University Montessori School, Inc.

8VAC20-780-245-M · Documentation of training shall be kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member's record. The records for three staff did not contain documentation of annual training.

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22.1-289.036-B-3 · The center must request a search of the central registry prior to the any agents of the facility first day. Agent #1's has been a agent for the center for a year and the center does not have a central registry background check.

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8VAC20-780-150-B · Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

Child 1 and child 2's immunizations and physical examinations were not signed.

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8VAC20-780-160-A · Based on record review, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening that was completed within the last 30 days of the date of employment.

Evidence: Staff 4's tuberculosis screening was completed over a year prior to hire.

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22.1-289.011-F · Based on observation and interview, the center failed to ensure that the violation notice and summary for the last inspection was posted in a conspicuous place on the licensed premises.

Evidence: 1. The inspection violation notice posted outside the Primary Classroom was dated March 2023. The last inspection was completed on 09/12/2023. 2. Administration verified that the inspection violation notice from 9/12/2023 had not been posted.

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22.1-289.035-B-2 · Based on record review and interview, the center failed to obtain fingerprint results prior to the first day of employment.

Evidence: 1. The record for staff 2 documents the first day of employment as 8/28/23. The fingerprint results are dated 9/13/23. 2. Staff 6 verified the date of employment and date of fingerprint results.

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8VAC20-780-550-F · Based on record review and interview, the center failed to practice lockdown procedures at least annually.

Evidence: 1. The documentation of emergency drills were reviewed during the inspection on 03/20/2023. No documentation of a lockdown drill being completed was documented for 2022. 2. The director confirmed a lockdown drill was not completed for 2022.

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8VAC20-780-70 · Based on record review and interview, the center failed to obtain and document at least two references as to the character and reputation as well as competency before employment for the two staff records reviewed .

Evidence: 1. The record for staff 1 documents the hire date as 8/3/22. There was no documentation in the file of references being completed. 2. The record for staff 2 documents the hire date as 6/16/22. The record contained documentation stating references were attempted but unsuccessful. 3. The director was unable to find documentation of references being completed for staff 1 or staff 2.

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22VAC40-185-130-A · Based on a review of children's records, the facility failed to obtain documentation of immunizations prior to the first date of attendance.

Evidence: 1. Child #1's file did not contain documentation of immunizations. Date of enrollment for Child #1 was 08/27/2021. 2. Administration verified that there was no documentation of immunizations on file and the date of enrollment for Child #1.

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