Bristow Montessori School

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring, or that a new authorization should be completed. Medication for Child #3 was onsite, but the medication authorization had expired over three months ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-790-600-D-1

“All staff must have current certification in CPR appropriate to the ages of children in care. Staff #2's most recent CPR certification was expired by more than two months. Staff #5 did not have CPR certification and had been employed for more than 90 days.”

8VAC20-790-600-D-2

“All staff must have current certification in first aid appropriate to the ages of children in care. Staff #2's most recent first aid certification was expired by more than two months. Staff #5 did not have first aid certification and had been employed for more than 90 days.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff #5, who has been employed for more than three months.”

8VAC20-780-270-A

“Areas and equipment of the center must be maintained in a clean, safe and operable condition. The Primary (Room 107; ages 3-4 years) classroom main entrance door does not latch closed.”

8VAC20-780-550-E

“Shelter-in-place drills shall be practiced twice per year. The center was missing documentation of one shelter-in-place drill for 2025.”

8VAC20-780-60-A-8

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. There was no allergy care plan on file for child B's allergy to egg, oats and beans.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. There were no immunization documentation on file for child A before attending, this information was overdue by one day.”

8VAC20-780-40-M

“Repeat Violation: The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Child A has an dietary restriction to dairy, however this information was not listed on the allergy/sensitivity/dietary restriction, today was the child's first day of attendance. Child B has an allergy to egg, oats and beans however the allergy/sensitivity/dietary restriction listed dated 6/19/25 has these foods as dietary restriction and not an allergy.”

8VAC20-780-140-A

“The center shall obtain a physical examination within 30 days of enrollment. Child A enrolled 7 months ago and there was no physical examination on file.”

22.1-289.035-B-4

“At the time of employment, the center must submit for a copy of the results of a criminal history record check from any state in which the individual has resided in the preceding five years. The center had not submitted for the out of state criminal records check for staff A and staff B, Both resided in another state within the last five years. Staff A has been employed for two months and staff B has been employed for 1.5 months.”

8VAC20-780-520-B

“Sunscreen shall be inaccessible to children under 5 years of age. Sunscreen was on a shelf in reach of children in classroom 104, which serves children from 12 to 24 months of age.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. The partial wall prevented the staff in the infant room from having sight supervision of 4 infants who were in their cribs in the napping area.”

8VAC20-780-40-M

“The center shall maintain in a way that is accessible to all staff a current written list of all children with allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room/area where children are present. 1. The allergy list posted in classroom 107 was dated 8/21/23, however the current list is dated 12/4/23. 2. Child A has an allergy to walnuts and pecans and their allergies were not posted on the 12/4/23 list. 3. Child B enrolled on 2/9/24 with a nut allergy. Child B's allergy was never included on the allergy list.”

8VAC20-780-330-B

“Based on observation, it was determined that there was insufficient resilient surfacing in front of the green slide on the older playground. Evidence: There were 4 divots in the resilient surface ( poured-in-place) 1 to 3 feet in front of the slide. The divots made the poured-in-place surface out of compliance with the minimum safety standards for resilient surfacing.”

8VAC20-780-260-A

“Based on a review of recordkeeping and interview with administration, it was determined that the center had not obtained an annual fire inspection report from the appropriate fire official. Evidence: The fire inspection report was dated 2/27/19.”

8VAC20-780-270-A

“Based on observation, it was determined that the poured-in-place surface on the playground was not maintained in a safe condition. Evidence: The LI observed a divot in the poured- in- place surface on the playground near the green slide. The divot presented a tripping hazard to children.”

8VAC20-780-550-P

“Based on a review of 7 injury/accident reports, it was determined that the center is not documenting the time of day parents were informed of injuries/accidents to their children.”

8VAC20-780-510-E

“Based on a review of medications for 10 children and interview with administrative staff, it was determined that the medication duration of the parent's authorization for medication for 1 child had expired and there was no authorization for medication for a second child. Evidence: The duration of the parent's uthorization for Diphenhydramine and Epinephrine expired on 7/1/22 for child C. There was no written authorization for the over the counter antihistamine for child D.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the two step on containers used to dispose of soiled diapers are not being used in a manner which ensures that the staff's hands does not touch the exterior surface of the step on container used to dispose of diapers. Evidence: A smaller step on container is being housed on top of a larger step on container and staff demonstrated and reported that they use their hand to lift the smaller container in order to dispose of diapers in the larger container. Consequently, the staff's hand is touching the smaller step container which can lead to cross contamination.”

8VAC20-780-440-L

“Based on observation and interview, it was determined that soft beading was in or around the cribs of two infants. Evidence: The Licensing Inspector (LI) observed plush and thick blankets in and around the cribs of child A and B.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were unlocked. Evidence: The LI observed clothing detergent sitting on counter in the kitchen/laundry room. The door to the kitchen/laundry room was unlocked and the detergent was accessible. The LI observed glass cleaner on the shelf in the before and after care classroom. The cleaner was unlocked.”

8VAC20-780-550-D

“Based on a review of the escape drill log and interview, it was determined that the center is not conducting monthly escape drills. Evidence: There were no escape drills for April, August or October 2021.”