Montessori Academy at Belmont Greene

8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

An immunization page for Child #3 (under two years of age) displayed a date that indicated that the documentation was nine months past due from being updated. An updated immunization page was not available for review.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

The documentation of an immunization record on file for Child #5 was not signed by a medical professional.

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22.1-289.057-A · The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.

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8VAC20-780-130-E · Based on review, 2 of 5 children files indicated that the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence - 1. On the date of inspection (07/02/2024), the following children did not have an updated immunization page on file: Child #1 (immunization page dated - 09/29/2023), and Child #2 (immunization page dated - 04/17/2023). 2. Based on the information on file, both Child #1, and Child #2 were under the age of two years on the date of inspection.

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8VAC20-780-160-C · Based on review, 1 of 10 staff files indicated that it has been more than (2) two years from the date of the tuberculosis (TB) documentation on file at the center.

Evidence - 1. On the date of inspection (03/15/2024), the TB documentation on file for Staff #3 had expired. 2. The date of this documentation was - 01/16/2022.

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8VAC20-780-290-A-3 · Based on observation, 1 of 8 electrical wall outlets did not have a protective cover.

Evidence - 1. On the date of inspection (07/19/2023), a protective cover to prevent access by the children within the early Montessori toddler room was missing from one electrical wall outlet. 2. There were (7) seven children within the room at the time of observation.

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8VAC20-780-510-E · Based on review, 1 of 3 medications on site had a signed medication authorization form that had expired.

Evidence - 1. On the date of inspection (07/19/2023), a signed medication authorization form for medication prescribed for Child #6 had expired. 2. The listed dates of authorization was listed as: 09/2022 through 06/2023. Therefore, this authorization expired after 06/30/2023.

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8VAC20-780-160-C · Based on review, 1 of 3 Administrative Files indicated that it has been more than two years from the date of the tuberculosis documentation (TB) on file at the Child Day Center.

Evidence - 1. On the date of inspection (01/19/2023), current TB documentation was not available for review for Admin file #1. 2. This same documentation was cited during a previous inspection conducted on 07/06/2022.

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22VAC40-185-510-E · Based on review, a medication observed on site was expired and had an expired medication authorization form.

Evidence - 1. On the date of inspection (07/06/2022), the medication on site for Child #1 had an expiration date of 01/13/2022. 2. The Authorization to Administer Medication form completed and signed by the child's parent and doctor had an expiration date of 01/04/2022. Medication had not been administered to Child #1.

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8VAC20-780-160-A-1 · Based on review and interview, 1 of 6 staff files indicated that documentation of a tuberculosis (TB) screening was not submitted at the time of employment and prior to coming into contact with children.

Evidence - 1. On the date of inspection (01/12/2021), TB documentation was unavailable for review for Staff #3. 2. The start date for Staff #3 was listed as 08/30/2021. 3. The center's Administrative Assistant confirmed with the LI (during an interview conducted on the date of inspection) that they have yet to receive the TB documentation from Staff #3.

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22VAC40-185-160-C · Based on review, 3 of 5 staff files indicated that it has been more than 2 years since the tuberculosis (TB) documentation on file at the center has been updated.

Evidence - 1. On the date of inspection (07/28/2021), the most recent TB documentation on file for Staff #3 was dated - 07/19/2019. 2. The most recent TB documentation on file for Staff #4 was dated - 07/09/2019. 3. The most recent TB documentation on file for Staff #5 was dated - 06/26/2019.

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