Reston Montessori School

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. 1. An over-the-counter diaper ointment for child #6 expired 3/2026. 2. An over-the-counter diaper ointment for child #7 expired 9/2025.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2 (9 months) most recent immunizations are dated from when the child was 9 months old.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Two infants were observed receiving diaper changes. The diaper changing surface was not washed and/or sanitized between each diaper change.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and diaper changes. An infant was observed received a diaper change. The infants was moved from the changing table directly to a pillow for tummy time. The infants hands were not washed after the diaper change.”

22.1-289.035-A

“SYSTEMIC DEFICIENCY The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #3 was overdue by a 2 years and 3 months.”

22.1-289.035-B-4

“REPEAT VIOLATION SYSTEMIC DEFICIENCY The center shall ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Central Registry search request and it was obtained prior to the first day of employment. Staff #1 record does not contain documentation that an out-of-state central registry search request was initiated for a state that the employee has resided in within the last 5 years.”

8VAC20-780-60-A

“Based on record review, childrens records did not contain all required documentation. Evidence: Child #4s record did not contain documentation that the childs age and identity has been verified.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received immunizations prior to the child attending the center. Evidence: Child #2s record does not contain documentation of immunizations.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Cleaners were observed in an unlocked cabinet above the sink in the lady bug classroom, the purple finch classroom, the meadow lark classroom and robin classroom. 2. Cleaners were observed on an open shelf in the boys bathroom.”

22.1-289.035-B-4

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review and interview, the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Sex Offender Registry search request and it was obtained prior to the first day of employment. Evidence: Staff #3s sworn disclosure statement documented that they resided in Florida within the last five years. Center management confirmed that they had not requested a Florida sex offender background search for staff #3.”

8VAC20-780-510-P

“Based on medication review, medication was not picked up by the parent within 14 days after the authorization for medication or the medication has expired. Evidence: 1) Medication authorization for Child #4 had an expiration date of 01/2024, for Child #5 had an expiration date of 02/2024, for Child #6 had an expiration date of 02/02/2024. Medication was in the center. 2) Medication for Child #3 had an expiration date of 01/2024. Medication was in the center.”

8VAC20-780-80-A

“Based on documentation review, the center did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1) The attendance record in the Bumblebees class had 5 children recorded in attendance. At the time of inspection, 9 children were present in the classroom. 2) The attendance record in the Purple Finch class had zero children documented in attendance. At the time of inspection, 12 children were present.”

22.1-289.035-B-4

“*REPEAT VIOLATION* Based on record review, it was determined that the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Sex Offender Registry search request and it was obtained prior to the first day of employment. 1) The record for Staff 3 (start date 03/07/2024) did not contain documentation of an out-of-state Sex Offender Registry search request. Staff #3 had declared in their sworn statement having lived out of the state of VA within the last 5 years before employment.”

22.1-289.035-B-2

“Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff person. Evidence: 1) The record for Staff #1 (start date 11/09/2023) had a fingerprint-based criminal history check determination letter dated 12/08/2023.”

8VAC20-780-60-A-8

“Based on record review, the center did not ensure to obtain 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: 1) The record for Child #3 did not contain an allergy care plan. Documentation in the record states that Child #3 has a food allergy.”

8VAC20-780-60-A

“Based on records review, children's records did not contain all required information. Evidence: 1) The record for Child #2 did not contain the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.”

8VAC20-780-260-B

“Based on documentation review, the center did not provide to the licensing representative an annual health department inspection report from the appropriate official. Evidence: 1) On the date of inspection, the most recent health inspection report available was dated 04/25/2022.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center did not ensure that documentation of negative tuberculosis (Tb) screening for each employee at the time of employment and prior to coming into contact with children. Evidence: 1) The record for Staff #2 (start date 12/04/2023) did not contain a Tb screening report.”

8VAC20-780-240-E

“REPEAT VIOLATION Based on record review, the center did not ensure that all staff complete orientation training in first aid and cardiopulmonary resuscitation (CPR), within 30 days of the first day of employment. Evidence: 1) On the date of inspection, the record for Staff #1 (start date 11/09/2023) did not contain documentation of having completed orientation training in first aid and CPR.”

8VAC20-780-240-E

“Based on record review, the center did not ensure that staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, within 30 days of the first day of employment. Evidence: 1) The record for Staff #1 (start date 01/23/2023) and Staff #2 (start date 03/06/2023) did not contain documentation of having completed orientation training in first aid and CPR.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1) The record for Child #2 (start date 01/17/2023) did not contain an immunization report.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #3 (dob 03/09/2022) was dated 07/12/2022.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child have 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: 1) On the date of inspection, the record for Child #2 (start date 01/17/2023) did not contain the results of a physical examination.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that documentation of negative tuberculosis (Tb) screening for each employee met all requirements. Evidence: 1) The documentation shall have been completed within the last 30 calendar days of the date of employment. - The Tb screening form in Staff #2's (start date 03/06/2023) record was dated 1/07/2023. 2) The documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children - The Tb screening form in Staff #1's (start date 01/23/2023) record was dated 03/01/2023.”

8VAC20-780-40-K

“Based on review of the center's policies and interview with the center's director, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1) On the date of inspection, the center's director stated that the center had not developed written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-550-F

“Based on documentation review, emergency lockdown procedures were not practiced at least annually. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have a lockdown drill documented.”

8VAC20-780-240-C

“Based on record review, staff's orientation training did not include all required topics. Evidence: 1) The orientation training log in the records for Staff #1 and Staff #2 did not contain documentation that staff had been trained in prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-240-I

“Based on record review and interview with staff, documentation of orientation training was not be kept by the center as part of the staff member's record. Evidence: 1) The center's director stated that Staff #4 completed orientation training upon hire on 10/17/2014, however, documentation of Staff #4's orientation training was not located in their record.”

8VAC20-780-60-A-8

“Based on record review, the center did not ensure to request 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: 1) The records for Child #2, Child #3, and Child #4 did not contain a written care plan. Information in their records indicated that these children have food allergies.”

8VAC20-780-550-D

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an evacuation (fire) drills documented for the months of April 2022 and May 2022.”

8VAC20-780-540-C

“Based on review of emergency supplies, the first aid kit did not contain all required components. Evidence: 1) The first aid kit did not contain a first aid instructional manual.”

8VAC20-780-70

“Based on record review, staff's records did not contain all required information. Evidence: 1) The records for Staff #1, Staff #2 and Staff #3 did not contain the address of a person to be notified in an emergency.”

22.1-289.035-B-4

“Based on record review, it was determined that the center did not ensure that employees hired before 07/01/2020 and that had lived out of the state of VA within the last 5 years have in their files the results of an out-of-state Sex Offender Registry search by 12/31/2020. Evidence: 1) The record for Staff #2 (start date 08/21/2018) did not contain documentation of an out-of-state Sex Offender Registry search request. Staff #2 had declared in their sworn statement dated 08/18/2018 having lived out of the state of VA within the last 5 years.”

8VAC20-820-120-E-2

“Based on review of required posted documents and interview with the program director, the center did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (05/2022) were not posted.”

8VAC20-780-560-G

“Based on observation, when food is brought from home, all requirements were not met. Evidence: 1) In the NIDO classroom, milk bottles for Child #6, Child #7, Child #8 and Child #9 were not labeled with the dates.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child have 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: 1) The record for Child #2 (start date 08/31/2017) did not contain the results of a physical examination.”