Vision Montessori

8VAC20-780-400-C Complaint related: No

“Based on interviews, the center failed to ensure that when time out is used as a behavior guidance technique that it is used sparingly and shall not exceed one minute for each year of the child's age. Evidence: 1. Staff #1 reported that on June 13, 2023, they took recess away from Child #26 (4-years-old) for 10 minutes. 2. Staff #1 confirmed that Child #26 was given 10 minutes of time out (thinking time) from playing on the playground as a form of behavior guidance due to the child's behavior. 3. Child #26 is four years old, and time out should have been limited to four minutes.”

8VAC20-780-350-A Complaint related: No

“Based on observation and interview, the center failed to ensure the maximum group size limitations were followed when children were in care. Evidence: 1. On Monday, August 21, 2023, at approximately 12:41 pm, a total of 21 children (17 months to three years of age) were being supervised by 4 staff members in the Toddler classroom during nap time. 2. Several teachers stated that the toddler's classroom had 25 students and 5 teachers on Monday, August 21, 2023, before half-day dismissal at 12:30 pm. 3. The toddler’s classroom has 25 children (17 months to three years of age) documented on the August 2023 attendance sheet. 4. The maximum group size for children 16 to 24 months of age is 15 children.”

8VAC20-780-270-A Complaint related: No

“Based on observation and interviews, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: The ground covering underneath the resilient surfacing was exposed and lifted, causing a tripping hazard on the playground.”

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

“Based on observation and interview, for each group of children, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. On Monday, August 21, 2023, the arrivals and departures of each child in care were not documented on the attendance sheet for the toddler classroom at the time of the inspection. 2. The daily attendance record maintained at the center consists of a check mark, which indicates when the child arrives but not when the child departs from the center. 3. Staff #1 confirmed that they only document arrivals.”

8VAC20-780-510-G

“Based on medication review and interview, medication was not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Child #2 has emergency medication that is missing a prescription medication label that includes the child's name, the name of the medication, the dosage amount, and the time or times to be given.”

8VAC20-780-350-C

“Based on review of attendance records and inteview, the center exceeded the 1:5 staff-to-children ratio requirement for the 18 months-3-year-old mixed-aged classroom. Evidence: 1. In the toddler classroom, there were 2 children in care who were 18 months old and the other 24 children were over the age of 18 months old. 2. Since the children aged 18 months were in care the ratio required is 1 staff to 5 children. 3. There was 4 staff with 26 children during the inspection. 4. The ratio of the youngest age must be followed in a mixed-age grouping such as this.”

8VAC20-780-560-G

“Based on observation and interview, food brought from home was not dated. Evidence: 1. In the Pre-K/Kindergarten Classroom, 10 out of 10 lunch boxes were not dated. 2. In the Pre-Primary Classroom, 7 out of 7 lunch boxes were not dated.”

8VAC20-780-280-B

“Based on observation and interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the PR-K/kindergarten classroom, swiffer wet mopping pads were on top of a set of cubbies next to the classroom door. 2. In the Toddler classroom, two bleach spray bottles were on top of a 3 drawer compartment next to the diaper changing table. 3. In the Pre-Primary classroom, a container of air freshener was on top of a set of cubbies near the classroom door.”

8VAC20-780-160-C

“Based on record review, a subsequent TB screening was not completed. Evidence: Staff #6's last documented TB screening was on 4/11/2011.”

8VAC20-780-350-F

“Based on record review and interview, the center did not develop a written policy that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: There was no documentation of a written policy that describes how the center will ensure that each group of children receives care by consistent staff.”

22.1-289.035-A

“Based on record review, it was determined that not all background checks were repeated every five years. Evidence: The most recent criminal history background check on file for Staff #6 is dated 2/9/2018.”

8VAC20-780-510-H

“Based on a review of medications, nonprescription medication was not in the original container. Evidence: The nonprescription medication for child #5 was not in its original container.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside were not maintained in a clean, safe and operable condition. Evidence: 1. There were three large areas of peeling paint on the left side of the wall near the entrance door and two large areas on the right side of the room near the cabinet, in the nap room. 2. There was a large area of peeling paint on the left side of the wall between the bathroom door and the exit door, as well as another area across from the cubbies, in the lunch room.”

8VAC20-780-40-M

“Based on record review and interview, the center did not maintain, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: The center allergy list did not include child #4 and child #5, who have food allergies.”

8VAC20-780-60-A-8

“Based on record review and interview, the center did not 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: There was no documentation of a written care plan for child #5 who has a diagnosed food allergy.”

8VAC20-780-40-K

“Based on record review and interview, the center did not develop written procedures for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: There was no documentation of written procedures for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness”

8VAC20-780-40-I

“Based on record review and interview, the center did not develop written procedures for injury prevention. Evidence: There was no documentation of written procedures for injury prevention.”

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. In the Primary classroom, a bottle of disinfectant spray, air freshener, and insect repellant was located on top of a cabinet, but not locked. 2. In the Pre-K classroom, air freshener and insect repellant were located on top of a cubby next to the classroom door, but not locked.”

8VAC20-780-570-E

“Based on observation and staff interview, infant bottles were not dated. Evidence: In the Infant classroom, 5 of 5 infant bottles located in the refrigerator were not dated.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside were not maintained in a safe and operable condition. Evidence: In the Infant classroom, 2 crib sheets were not tightly fitted around the crib mattress to ensure safe sleep practices.”

8VAC20-780-560-G

“Based on observation, not all of the food containers brought from home were clearly dated and labeled in a way that identifies the owner. Evidence: 8 of 8 food containers brought from home were missing the date.”

8VAC20-780-510-P

“Based on medication and documentation review, medication with expired authorization forms were not returned to parents as required. Evidence: 1) On the date of inspection, 3 different medications were kept in the center for Child #3. The authorization forms for these medication had an expiration date of 01/10/2021. Per standards, when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days should be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-240-E

“Based on record review, one staff person did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: 1) The record for Staff #3 (start date 05/01/2021) did not contain documentation of having completed training in first aid and cardiopulmonary resuscitation (CPR).”

8VAC20-780-560-G

“Based on observation, food brought from home was not clearly dated and labeled in a way that identifies the owner. Evidence: 1) On the date of inspection, in the refrigerator in the Infant room there were two bottles with milk in them and a bottle of baby formula. These bottles had no date or name on them to identify the owner.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: 1) The records for Child #1, Child #2 and Child #3 did not contain the work phone number for each one of the parents who have custody.”

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 record for Child #1 (dob 02/25/2021) was dated 04/28/2021 and for Child #2 (dob 02/17/2021) was dated 0/18/2021”

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 name, address and telephone number of a person to be notified in an emergency.”

8VAC20-780-60-A-8

“Based on record review, the center did not ensure to have a written care plan for each child with a diagnosed food allergy. Evidence: 1) The records for Child #4 and Child #5 did not contain a written care plan 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. There is documentation in the records for Child #4 and Child #5 that identify food allergies and emergency medication on site for Child #4 and Child #5.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials, are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) There were two bottles of drain cleaner (Drano) in the cabinet under the sink of the Toddler classroom. The cabinet door was not locked nor had installed a locking mechanism.”

22VAC40-185-510-D

“Based on medication review and interview, the medication authorization was not available to staff. Evidence: 1) On the date of inspection, an emergency medication for Child #5 was available in the center. An authorization form for this medication was not available for review. 2) The center's director stated that they could not locate the medication authorization form.”

22VAC40-185-240-A

“Based on record review and interview, orientation training did not include all required information. Evidence: 1) On the date of inspection, the orientation training documentation included in records for Staff #1- #3 did not include training in the center's playground safety procedures. 2) The center's director stated that the center's playground safety procedures was not part of the onboarding orientation training.”

22VAC40-185-540-E

“Based on the review of emergency supplies and interview, it was determined that one working, battery-operated radio was not available in the building. Evidence: 1) On the date of inspection, a working, battery-operated radio was not available for review. 2) The center's director could not locate a battery-operated radio.”