAC20-780-550-G
Description: Based on a review of documentation, no record was maintained of emergency evacuation drills being practiced monthly.
Evidence:
There was no documentation of emergency evacuation drills having been practiced for September, October and November in 2023.

Plan of Correction: Drill logs will be consolidated and updated.

Standard #: 8VAC20-780-550-P
Description: Repeat Violation
Based on a review of injury reports, all required information was not documented.
Evidence:
6 injury reports were reviewed. Missing information included:
1. Time/Date/Method of parent notification. (6 of 6 reports)
2. A parent and staff signature, or 2 staff signatures (2 of 6 reports)
3. Child's complete name (3 of 6 reports)

Plan of Correction: New/corrected forms are in use. Staff will review procedure for completing correctly. Updated process for signatures in place.

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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