Loudoun Montessori School

8VAC20-780-510-G

“Based on review of medications, one medication was not properly labeled. Evidence: An emergency medication for Child #1 was not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.”

8VAC20-780-60-A-8

“Based on review of children with a diagnosed food allergy, a written care plan was not maintained. Evidence: Child #1 has a diagnosed food allergy. A written care plan was not found 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”

8VAC20-780-520-A

“Based on review of topical ointments onsite, some ointments were kept beyond the expiration date of the product. Evidence: One topical ointment in Classroom #1 expired in May 2023. A second topical ointment in classroom #1 expired in June 2023.”

8VAC20-780-520-A

“Based on review of topical ointments onsite, some ointments were kept beyond the expiration date of the product. Evidence: One topical ointment in Classroom #1 expired in May 2023. A second topical ointment in classroom #1 expired in June 2023.”

8VAC20-780-60-A

“Based on child record review, children’s records were found incomplete. Evidence: 1.A start date for Child #1 was not found in their record. 2.The phone numbers and addresses for Child #3?s emergency contacts were not found in their record. 3.Acknowledgement that the parent handbook was provided that included policies on communicable diseases and requirements to pick a child up ill was not found in Child #3?s record. 4.Child #1 has a diagnosed food allergy. A signed physician allergy action plan was not found in their record.”

8VAC20-780-40-L

“Based on a staff statement, the center failed to inform 1 staff of children’s allergies. Evidence: 1.Staff are required to know which children have food allergies. 2. Staff are trained to recognize allergic reactions. 3. Staff #1 was the only staff in Classroom 1. 4. When asked, Staff #1 stated ?There are no children with food allergies in this class.? 5. Staff #1 was unable to locate the list of allergies for Classroom 1. 3. After reviewing the list of food allergies for the center, Classroom 1 has one child with a nut allergy.”

8VAC20-780-245-J-3

“Based on review of onsite medications, one child who has an emergency medication was not in the presence of a staff who has completed the appropriate medication training. Evidence: 1.An emergency seizure medication was found for Child #1. 2.This medication is required to be administered rectally. 3.Staff #3 stated that the additional rectal medication training has not been completed by any staff present today.”

8VAC20-780-270-A

“Based on observation of the center, one area of the building was not maintained in a safe and operable manner. Evidence: The top drawer of the changing table located in the bathroom near the aftercare classroom was broken and hanging off the frame.”

8VAC20-780-280-B

“Based on observation of the center, hazardous substances were found in unlocked areas. Evidence: 1.The storage closet located in the bathroom near the aftercare classroom was unlocked and contained cleaning agents. 2.The storage closet located in classroom #1 was unlocked and contained cleaning agents.”

8VAC20-780-380-A

“Based on observation of the center a daily schedule of activities was not posted. Evidence: A daily schedule of activities was not posted in all 3 classrooms.”

8VAC20-780-510-E

“Based on review of onsite medication, the center failed to follow their own medication policy. Evidence: 1.A signed physician medication authorization was not found for 2 emergency medications for Child #1. 2.A signed physician medication authorization was not found for Child #2?s emergency medication.”

8VAC20-770-60-C-2

“Based on staff record review, one background check was not obtained within 30 days of hire. Evidence: Staff #2 was hired on 03/06/2023. Results from a Central Registry search was not found.”

8VAC20-780-160-A

“Based on staff record review, a TB health screening was not obtained prior to hire. Evidence: Staff #2 was hired on 03/06/2023. The TB risk assessment is dated 03/08/2023.”

8VAC20-780-150-A

“Based on child record review, the current form required by the Virginia Department of Health or a physician's form that includes all information on the Virginia Department of Health form was not used to report immunizations received and the results of the required physical examination. Evidence: 1.Child #4?s physical exam form and immunization form do not include all required information. 2.A statement Child #4 and #5 has been adequately immunized was not found. 3.Both the physical exam form and the immunization form for Child #4 was not signed by a physician. 4.Child #5?s immunization form was not signed by the physician.”

8VAC20-780-140-A

“Based on child record review, a physical examination was not obtained within 30 days of their start date for 1 child. Evidence: Child #5 started on 01/04/2023. A physical examination was not found for this child”

8VAC20-780-240-B

“Based on review of staff records, orientation training for 1 staff was not completed within the first 7 days of starting their responsibilities. Evidence: 1.Staff #2 was hired on 03/06/2023. 2.The orientation training maintained in the staff record did not include training on shaking baby syndrome, abusive head trauma, preventing and recognizing allergic reactions and playground safety procedures.”

8VAC20-780-60-A

“Based on child record review, children’s records were found incomplete. Evidence: 1.A start date for Child #1 was not found in their record. 2.The phone numbers and addresses for Child #3?s emergency contacts were not found in their record. 3.Acknowledgement that the parent handbook was provided that included policies on communicable diseases and requirements to pick a child up ill was not found in Child #3?s record. 4.Child #1 has a diagnosed food allergy. A signed physician allergy action plan was not found in their record.”

8VAC20-780-40-L

“Based on a staff statement, the center failed to inform 1 staff of children’s allergies. Evidence: 1.Staff are required to know which children have food allergies. 2. Staff are trained to recognize allergic reactions. 3. Staff #1 was the only staff in Classroom 1. 4. When asked, Staff #1 stated ?There are no children with food allergies in this class.? 5. Staff #1 was unable to locate the list of allergies for Classroom 1. 3. After reviewing the list of food allergies for the center, Classroom 1 has one child with a nut allergy.”

8VAC20-780-245-J-3

“Based on review of onsite medications, one child who has an emergency medication was not in the presence of a staff who has completed the appropriate medication training. Evidence: 1.An emergency seizure medication was found for Child #1. 2.This medication is required to be administered rectally. 3.Staff #3 stated that the additional rectal medication training has not been completed by any staff present today.”

8VAC20-780-270-A

“Based on observation of the center, one area of the building was not maintained in a safe and operable manner. Evidence: The top drawer of the changing table located in the bathroom near the aftercare classroom was broken and hanging off the frame.”

8VAC20-780-280-B

“Based on observation of the center, hazardous substances were found in unlocked areas. Evidence: 1.The storage closet located in the bathroom near the aftercare classroom was unlocked and contained cleaning agents. 2.The storage closet located in classroom #1 was unlocked and contained cleaning agents.”

8VAC20-780-380-A

“Based on observation of the center a daily schedule of activities was not posted. Evidence: A daily schedule of activities was not posted in all 3 classrooms.”

8VAC20-780-510-E

“Based on review of onsite medication, the center failed to follow their own medication policy. Evidence: 1.A signed physician medication authorization was not found for 2 emergency medications for Child #1. 2.A signed physician medication authorization was not found for Child #2?s emergency medication.”

8VAC20-770-60-C-2

“Based on staff record review, one background check was not obtained within 30 days of hire. Evidence: Staff #2 was hired on 03/06/2023. Results from a Central Registry search was not found.”

8VAC20-780-160-A

“Based on staff record review, a TB health screening was not obtained prior to hire. Evidence: Staff #2 was hired on 03/06/2023. The TB risk assessment is dated 03/08/2023.”

8VAC20-780-150-A

“Based on child record review, the current form required by the Virginia Department of Health or a physician's form that includes all information on the Virginia Department of Health form was not used to report immunizations received and the results of the required physical examination. Evidence: 1.Child #4?s physical exam form and immunization form do not include all required information. 2.A statement Child #4 and #5 has been adequately immunized was not found. 3.Both the physical exam form and the immunization form for Child #4 was not signed by a physician. 4.Child #5?s immunization form was not signed by the physician.”

8VAC20-780-140-A

“Based on child record review, a physical examination was not obtained within 30 days of their start date for 1 child. Evidence: Child #5 started on 01/04/2023. A physical examination was not found for this child”

8VAC20-780-240-B

“Based on review of staff records, orientation training for 1 staff was not completed within the first 7 days of starting their responsibilities. Evidence: 1.Staff #2 was hired on 03/06/2023. 2.The orientation training maintained in the staff record did not include training on shaking baby syndrome, abusive head trauma, preventing and recognizing allergic reactions and playground safety procedures.”

8VAC20-780-90-A

“Based on child record review, a written agreement was not found in one child record. Evidence: The parent handbook acknowledgement that includes the center's sick policy and requirement to report communicable diseases was not found in Child #1's record.”

8VAC20-780-245-L

“Based on review of staff records and staff interviews, a staff member with daily health observation training was not on duty. Evidence: A total of 4 staff onsite, no staff on duty had current Daily Health Observation training.”

8VAC20-780-250-A

“Based on observation of the center, written documentation from the local building official was not obtained prior to use of one area of the building. Evidence: A newly installed wall was build enclosing the 2 year old classroom. The new construction was not approved by the local building official.”

8VAC20-780-340-F

“Based on observation of the 2 year old class, children were not always within actual sight supervision of staff. Evidence: Staff #1 left the 2 year old classroom leaving 4 children out of sight supervision for approximately 10 seconds.”

8VAC20-780-420-E-3

“Based on child record review, an annual review of 2 child records was not found. Evidence: Child #1 and #2's record was not reviewed annually.”

8VAC20-780-520-C

“Based on observation of the center, topicals were accessible to children in care. Evidence: Topical ointments were found accessible to children in the bathroom located in the 2 year old classroom.”

8VAC20-780-560-L

“Based on observation of the 2 year old class, staff did not sit with children during one meal time. Evidence: Staff #1 did not sit with the children during morning snack time.”

8VAC20-780-130-A

“Based on review of children's records, documentation of immunizations were not obtained before one child began care. Evidence: Child #1 began care on 4/13/21. Documentation of immunizations were dated 5/4/21.”

8VAC20-780-160-C

“Based on review of staff records, a subsequent TB screening was not obtained for one staff. Evidence: Staff #3's last documented TB screening was dated September 2019.”

8VAC20-780-90-A

“Based on child record review, a written agreement was not found in one child record. Evidence: The parent handbook acknowledgement that includes the center's sick policy and requirement to report communicable diseases was not found in Child #1's record.”

8VAC20-780-245-L

“Based on review of staff records and staff interviews, a staff member with daily health observation training was not on duty. Evidence: A total of 4 staff onsite, no staff on duty had current Daily Health Observation training.”

8VAC20-780-250-A

“Based on observation of the center, written documentation from the local building official was not obtained prior to use of one area of the building. Evidence: A newly installed wall was build enclosing the 2 year old classroom. The new construction was not approved by the local building official.”

8VAC20-780-340-F

“Based on observation of the 2 year old class, children were not always within actual sight supervision of staff. Evidence: Staff #1 left the 2 year old classroom leaving 4 children out of sight supervision for approximately 10 seconds.”

8VAC20-780-420-E-3

“Based on child record review, an annual review of 2 child records was not found. Evidence: Child #1 and #2's record was not reviewed annually.”

8VAC20-780-520-C

“Based on observation of the center, topicals were accessible to children in care. Evidence: Topical ointments were found accessible to children in the bathroom located in the 2 year old classroom.”

8VAC20-780-560-L

“Based on observation of the 2 year old class, staff did not sit with children during one meal time. Evidence: Staff #1 did not sit with the children during morning snack time.”

8VAC20-780-130-A

“Based on review of children's records, documentation of immunizations were not obtained before one child began care. Evidence: Child #1 began care on 4/13/21. Documentation of immunizations were dated 5/4/21.”

8VAC20-780-160-C

“Based on review of staff records, a subsequent TB screening was not obtained for one staff. Evidence: Staff #3's last documented TB screening was dated September 2019.”

8VAC20-780-270-A

“Based on observation of the center, areas of the center was not maintained in a clean and safe manner. Evidence: The playground area located on the left side had piles of wet leaves and trash. The artificial turf was buckled and poses a tripping hazard.”

8VAC20-780-280-B

“Based on observation of the physical plant, a hazardous substance was found unlocked. Evidence: A cleaning agent was found unlocked inside a bathroom which is accessible to children.”

8VAC20-780-330-B

“Based on observation of the playground, resilient surfacing was not maintained. Evidence: The fall zones located under the slide and the climbing structure did not have a minimum of six inches of resilient surface maintained.”

8VAC20-780-350-F

“Based on review of the current staffing schedule and staff statement, the center has not developed a policy for consistent staff. Evidence: The current staffing schedule does not include all groupings of children and a policy that ensures that children are cared for by consistent staff.”

8VAC20-780-520-C

“Based on observation of the physical plant, topical ointments were found accessible to children. Evidence: Three topical ointments were found in a plastic storage drawer inside the bathroom of the primary classroom. The storage drawer is accessible to children.”

8VAC20-780-550-B

“Based on review of the Center's emergency evacuation plan, the plan did not contain reunification of children with parents. Evidence: The emergency evacuation plan did not include the methods of reuniting children with their parents during a lock down or a shelter in place scenario.”

8VAC20-780-40-K

“Based on review of written procedures and documented training, required written policies were not found. Center does not have written policies for prevention of shaken baby syndrome and abusive head trauma.”

8VAC20-780-240-C

“Based on review of staff records, the orientation one staff received did not include all the required topics. Evidence: 1. Staff #1 was hired on 03/01/2022. The orientation training on file did not include the topics of abusive head trauma and shaken baby syndrome.”

8VAC20-780-240-E

“Based on review of staff records, one staff did not receive required training within 30 days of hire. Evidence: Staff #1 was hired on 03/01/2022. Staff #1 has not received documented training in First Aid and CPR.”

8VAC20-780-240-I

“Based on review of staff training, documentation of orientation training was incomplete. Evidence: Staff #1's documented orientation training did not include the training delivery method, the entity or individual providing the training and the date the training was completed.”

8VAC20-780-160-A-1

“Based on review of staff records, one TB screening was not obtained at or prior to hire. Evidence: Staff #1 was hired on 03/01/2022. The TB screening on file was dated 03/10/2022.”

8VAC20-780-270-A

“Based on observation of the center, areas of the center was not maintained in a clean and safe manner. Evidence: The playground area located on the left side had piles of wet leaves and trash. The artificial turf was buckled and poses a tripping hazard.”

8VAC20-780-280-B

“Based on observation of the physical plant, a hazardous substance was found unlocked. Evidence: A cleaning agent was found unlocked inside a bathroom which is accessible to children.”

8VAC20-780-330-B

“Based on observation of the playground, resilient surfacing was not maintained. Evidence: The fall zones located under the slide and the climbing structure did not have a minimum of six inches of resilient surface maintained.”

8VAC20-780-350-F

“Based on review of the current staffing schedule and staff statement, the center has not developed a policy for consistent staff. Evidence: The current staffing schedule does not include all groupings of children and a policy that ensures that children are cared for by consistent staff.”

8VAC20-780-520-C

“Based on observation of the physical plant, topical ointments were found accessible to children. Evidence: Three topical ointments were found in a plastic storage drawer inside the bathroom of the primary classroom. The storage drawer is accessible to children.”

8VAC20-780-550-B

“Based on review of the Center's emergency evacuation plan, the plan did not contain reunification of children with parents. Evidence: The emergency evacuation plan did not include the methods of reuniting children with their parents during a lock down or a shelter in place scenario.”

8VAC20-780-40-K

“Based on review of written procedures and documented training, required written policies were not found. Center does not have written policies for prevention of shaken baby syndrome and abusive head trauma.”

8VAC20-780-240-C

“Based on review of staff records, the orientation one staff received did not include all the required topics. Evidence: 1. Staff #1 was hired on 03/01/2022. The orientation training on file did not include the topics of abusive head trauma and shaken baby syndrome.”

8VAC20-780-240-E

“Based on review of staff records, one staff did not receive required training within 30 days of hire. Evidence: Staff #1 was hired on 03/01/2022. Staff #1 has not received documented training in First Aid and CPR.”

8VAC20-780-240-I

“Based on review of staff training, documentation of orientation training was incomplete. Evidence: Staff #1's documented orientation training did not include the training delivery method, the entity or individual providing the training and the date the training was completed.”

8VAC20-780-160-A-1

“Based on review of staff records, one TB screening was not obtained at or prior to hire. Evidence: Staff #1 was hired on 03/01/2022. The TB screening on file was dated 03/10/2022.”

8VAC20-780-510-E

“Based on review of medication authorizations, procedures for giving medication were not complete. Evidence: 1. The medication authorization for Child #2 was not signed by the phyysician. 2. The medication authorization for Child #1 and #2 did not include the duration of the authorization.”

8VAC20-780-510-E

“Based on review of medication authorizations, procedures for giving medication were not complete. Evidence: 1. The medication authorization for Child #2 was not signed by the phyysician. 2. The medication authorization for Child #1 and #2 did not include the duration of the authorization.”