Fiore Montessori II

8VAC20-780-80-B-2 Complaint related: No

“The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Child #1's injury, which required outside medical treatment, was not reported to a department representative. Email documentation confirms that the parent informed the center of the outside medical treatment received on the same date that the injury occurred.”

8VAC20-780-550-P Complaint related: No

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include staff and parent signatures or two staff signatures and shall include the date and time when parents were notified. It was observed that the written record of children's injuries did not always contain the signatures of staff and parent or signatures of two staff or the time the parent was notified.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, chipped or peeling paint. Peeling paint was observed on the walls in classroom #1 and #2 at a location within reach of the children.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water and a nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. In Classroom #1 and #4, the sink in the diapering areas used for handwashing did not produce warm running water. In Classroom #1 and #4, it was observed that the nonabsorbent surface for diapering or changing was placed on the floor instead of a changing table or countertop designed for changing. The children in both rooms were under 3 years of age. In Classroom #1, after use, a staff member was observed only spraying the changing pad with soapy water before placing it in the bathroom for storage. No sanitizer was used in the process.”

8VAC20-780-80-B-2 Complaint related: No

“The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Child #1's injury, which required outside medical treatment, was not reported to a department representative. Email documentation confirms that the parent informed the center of the outside medical treatment received on the same date that the injury occurred.”

8VAC20-780-550-P Complaint related: No

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include staff and parent signatures or two staff signatures and shall include the date and time when parents were notified. It was observed that the written record of children's injuries did not always contain the signatures of staff and parent or signatures of two staff or the time the parent was notified.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, chipped or peeling paint. Peeling paint was observed on the walls in classroom #1 and #2 at a location within reach of the children.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water and a nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. In Classroom #1 and #4, the sink in the diapering areas used for handwashing did not produce warm running water. In Classroom #1 and #4, it was observed that the nonabsorbent surface for diapering or changing was placed on the floor instead of a changing table or countertop designed for changing. The children in both rooms were under 3 years of age. In Classroom #1, after use, a staff member was observed only spraying the changing pad with soapy water before placing it in the bathroom for storage. No sanitizer was used in the process.”

8VAC20-780-210-A

“Program leaders shall be 18 years of age, have fulfilled a high school program completion or the equivalent and a minimum of 24 hours of training shall be received related to the care of children. The record for Staff # 1 did not have supporting documentation of a high school program completion or the equivalent.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and the documentation shall have been completed within the last 30 calendar days of the date of employment. The TB screening for Staff #1 was dated 17 months prior to the first day of employment. The TB screening for Staff #3 was dated five months prior to the first day of employment.”

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. The mulch in the fall zones on the large playground measured to be less than three inches in depth and some areas had bare dirt.”

8VAC20-780-330-E

“Sandboxes shall be covered when not in use. The sandbox on the playground did not have a cover available when not in use.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #1 and #2, who had been employed for one month, did not have a completed national criminal background check prior to their first day of employment.”

8VAC20-780-160-C Complaint related: No

“At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening. The last documented TB screening for Staff #1 expired over ten months and the TB screening for Staff #5 expired six weeks ago.”

8VAC20-780-500-B

“Individual disposable barriers may be used between each diaper change. Staff #2 in Classroom #4 used a non-disposable barrier when changing a child's diaper.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff #2 changed a child's diaper in classroom #4 and did not wash the child's hands with soap and water.”

22.1-289.036-A

“The center is required to have board officers/agents undergo a background check every five years. The most recent criminal history and central registry for Staff #7 was overdue by a year and nine months.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after helping a child use the toilet. Staff #6 in Classroom #5 did not wash their hands before or after helping children use the toilet.”

22.1-289.035-B-4

“Based on record review and interview, the child day center failed to request an out-of-state Criminal history Records Request prior to date of employment. Evidence: 1. The record for Staff #1 (DOH 8/12/24) out-of-state criminal record request was dated 8/22/24. 2. The record for Staff #2 (DOH 8/5/24) did not have documentation of an out-of-state criminal record request was submitted. 3. The center director acknowledged the out-of-state criminal record request was not requested.”

8VAC20-780-40-M

“Based on observation and interview, the current written list of all children's allergies, sensitivities, and dietary restrictions was not dated. Evidence: 1. The current written list of all children's allergies, sensitivities, and dietary restrictions did not have a date on the list. 2. The center director confirmed the date is not printed on the list.”

8VAC20-780-500-B

“Based on observations, disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The disposable diaper storage system was not foot-operated and could not be used without the staff's hand touching the exterior surface of the storage system.”

8VAC20-780-440-L

“Based on observation, pillows and filled comforters were used by children under two years of age. Evidence: There were 3 children sleeping on mats in the Buttercups classroom (Birth to 16 months) that were using a nap mat that has a quilted blanket and pillow attached.”