Tuckahoe Montessori School

8VAC20-780-290-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. There were four uncovered electrical outlets in rooms utilized by preschool aged children.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 had a TB screening that was completed over two weeks after the start of employment.”

8VAC20-780-60-A-8

“A written care plan is required 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. Child #1, who has been enrolled for over one week, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for over four months, did not have a completed child abuse and neglect background check from one state. The record contained documentation of a request that was made approximately four months after the start of employment.”

22.1-289.036-A

“Every applicant for licensure as a child day center shall undergo background checks every five years from the date of the first search. The repeat fingerprint background checks for officer #1 and officer #2 were received over 1 year and 7 months late.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Three injury reports were missing required signatures. Three reports were missing the time of parent notification, two reports were missing the date of parent notification, and one report was missing the time of the injury.”

8VAC20-780-50-B Complaint related: No

“Records and reports on children required by this chapter shall be maintained and made accessible for two years after termination of services. The immunization and physical records for child #2 were not maintained and made accessible for two years. The records were requested approximately 4 months after the last date of attendance and were not available.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of five staff records and interviews, the center did not ensure three staff members shall submit documentation of a negative tuberculosis screening within the required time frames. Evidence: 1. The tuberculosis screening in the record of Staff #2, employed on 06/04/24, was completed on 03/21/24. 2. The tuberculosis screening in the record of Staff #3, employed on 09/22/23, was completed on 11/12/22. 3. The tuberculosis screening in the record of Staff #4, employed on 06/04/24, was completed on 04/27/24. 4. During interview, a member of management confirmed the tuberculosis screenings for Staff #2, Staff #3, and Staff #4 were completed more than 30 days prior to employment. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 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.”

8VAC20-780-280-B

“Based on observations, the center did not ensure to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of disinfectant spray was observed on a shelf in one of the bathrooms used by children in the Gala classroom. A container of disinfectant wipes was observed on a shelf in the second bathroom used by children in the Gala classroom.”

8VAC20-780-510-F

“Based on a review of four medications and interview, the center did not ensure that one medication authorization shall be available to staff during the entire time it is effective. Evidence: An non-prescription allergy medication was observed onsite for Child #7, but no written parental authorization was present for this medication. During interview, management reported the center did not have written parental authorization present at the center for the child's medication.”

8VAC20-780-160-A

“Based on a review of seven staff records, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record of Staff #6, employed on 10/19/23, was dated 10/20/23. During interview, management confirmed the documentation was not received within the required time frame.”

22.1-289.035-A

“(Repeat Violation) Based on a review of seven staff records, the center did not ensure two staff members shall undergo background checks every five years. Evidence: The most recent sworn statement in the record of Staff #2, employed on 09/05/18, was completed on 08/06/18 and should have been repeated no later than 08/06/23. The most recent sworn statement in the record of Staff #4, employed on 11/20/18, was completed on 11/08/18 and should have been repeated no later than 11/08/23. During interview, management acknowledged Staff #2 and Staff #4 did not complete a new sworn statement every five years as required.”

22.1-289.035-B-2

“Based on a review of seven staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment. Evidence: The national fingerprint-based criminal record search in the record of Staff #6, employed on 10/19/23, was completed on 10/23/23. During interview, a member of management confirmed the fingerprint-based criminal record search for Staff #6 was not received prior to employment.”

22.1-289.035-A

“Based on a review of seven staff records and interview, the center did not obtain a required background check for one staff member every five years. Evidence: 1) The most recent sworn statement in the record of Staff #7 was dated 08/01/2017. A repeat sworn statement should have been completed no later than 08/01/2022. 2) A member of management confirmed an updated sworn statement could not be located for Staff #7.”

8VAC20-780-280-B

“Based on observations, the center did not ensure to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) A bottle of disinfectant spray was observed in an unlocked cabinet in the Honeycrisp classroom. 2) Two bottles of cleaner, one can of air freshener, and a container of disinfectant wipes were observed in unlocked cabinets in two of the bathrooms used by children in the Gala classroom. Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.”

8VAC20-780-550-F

“Based on a review of records and interview, the center did not practice the center's lockdown procedures at least annually. Evidence: Evidence: 1) The licensing inspector observed that the most recent emergency response drill log. The last lockdown drill was documented in 2021. 2) A member of management confirmed a lockdown drill was not conducted in 2022. The lockdown procedures should be practiced at least annually.”

8VAC20-780-550-H

“Based on a review of records and interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence: 1) The licensing inspector observed that the most recent emergency response drill log. There was no record of a second shelter-in-place drill in 2022. Shelter-in-place procedures shall be practiced a minimum of twice per year. 2) A member of management confirmed the second shelter-in-place drill was conducted on 11/11/2022, but it was not documented as required.”

22.1-289.035-B-4

“Based on a review of six staff records, the center did not obtain a required out-of-state background check from any state in which one staff had resided in the preceding five years within the required timeframe. Evidence: The record for Staff #1, employed 09/10/21, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a search of the child abuse and neglect registry from that state. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment.”

8VAC20-780-550-P

“Based on a review of documentation on 09/29/2022, the center did not ensure that written injury records contained the required information. Evidence: Five written injury records were reviewed. The following documentation was missing - 1) Injury record #1 did not contain documentation on any future action to prevent reoccurrence of the injury; 2) Injury record #2 did not contain documentation on any future action to prevent reoccurrence of the injury, and a second signature from a staff or parent; 3) Injury record #3 did not contain documentation on any future action to prevent reoccurrence of the injury; 4) Injury record #4 did not contain documentation on any future action to prevent reoccurrence of the injury, and a second signature from a staff or parent; 5) Injury record #5 did not contain documentation on any future action to prevent reoccurrence of the injury, and a second signature from a staff or parent. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.”

8VAC20-780-70

“Based on a review of three staff records, the center did not ensure two staff records contained the required information. Evidence: 1) One of two references in the record for Staff #1, hired on 08/23/21, was obtained on 09/02/21. 2) The references in the record for Staff #3, hired on 10/01/21, were obtained on 10/04/21. Each staff record should contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.”

8VAC20-770-60-C-2

“Based on a review of three staff records and interview, the center did not obtain a central registry finding within 30 days of employment for one staff member. Evidence: 1) The central registry finding in the record for Staff #3, hired on 10/01/21, was dated 11/08/21. 2) During interview, a member of management confirmed the central registry finding was not received within 30 days of Staff #3's date of employment.”

22.1-289.035-B-4

“Based on a review of three staff records and interview, the center did not obtain the required out-of-state background checks from any state in which two staff members had resided in the preceding five years within the required time frames. Evidence: 1) The record for Staff #1, hired on 08/23/21, indicated the staff had resided in another state outside of Virginia within the last five years. The results of the criminal history record information check were dated 08/24/21, the results of the sex offender registry check were dated 08/24/21, and the search of the out-of-state child abuse and neglect registry was dated 03/15/22. 2) The record for Staff #3, hired on 10/01/21, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a search of the sex offender registry check from that state. An out-of-state criminal background check was not required because the state participates in the National Fingerprint File (NFF) program through the FBI. 3) During interview, a member of management confirmed the required out-of-state background checks were not obtained for Staff #1 and Staff #3 within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”