The Woods, A Montessori School

8VAC20-780-80-A Complaint related: No

“(Repeat Violation) Based on observation, interview, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance, for each group of children, that documents the arrival and departure of each child as it occurs. Evidence: there was no attendance record for the preschool children playing outside on the playground. Staff stated that the iPad was inside.”

8VAC20-780-140-A

“Based on record review, the facility failed to obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #4 (date of first attendance: 8/21/2023) did not have documentation of a physical examination.”

8VAC20-780-160-A

“(Repeat Violation) Based on record review, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #2 (date of hire: 2/22/2017) did not have documentation of a negative TB test/screening.”

8VAC20-780-160-B

“Based on record review, not all staff had acceptable forms of documentation of their tuberculosis (TB) test/screening. Evidence: the record for staff #6 did not have complete documentation signed and dated as required.”

8VAC20-780-60-A-8

“Based on record review, it was determined that not all records contained all required information. Evidence: the record for child #1 and child #2, with diagnosed food allergies, did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of (all) children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state the children in the classroom with allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-40-M

“(Repeat Violation) Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: the allergy list was dated 8/18/2023 and did not include all children with allergies, sensitivities and dietary restrictions.”

8VAC20-780-80-A

“Based on interview, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance, for each group of children, that documents the arrival and departure of each child as it occurs. Evidence: the attendance record was kept on a tablet that required internet and a passcode, and did not have an accurate list for each group of children. 1) In room A, 10 children were observed, and 11 were listed in attendance; 2) In room B, 11 children were observed, and 9 were listed in attendance; 3) In room C 17 children were observed, and 13 were listed in attendance; 4) In room E, 20 children were observed, and 17 were listed in attendance; 5) In room F, there was no attendance record, and 11 children were observed; 6) In room G, there was no attendance record, and 25 children were observed”

8VAC20-780-520-C

“Based on observation, and interview, the facility failed to ensure that all diaper ointment requirements were met. Evidence: diaper ointment was observed without a specific child's name. Staff stated that it was for the class.”

8VAC20-780-510-E

“Based on review of documentation, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #6 did not contain complete written authorization from the child's parent and physician for long term emergency medication that was observed on site.”

8VAC20-780-60-A

“Based on record review, not all records contained all required information. Evidence: the records for child #2, child #3, child #4, child #5, and child #7 did not contain the complete name, address and phone number for two emergency contacts”

8VAC20-780-130-A

“Based on record review, the facility failed to obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #4 (date of first attendance: 8/21/2023) did not have documentation of immunizations.”

8VAC20-780-140-A

“Based on record review, the facility failed to obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #4 (date of first attendance: 8/21/2023) did not have documentation of a physical examination.”

8VAC20-780-160-A

“(Repeat Violation) Based on record review, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #2 (date of hire: 2/22/2017) did not have documentation of a negative TB test/screening.”

8VAC20-780-160-B

“Based on record review, not all staff had acceptable forms of documentation of their tuberculosis (TB) test/screening. Evidence: the record for staff #6 did not have complete documentation signed and dated as required.”

8VAC20-780-60-A-8

“Based on record review, it was determined that not all records contained all required information. Evidence: the record for child #1 and child #2, with diagnosed food allergies, did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of (all) children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state the children in the classroom with allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-40-M

“(Repeat Violation) Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: the allergy list was dated 8/18/2023 and did not include all children with allergies, sensitivities and dietary restrictions.”

8VAC20-780-80-A

“Based on interview, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance, for each group of children, that documents the arrival and departure of each child as it occurs. Evidence: the attendance record was kept on a tablet that required internet and a passcode, and did not have an accurate list for each group of children. 1) In room A, 10 children were observed, and 11 were listed in attendance; 2) In room B, 11 children were observed, and 9 were listed in attendance; 3) In room C 17 children were observed, and 13 were listed in attendance; 4) In room E, 20 children were observed, and 17 were listed in attendance; 5) In room F, there was no attendance record, and 11 children were observed; 6) In room G, there was no attendance record, and 25 children were observed”

8VAC20-780-520-C

“Based on observation, and interview, the facility failed to ensure that all diaper ointment requirements were met. Evidence: diaper ointment was observed without a specific child's name. Staff stated that it was for the class.”

8VAC20-780-510-E

“Based on review of documentation, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #6 did not contain complete written authorization from the child's parent and physician for long term emergency medication that was observed on site.”

8VAC20-780-60-A

“Based on record review, not all records contained all required information. Evidence: the records for child #2, child #3, child #4, child #5, and child #7 did not contain the complete name, address and phone number for two emergency contacts”

8VAC20-780-130-A

“Based on record review, the facility failed to obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #4 (date of first attendance: 8/21/2023) did not have documentation of immunizations.”

8VAC20-780-40-E Complaint related: Yes

“Based on observation, interviews and a review of documentation, it was determined that the center's activities did not comply with the terms of the current license. Evidence: 1) At approximately 4:15pm, the whiteboard listed 64 children on the three to six year old playground and 24 children on the toddler playground. Staff interviewed stated that the whiteboard is used to identify the number of children present on the playground. 2) At approximately 4:15pm, the LI observed 62 children playing on the three to six year old playground and 22 children playing on the toddler playground. 3) The stipulation on the license states that only 50 children can be on the three to six year old playground and only 19 children on the toddler playground at any one time.”

8VAC20-780-40-E Complaint related: Yes

“Based on observation, interviews and a review of documentation, it was determined that the center's activities did not comply with the terms of the current license. Evidence: 1) At approximately 4:15pm, the whiteboard listed 64 children on the three to six year old playground and 24 children on the toddler playground. Staff interviewed stated that the whiteboard is used to identify the number of children present on the playground. 2) At approximately 4:15pm, the LI observed 62 children playing on the three to six year old playground and 22 children playing on the toddler playground. 3) The stipulation on the license states that only 50 children can be on the three to six year old playground and only 19 children on the toddler playground at any one time.”

8VAC20-780-330-B

“Based on observation and inspection, it was determined that the outside play equipment did not maintain a fall zone of 6 feet. Evidence: 1. There was a red and yellow composite climbing structure on the toddler playground, this structure requires a 6 foot fall zone of resilient surfacing. The steps on the structure maintained a 3 foot fall zone and not the 6 feet, beyond the 3 feet was bare ground. 2. There green slide on this composite structure had a 2 foot fall zone, beyond the 2 feet was a sidewalk.”

8VAC20-780-550-F

“Based on interview, it was determined that there was no practiced lockdown procedure drill conducted at least annually . Evidence: There was no documentation provided of a lockdown drills for 2022.”

8VAC20-780-270-A

“Based on observation, it was determined that an area of the center was not maintained in a safe condition. Evidence: 1. In the hallway near classroom D, the door to the main electrical panel was unlocked .”

8VAC20-780-40-M

“Based on observation, a review of recordkeeping and interview, it was determined that the written allergy/sensitivity/diet restriction list did not document a child's allergy. Evidence: Child A has a diagnosed shellfish allergy, this allergy was not listed on the allergy list.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that each staff member did not have a tuberculosis screening/ test on file within 30 calendar days of the date of employment. Evidence: Staff A was hired on 5/30/23 and their tuberculosis test was dated 6/15/22.”

8VAC20-780-550-E

“Based on interview and a review of recordkeeping, it was determined that the center is not conducting shelter in place procedure drills a minimum of twice per year. Evidence: 1. For 2022, there were no shelter in place drills conducted in classrooms A, B, F and G. 2. For 2022, there was no second shelter in place drill conducted in classroom C, D and E.”

8VAC20-780-550-P

“Based on a review of injury/accident reports and interview, it was determined that all of the required information is not being documented. Evidence: !. The center is not documenting the time parents are informed of their child's injuries/accidents.”

8VAC20-780-550-D

“Based on a review of the escape drill log and interview with administrative staff, it was determined that monthly practice evacuation drills are not being conducted and/or documented. Evidence: There were no drills conducted and/or documented for March 2023 in classrooms A, B, D, E, F and G. There were no drills conducted and/or documented for April 2023 in classrooms A, D, E, F and G.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children. Evidence: 1. The Licensing Inspector (LI) observed a container of ultra strength dish detergent on the counter in the kitchen, the door to the kitchen was unlocked and open. 2. In the bathroom in classroom C were 2 bags of a plant soil supplement stored on the shelf, which was accessible to children. There were warnings on the bag and stated to keep out of reach of children.”

8VAC20-780-330-B

“Based on observation and inspection, it was determined that the outside play equipment did not maintain a fall zone of 6 feet. Evidence: 1. There was a red and yellow composite climbing structure on the toddler playground, this structure requires a 6 foot fall zone of resilient surfacing. The steps on the structure maintained a 3 foot fall zone and not the 6 feet, beyond the 3 feet was bare ground. 2. There green slide on this composite structure had a 2 foot fall zone, beyond the 2 feet was a sidewalk.”

8VAC20-780-550-F

“Based on interview, it was determined that there was no practiced lockdown procedure drill conducted at least annually . Evidence: There was no documentation provided of a lockdown drills for 2022.”

8VAC20-780-270-A

“Based on observation, it was determined that an area of the center was not maintained in a safe condition. Evidence: 1. In the hallway near classroom D, the door to the main electrical panel was unlocked .”

8VAC20-780-40-M

“Based on observation, a review of recordkeeping and interview, it was determined that the written allergy/sensitivity/diet restriction list did not document a child's allergy. Evidence: Child A has a diagnosed shellfish allergy, this allergy was not listed on the allergy list.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that each staff member did not have a tuberculosis screening/ test on file within 30 calendar days of the date of employment. Evidence: Staff A was hired on 5/30/23 and their tuberculosis test was dated 6/15/22.”

8VAC20-780-550-E

“Based on interview and a review of recordkeeping, it was determined that the center is not conducting shelter in place procedure drills a minimum of twice per year. Evidence: 1. For 2022, there were no shelter in place drills conducted in classrooms A, B, F and G. 2. For 2022, there was no second shelter in place drill conducted in classroom C, D and E.”

8VAC20-780-550-P

“Based on a review of injury/accident reports and interview, it was determined that all of the required information is not being documented. Evidence: !. The center is not documenting the time parents are informed of their child's injuries/accidents.”

8VAC20-780-550-D

“Based on a review of the escape drill log and interview with administrative staff, it was determined that monthly practice evacuation drills are not being conducted and/or documented. Evidence: There were no drills conducted and/or documented for March 2023 in classrooms A, B, D, E, F and G. There were no drills conducted and/or documented for April 2023 in classrooms A, D, E, F and G.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children. Evidence: 1. The Licensing Inspector (LI) observed a container of ultra strength dish detergent on the counter in the kitchen, the door to the kitchen was unlocked and open. 2. In the bathroom in classroom C were 2 bags of a plant soil supplement stored on the shelf, which was accessible to children. There were warnings on the bag and stated to keep out of reach of children.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that all staff did not have tuberculosis test/screening on file at the time of employment. Evidence: Staff A was hired on1/23/23 and there was no tuberculosis test/ screening on file.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed sanitizing wipes and containers of sanitizing agents, disinfectant spay in classroom F; disinfectant spay and lens cleaner in classroom A, disinfectant spay , air freshener and rubbing alcohol above the sink in classoom E. All were unlocked in the classroom.”

8VAC20-780-330-B

“Based on observation and measurement, it was determined that the outside play equipment did not maintain a fall zone of 6 feet. Evidence: On the toddler playground was a blue slide that sat on the poured in place resilient surfacing. The slide requires a 6 foot fall zone but the slide had a 3.5 foot fall zone. Beyond the 3.5 feet was bare ground.”

8VAC20-780-510-L

“Based on observation, it was determined that medication was not kept locked. Evidence: The Licensing Inspector observed Epinephrine sitting on the counter at the front desk unlocked.”

8VAC20-780-60-A-8

“Based on a review of recordkeeping and interview, it was determined that there were no written care plans from a physician for each child with a diagnosed food allergy. Evidence: Child A has an allergy to peanuts, Child B has an allergy to tree nuts, Child C has an allergy to peanuts. There were no allergy care plans on file for Child A, B and C.”

8VAC20-820-120-E-2

“Based on observation, it was determined that the findings of the most recent inspection of the facility was not posted.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that all staff did not have tuberculosis test/screening on file at the time of employment. Evidence: Staff A was hired on1/23/23 and there was no tuberculosis test/ screening on file.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed sanitizing wipes and containers of sanitizing agents, disinfectant spay in classroom F; disinfectant spay and lens cleaner in classroom A, disinfectant spay , air freshener and rubbing alcohol above the sink in classoom E. All were unlocked in the classroom.”

8VAC20-780-330-B

“Based on observation and measurement, it was determined that the outside play equipment did not maintain a fall zone of 6 feet. Evidence: On the toddler playground was a blue slide that sat on the poured in place resilient surfacing. The slide requires a 6 foot fall zone but the slide had a 3.5 foot fall zone. Beyond the 3.5 feet was bare ground.”

8VAC20-780-510-L

“Based on observation, it was determined that medication was not kept locked. Evidence: The Licensing Inspector observed Epinephrine sitting on the counter at the front desk unlocked.”

8VAC20-780-60-A-8

“Based on a review of recordkeeping and interview, it was determined that there were no written care plans from a physician for each child with a diagnosed food allergy. Evidence: Child A has an allergy to peanuts, Child B has an allergy to tree nuts, Child C has an allergy to peanuts. There were no allergy care plans on file for Child A, B and C.”

8VAC20-820-120-E-2

“Based on observation, it was determined that the findings of the most recent inspection of the facility was not posted.”

8VAC20-780-280-B

“Based on observation it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed the following unlocked items: 1. In classroom A were 3 containers of disinfectant spray, air spray and bleach above the sink; 2. In classroom D was insect killer sitting on the cabinet; 3. The key to the laundry door was in the lock, inside the laundry room were cleaning agents and antibacterial cleaning solutions; 4. In the kitchen on the counter were disinfectant wipes.”

8VAC20-780-330-B

“Based on observation, it was determined that there were divots in the resilient surface ( poured-in-place) around the fall zones of the play equipment on the older and younger playgrounds. The divots rendered the fall zones non absorbent.”

8VAC20-770-60-C-2

“Based on a review of staff files and an interview of Administrative staff, it was determined that staff A did not have a central registry finding background check on file within 30 days of employment. Staff A was hired on 6/10/22.”

8VAC20-770-60-B

“Based on a review of three staff files and interviews, it was determined that one staff did not have a sworn disclosure statement on file at the time of employment. Evidence: Staff A did not have a sworn disclosure statement on file.”

8VAC20-780-160-A

“Based on a review of staff files and an interview with Administrative staff , it was determined that staff A did not have a tuberculosis screening on file upon employment.”

8VAC20-780-240-B

“Based on a review of staff files and interviews with Administrative staff, it was determined that one staff did not have orientation training within seven days of the assuming job responsibilities or before working alone with children. Evidence: There was no documentation of orientation training on file for staff A, who was hired on 6/10/22.”

22.1-289.035-B-2

“Based on a review of three staff files and an interview with Administrative staff, it was determined that one staff did not have a fingerprint background check on file. Evidence: Staff A was hired on 6/10/22 and did not have a fingerprint background check on file prior to employment.”

8VAC20-780-270-A

“Based on observation, it was determined that the outside area was not maintained in a safe condition. Evidence: The Licensing Inspector observed protruding bolts on the playground fence and gate. The bolts were protruding more than 2 threads.”

8VAC20-780-70

“Based on a review of staff files and an interview with Administrative staff, it was determined that staff A did not have references on file at the tie of employment. Staff A was hired on 6/10/22.”

8VAC20-780-280-B

“Based on observation it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed the following unlocked items: 1. In classroom A were 3 containers of disinfectant spray, air spray and bleach above the sink; 2. In classroom D was insect killer sitting on the cabinet; 3. The key to the laundry door was in the lock, inside the laundry room were cleaning agents and antibacterial cleaning solutions; 4. In the kitchen on the counter were disinfectant wipes.”

8VAC20-780-330-B

“Based on observation, it was determined that there were divots in the resilient surface ( poured-in-place) around the fall zones of the play equipment on the older and younger playgrounds. The divots rendered the fall zones non absorbent.”

8VAC20-770-60-C-2

“Based on a review of staff files and an interview of Administrative staff, it was determined that staff A did not have a central registry finding background check on file within 30 days of employment. Staff A was hired on 6/10/22.”

8VAC20-770-60-B

“Based on a review of three staff files and interviews, it was determined that one staff did not have a sworn disclosure statement on file at the time of employment. Evidence: Staff A did not have a sworn disclosure statement on file.”

8VAC20-780-160-A

“Based on a review of staff files and an interview with Administrative staff , it was determined that staff A did not have a tuberculosis screening on file upon employment.”

8VAC20-780-240-B

“Based on a review of staff files and interviews with Administrative staff, it was determined that one staff did not have orientation training within seven days of the assuming job responsibilities or before working alone with children. Evidence: There was no documentation of orientation training on file for staff A, who was hired on 6/10/22.”

22.1-289.035-B-2

“Based on a review of three staff files and an interview with Administrative staff, it was determined that one staff did not have a fingerprint background check on file. Evidence: Staff A was hired on 6/10/22 and did not have a fingerprint background check on file prior to employment.”

8VAC20-780-270-A

“Based on observation, it was determined that the outside area was not maintained in a safe condition. Evidence: The Licensing Inspector observed protruding bolts on the playground fence and gate. The bolts were protruding more than 2 threads.”

8VAC20-780-70

“Based on a review of staff files and an interview with Administrative staff, it was determined that staff A did not have references on file at the tie of employment. Staff A was hired on 6/10/22.”

8VAC20-780-280-B

“Based on observation it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed the following unlocked items: 1. In classroom A were 3 containers of disinfectant spray, air spray and bleach above the sink; 2. In classroom D was insect killer sitting on the cabinet; 3. The key to the laundry door was in the lock, inside the laundry room were cleaning agents and antibacterial cleaning solutions; 4. In the kitchen on the counter were disinfectant wipes.”

8VAC20-780-330-B

“Based on observation, it was determined that there were divots in the resilient surface ( poured-in-place) around the fall zones of the play equipment on the older and younger playgrounds. The divots rendered the fall zones non absorbent.”

8VAC20-770-60-C-2

“Based on a review of staff files and an interview of Administrative staff, it was determined that staff A did not have a central registry finding background check on file within 30 days of employment. Staff A was hired on 6/10/22.”

8VAC20-770-60-B

“Based on a review of three staff files and interviews, it was determined that one staff did not have a sworn disclosure statement on file at the time of employment. Evidence: Staff A did not have a sworn disclosure statement on file.”

8VAC20-780-160-A

“Based on a review of staff files and an interview with Administrative staff , it was determined that staff A did not have a tuberculosis screening on file upon employment.”

8VAC20-780-240-B

“Based on a review of staff files and interviews with Administrative staff, it was determined that one staff did not have orientation training within seven days of the assuming job responsibilities or before working alone with children. Evidence: There was no documentation of orientation training on file for staff A, who was hired on 6/10/22.”

22.1-289.035-B-2

“Based on a review of three staff files and an interview with Administrative staff, it was determined that one staff did not have a fingerprint background check on file. Evidence: Staff A was hired on 6/10/22 and did not have a fingerprint background check on file prior to employment.”

8VAC20-780-270-A

“Based on observation, it was determined that the outside area was not maintained in a safe condition. Evidence: The Licensing Inspector observed protruding bolts on the playground fence and gate. The bolts were protruding more than 2 threads.”

8VAC20-780-70

“Based on a review of staff files and an interview with Administrative staff, it was determined that staff A did not have references on file at the tie of employment. Staff A was hired on 6/10/22.”

22.1-289.035-B-4

“Based on interview and a review of staff files, it was determined that the center had not obtained an out of state criminal history background check from New Mexico for staff A , which is required prior to the first day of employment. Evidence: Staff A was hired on 10/13/21 and there is no out of state background check from New Mexico.”

22.1-289.035-B-4

“Based on interview and a review of staff files, it was determined that the center had not obtained an out of state criminal history background check from New Mexico for staff A , which is required prior to the first day of employment. Evidence: Staff A was hired on 10/13/21 and there is no out of state background check from New Mexico.”