VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cardinal Montessori School
1424 G Street
Woodbridge, VA 22191
(703) 491-3810

Current Inspector: Cathy Aylor (540) 222-6352

Inspection Date: Feb. 4, 2025

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. 8VAC20-770 Background Checks

Comments:

An unannounced monitoring inspection was initiated on 2/4/25 and completed on 2/28/25 in response to a self-report received by the licensing office on 1/30/25 relating to supervision. The inspector reviewed 1 child's record and 2 staff records on-site. This inspection included document review, tour of the facility, interviews and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Though not a part of the original self report, violations that were not reported were found related to staff records and background checks and are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 3/7/25. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-1
Description:	Prior to employment, a sworn statement of affirmation is required. Staff A's sworn statement of affirmation was completed 5 months after employment..
Plan of Correction:	Employee staff file was completed prior lo employment. When Incident occured file could not be found. Once this came to our attention action was taken immediately and employee filled out form and put in file.
Standard #:	22.1-289.035-B-3
Description:	Prior to employment a central registry background check must be requested. Staff A was employed approximately 5 months prior and there is no documentation that a central registry background check had been requested.
Plan of Correction:	Employee staff file was completed prior to employment. When Incident occured file could not be found. Once this came lo our attention action was taken Immediately. On lhe same day paperwork was filled out and sent to Central Registry for a background check. It has been received.
Standard #:	22.1-289.036-B-2
Description:	Prior to employment, a national fingerprint background check must be completed . Staff A did not have a fingerprint background check on file until 5 months after employment.
Plan of Correction:	Employee staff fi!e was completed prior to employment. When incident occured file could not be found. Once this came to our attention action was taken immediately.On the same day pape!Work was filled out and sent to get fingerprint background check. It has been received.
Standard #:	8VAC20-780-70
Description:	A staff record shall be kept for each staff person to include job title, verification of age, references, documentation of education, health information etc., at the time of employment. At the time of employment, this information had not been obtained for staff A and it wasn't until 5 months later had this information been obtained.
Plan of Correction:	Employee staff file was completed prior lo employment. When Incident occured file could not be found. Once this came to our attention action was taken immediately and employee filled out form and put in file.
Standard #:	8VAC20-780-340-F
Description:	Repeat Violation: Children under 10 years of age shall always be within sight and sound supervision of staff, provided that staff check on children who has not returned from the restroom after five minutes. On 1/29/25 while on the playground, child A (5years of age) left their assigned group, walked through a vacant classroom on route to the bathroom located in the hallway. The child was in the bathroom for approximately 10 minutes. None of the 3 staff ( A, B and C ) responsible for the child?s supervision checked on the child in the bathroom. Child A exits the bathroom and while unsupervised walks down the hallway, through an empty classroom, out the door toward the playground. Child A was discovered by a parent who found the child outside alone. The child was out of supervision for approximately 2 to 4 minutes.
Plan of Correction:	Child A was instructed to go Inside where the evening staff monitors that area. On that day that d!d not happen and we have talked to our staff. We also reviewed and have adjusted our policy. We are taking children to use the restroom before they go outside. If they need to go Inside a staff member escorts the student and takes other students with them, If need be, to make sure we stay ln ratio. Before returning Inside, attendance is taken again to Insure all students are accounted for. When Inside, we are ln the process of hiring another front desk staff member to ensure additional person always has sight and sounds with our students. In addition, we have reminded our parents the school pollcy for pick up that states they must have their student with them prior to being signed out.