Vision Montessori of Herndon

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Staff #2's subsequent TB screening is overdue by over five months.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid. Staff #1's first aid certification expired over two months ago.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR). The training shall include an in-person competency demonstration. Staff #1's CPR certification expired over two months ago. Staff #3's CPR certification did not include an in-person competency demonstration.”

8VAC20-780-350-B-3

“Staff to children ratios are required whenever children are in care. A classroom had one staff member with nine children, including four two-year olds, for approximately 18 minutes, exceeding the required 1:8 ratio.”

8VAC20-780-350-B-3

“Staff to children ratios are required whenever children are in care. A classroom had one staff member with nine children, including four two-year olds, for approximately 18 minutes, exceeding the required 1:8 ratio.”

8VAC20-780-280-B

“Hazardous substances shall be kept in a locked place that prevents access by children. A plug-in air freshener was accessible to children in the Pre-Primary classroom.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Disposable diapers shall be disposed in a storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The diapering surface shall be cleaned with soap and water and sanitized after each use. Staff #1 was observed changing Child #5's (age: 2 years) diaper on an absorbent mat on the floor. The diapering surface was not cleaned with soap and water and sanitized after use. Diapers were disposed in a storage system that was not foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting. Child #5's hands were not washed after the child's diaper was changed.”

8VAC20-780-280-G

“If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. A substitute container containing a cleaning solution did not indicate its contents.”

8VAC20-780-280-B

“Hazardous substances shall be kept in a locked place that prevents access by children. A plug-in air freshener was accessible to children in the Pre-Primary classroom.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Disposable diapers shall be disposed in a storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The diapering surface shall be cleaned with soap and water and sanitized after each use. Staff #1 was observed changing Child #5's (age: 2 years) diaper on an absorbent mat on the floor. The diapering surface was not cleaned with soap and water and sanitized after use. Diapers were disposed in a storage system that was not foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting. Child #5's hands were not washed after the child's diaper was changed.”

8VAC20-780-280-G

“If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. A substitute container containing a cleaning solution did not indicate its contents.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The center did not obtain documentation of additional immunizations once every six months for Child #5 (age: 23 months). The most recent immunizations on file was dated 9 months ago.”

8VAC20-780-560-F

“When centers choose to provide meals, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The center did not follow the most recent nutritional requirement of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Fluid milk is required to be served at lunch. The center does not currently offer milk.”

8VAC20-780-560-J

“Tables shall be sanitized after each use for feeding. Two children were observed eating at a table. The table was not sanitized after use.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept in each room or area where children are present. The allergy list kept in the Pre-Primary classroom was not current, dated August 2023- August 2024. The allergy list kept in the Primary classroom was not dated.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The center did not obtain documentation of additional immunizations once every six months for Child #5 (age: 23 months). The most recent immunizations on file was dated 9 months ago.”

8VAC20-780-560-F

“When centers choose to provide meals, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The center did not follow the most recent nutritional requirement of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Fluid milk is required to be served at lunch. The center does not currently offer milk.”

8VAC20-780-560-J

“Tables shall be sanitized after each use for feeding. Two children were observed eating at a table. The table was not sanitized after use.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept in each room or area where children are present. The allergy list kept in the Pre-Primary classroom was not current, dated August 2023- August 2024. The allergy list kept in the Primary classroom was not dated.”

8VAC20-780-90-A

“A written agreement between the parent and the center, including all required information, must be signed by the parent and in each child’s record by the first day of the child’s attendance. Child #1?s (start date: 04/22/2024) and Child #2?s (start date: 04/22/2024) records did not contain a written agreement, signed by the parent, between the parent and the center that included an authorization for emergency medical care, a statement that the center will notify the parent when the child becomes ill, and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers. There were two electrical outlets that did not have protective covers in the Primary classroom. There were children ages 3-5 years present in the classroom at the time.”

8VAC20-780-500-B

“The diapering area shall have a sink and soap, disposable diapers shall be disposed in a storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal and The diapering surface shall be cleaned with soap and water and sanitized after each use. The diapering area was located in a classroom that did not have a sink and soap. Staff #1 was observed changing a child’s diaper. They were observed placing the soiled diaper in a plastic bag, instead of a storage system, after diapering and did not clean and sanitize the diapering surface after use.”

8VAC20-780-270-A

“Areas and equipment of the center, inside, shall be maintained in a safe condition. There were multiple areas of chipped paint in two classrooms used by the Toddlers class (ages 16 months-2 years).”

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. Child #6?s written care plan did not include instructions from a physician.”

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the dosage amount and the time or times to be given. Child #6?s medication was not labeled with the child’s name, the dosage amount and the time to be given.”

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept beyond the expiration date of the product. The Toddlers? classroom had a diaper cream belonging to Child #7 that expired May 2024.”