Ixora Montessori

22.1-289.035-B-2

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: The records for Staff #1, #2, #4, #5 and #6 did not include documentation of obtaining a fingerprint check and were observed working during the inspection. Staff #2 began working on 2-20-2024 and Staff #1, #4, #5 and #6 began working on 2-21-2024.”

8VAC20-770-60-B

“Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to 1st day of employment. Evidence: : The records for Staff #1, #4, #5 and #6 did not include a sworn statement and were observed working during the inspection. Staff #1, #4, #5 and #6 began working on 2-21-2024”

8VAC20-770-70-A

“Repeat Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The records for Staff #1, #2, #4, #5 and #6 were requested for review records and Staff #3, center director confirmed they were not available for review”

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children. Evidence: The records for Staff #1, #2, #4, #5 and #6 did not include documentation of a negative TB screening and were observed working during the inspection. Staff #2 began working on 2-20-2024 and Staff #1, #4, #5 and #6 began working on 2-21-2024.”

8VAC20-780-80-A

“Based on documentation review and staff interviews, the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: There was not an attendance record for the 7 children observed in the two’s room or an attendance record for the 12 preschool children observed on the playground.”

8VAC20-780-340-D

“each grouping of children at least one staff member who meets the qualifications of a program leader. Evidence: Staff #1 am Staff #2 were observed on the playground with 12 preschool age children and Staff #1 and Staff #2 do not have documentation of meeting program leader qualifications.”

8VAC20-780-530-A-1

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care Evidence: Staff #1 and Staff #6 were observed as the only persons supervising 12 preschool children on the playground and they do not have a current certification in CPR as required”

8VAC20-780-530-A-2

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid. Evidence: Staff #1 and Staff #6 were observed as the only persons supervising 12 preschool children on the playground and they do not have a certification in first aid as required.”

8VAC20-780-530-C

“Based on observation, record review and staff interviews, the licensee did not ensure there were at least two staff members who obtained CPR and first aid training on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. Evidence: There was not a second person at the center that had obtained CPR and first aid Training as required.”

8VAC20-780-550-F

“Based on staff interviews and review of documentation, the licensee did not ensure to practice annually a lockdown drill procedure. Evidence: Center Director verified they did not have documentation of a lock down drill practiced in 2023.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Staff #1 confirmed the most recent copy of the health inspection available for review was dated 11-14-2022.”

8VAC20-780-60-A

“Based on record review and staff interviews, license did not ensure that children’s records contained all required information. Evidence: The following records were missing information as listed below; 1.The record for child #1 was missing for both parents listed their home phone number and their employment location; both emergency contacts listed are missing their addresses. 2.The record for child #2 was missing both parent’s employment location, the address for the 1st emergency contact listed and a 2nd emergency contact name, address and phone number. 3. The record for child #4 was missing one parent’s employment location and the addresses for both emergency contacts listed.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record. Evidence: The following records were missing information as listed below. 1) Staff #1, (date of hire 5-15-23) designated as a program lead for the toddler room, is missing documentation in their record to demonstrate they have the training/education required for program lead, an emergency contact name, address and phone number and documentation of any health-related problems that may interfere with the job. 2) Staff #3, (date of hire 6-14-23) is missing documentation of two references conducted prior to hire.”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment . Evidence: The record for Staff #2, (date of hire 3-15-23) did not include documentation of completing the required orientation.”

8VAC20-780-510-E

“Based on documentation review, medication review and staff interviews, license did not ensure the center's procedures for administering medication in included all required items. Evidence: The center owner confirmed the center’s policy for medication did not include the following; 1. Include any general restrictions of the center. 2. For nonprescription medication, be consistent with the manufacturer's instructions for age, duration, and dosage. 3. Include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. 4. Include methods to prevent use of outdated medication.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1) Staff #1?s date of hire was 5-15-2023 and a TB screenings/ test conducted was dated 12-8-2022. 2) Staff #3?s date of hire was 6-14-2023 and a TB screenings/ test conducted was dated 6-29-2022.”

8VAC20-780-240-B

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #3 (date of hire 6-15-23) did not include documentation of completing the required orientation to include all required topics.”

8VAC20-780-60-A

“Based on record review and staff interviews, license did not ensure that children’s records contained all required information. Evidence: The following records were missing information as listed below; 1.The record for child #1 was missing for both parents listed their home phone number and their employment location; both emergency contacts listed are missing their addresses. 2.The record for child #2 was missing both parent’s employment location, the address for the 1st emergency contact listed and a 2nd emergency contact name, address and phone number. 3. The record for child #4 was missing one parent’s employment location and the addresses for both emergency contacts listed.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record. Evidence: The following records were missing information as listed below. 1) Staff #1, (date of hire 5-15-23) designated as a program lead for the toddler room, is missing documentation in their record to demonstrate they have the training/education required for program lead, an emergency contact name, address and phone number and documentation of any health-related problems that may interfere with the job. 2) Staff #3, (date of hire 6-14-23) is missing documentation of two references conducted prior to hire.”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment . Evidence: The record for Staff #2, (date of hire 3-15-23) did not include documentation of completing the required orientation.”

8VAC20-780-510-E

“Based on documentation review, medication review and staff interviews, license did not ensure the center's procedures for administering medication in included all required items. Evidence: The center owner confirmed the center’s policy for medication did not include the following; 1. Include any general restrictions of the center. 2. For nonprescription medication, be consistent with the manufacturer's instructions for age, duration, and dosage. 3. Include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. 4. Include methods to prevent use of outdated medication.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1) Staff #1?s date of hire was 5-15-2023 and a TB screenings/ test conducted was dated 12-8-2022. 2) Staff #3?s date of hire was 6-14-2023 and a TB screenings/ test conducted was dated 6-29-2022.”

8VAC20-780-240-B

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #3 (date of hire 6-15-23) did not include documentation of completing the required orientation to include all required topics.”

8VAC20-780-60-A

“Based on record review and staff interviews, license did not ensure that children’s records contained all required information. Evidence: The following records were missing information as listed below; 1.The record for child #1 was missing for both parents listed their home phone number and their employment location; both emergency contacts listed are missing their addresses. 2.The record for child #2 was missing both parent’s employment location, the address for the 1st emergency contact listed and a 2nd emergency contact name, address and phone number. 3. The record for child #4 was missing one parent’s employment location and the addresses for both emergency contacts listed.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record. Evidence: The following records were missing information as listed below. 1) Staff #1, (date of hire 5-15-23) designated as a program lead for the toddler room, is missing documentation in their record to demonstrate they have the training/education required for program lead, an emergency contact name, address and phone number and documentation of any health-related problems that may interfere with the job. 2) Staff #3, (date of hire 6-14-23) is missing documentation of two references conducted prior to hire.”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment . Evidence: The record for Staff #2, (date of hire 3-15-23) did not include documentation of completing the required orientation.”

8VAC20-780-510-E

“Based on documentation review, medication review and staff interviews, license did not ensure the center's procedures for administering medication in included all required items. Evidence: The center owner confirmed the center’s policy for medication did not include the following; 1. Include any general restrictions of the center. 2. For nonprescription medication, be consistent with the manufacturer's instructions for age, duration, and dosage. 3. Include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. 4. Include methods to prevent use of outdated medication.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1) Staff #1?s date of hire was 5-15-2023 and a TB screenings/ test conducted was dated 12-8-2022. 2) Staff #3?s date of hire was 6-14-2023 and a TB screenings/ test conducted was dated 6-29-2022.”

8VAC20-780-240-B

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #3 (date of hire 6-15-23) did not include documentation of completing the required orientation to include all required topics.”

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Center Director confirmed that the following staff had not obtained TB screenings 30 days prior to the first day of employment. 1.Staff #2 first date of employment was 1-13-23 and TB screening 2-23-23 2.Staff #3 first date of employment was 5-15-23 and TB screening 12-8-22”

8VAC20-780-60-A

“Based on record review and staff interviews, the licensee did not ensure there was 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. Evidence: The record for child # 5 has a diagnosed food allergy (peanuts) and the record did not include a written care plan, to include instructions from a physician.”

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Center Director confirmed that the following staff had not obtained TB screenings 30 days prior to the first day of employment. 1.Staff #2 first date of employment was 1-13-23 and TB screening 2-23-23 2.Staff #3 first date of employment was 5-15-23 and TB screening 12-8-22”

8VAC20-780-60-A

“Based on record review and staff interviews, the licensee did not ensure there was 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. Evidence: The record for child # 5 has a diagnosed food allergy (peanuts) and the record did not include a written care plan, to include instructions from a physician.”

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: The records for Child #3 and Child #4, first date of attendance for both was 1-2-2023 and there was not documentation of a physical.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In the Toddler Room, Child #1 has a diagnosed food allergy and staff were aware of the allergy however, there was not an allergy list available for staff to review in a confidential location.”

8VAC20-780-510-G

“Based on observation and staff interviews, the licensee did not ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: An epinephrine auto-injectors, was observed and it did not have the dosage amount and the time or times to be given. Center staff confirmed the epinephrine auto-injector belonged to Child #1 and it had not been administered.”

8VAC20-780-160-A

“Based on review of 3 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1)Staff #1?s date of hire was 1-2-2023 and a TB screenings/ test conducted was not conducted. 2) Staff #2?s date of hire was 1-2-2023 and a TB screenings/ test conducted was not conducted. 3) Staff #3?s date of hire was 1-2-23 and their TB screenings/ test conducted was dated 10-16-2020.”

8VAC20-780-550-B

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for an emergency preparedness plan that contains all required procedural components. . Evidence: Staff #1 confirmed the following procedural component were not included in the emergency preparedness plan. 1) Accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation, relocation or lockdown. 2) Procedures to reunite children with a parent or authorized person designated by the parent to pick up the child. 3)Continuity of operations to ensure that essential functions are maintained during an emergency. 4) Staff training requirement, drill frequency, and plan review and update.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #1 confirmed there was not a policy available for review related to head trauma.”

8VAC20-780-40-N

“Based on review of center documentation and staff interviews, the licensee did not ensure to develop written procedures for playground safety procedures that shall include, provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children. Evidence: Staff #1 confirmed there was not a written playground safety procedure available for review.”

8VAC20-780-320-B

“Based on observation and staff interviews, the licensee did not ensure to have all required items for restrooms. Evidence: The restroom between the toddler room and the preschool room did not have the following as required; 1.The toilet did not flush. 2.The sink located near the toilet did not have warm running water”