The Winchester Montessori School

63.2(17)-1720.1-B-4

“Based on review of staff records, the center failed to obtain required out of state background checks in the required time frame. Evidence: 1. Staff #2, date of employment 09/08/2021, indicated on the sworn disclosure statement dated 08/13/2021 that they had resided in two states outside of Virginia within the past five years. 2. A criminal history check was required before the date of employment. One criminal history check was obtained on 10/07/2020, and there was no documentation of a criminal history check being completed for the other state. 3. An out of state central registry finding is required to be sent off within 30 days of employment. The out of state central registry findings had not been completed for either state. The requests should have been made by 10/08/2021.”

22VAC40-185-510-E Complaint related: No

“Based on observation, the center failed to ensure that all medication was labeled with the dosage amount. Evidence: 1. Child #1 had an emergency medication that was not labeled with the dosage amount. The dosage amount was recorded on the medical authorization form. 2. Staff verified that the bottle of emergency medication was not labeled with the dosage amount.”

22VAC40-185-510-C Complaint related: No

“Based on review of the medication policy, the center failed to ensure that all required components were in the medication policy. Evidence: 1. The medication policy did not include the statement that nonprescription medication, shall be consistent with the manufacturer's instructions for age, duration and dosage. 2. Child #1, (age 22 months), had a nonprescription emergency medication. There was no documentation of medical authorization from a physician. 3. The medication was given to Child #1 on 6/28/2021, dosage amount 5 ml, and on 07/05/2021 a dosage amount of 3 ml. 4. The medication stated on the bottle children under the age of 2 do not use; children 2-5 do not use unless directed by a doctor; children ages 6-11 years of age 5 ml.”

22VAC40-185-350-A Complaint related: No

“Based on review of documentation and interviews, the center failed to ensure the care and protection of a child at all times. Evidence: 1. Child #1, (age 22 months) had a bottle of emergency medication on site. Child #1 was given 5 ml of the emergency medication on 6/28/2021, and 3 ml on 7/05/2021. Child #1 was given the medication due to his eyes were getting puffy, his cheeks were red, and he was scratching at his face. 2. The medication stated on the bottle children under the age of 2 do not use; children 2-5 do not use unless directed by a doctor; children ages 6-11 years of age 5 ml. 3. There was no documentation from a physician stating the dosage amount or authorizing the medication. 4. The center stated they contacted the parent before giving the child the medication. The parent verbally changed the dosage amount from 5 ml to 3ml.”

22VAC40-185-40-E Complaint related: No

“Based on a review of policies and interviews, the licensee did not ensure operational responsibilities that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. The center's medication policy states "that medications that are not picked up by the parent within 14 days after authorization expires will be disposed of either by dissolving down the sink or flushing down the toilet." 2. On 09/23/2021 the licensing inspector reviewed a medical authorization from for Child #1. The authorization form was signed by the parent on 06/28/2021. The authorization form expired on 07/09/2021. 3. The medication should have been disposed of by 07/23/2021.”