St. Mark's Montessori School

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 #1 did not obtain and submit the results of a follow up tuberculosis screening. Documentation of a previous tuberculosis screening was expired for six months.

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8VAC20-780-260-B · After the first license, annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

The center did not obtain an annual environmental inspection. Documentation of the last environmental inspection was dated 11/28/2023.

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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 the 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: 1. Child # 6 and Child #7 have emergency medication on site. A written care plan was not available at the time of the inspection. 2. Staff #5 confirmed that a written care plan was sent to Child #6's and Child #7's physician to be completed; however, the form was not obtained from the physician's office to give to the center.

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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 steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: 1. Child #6, Child #7, Child #8, and Child #10 have emergency medication on site and are diagnosed with a food allergy. Child #6's, Child #7's, Child #8's, and Child #10's records did not contain documentation of a written care plan . 2. Staff #5 confirmed that a written care plan was not obtained for each child diagnosed with a food allergy.

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8VAC20-780-240-A · Based on record review and interview, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence: 1. Staff #4 (Date of hire-11/8/2021) did not complete the Virginia Department of Education sponsored orientation course within 90 days of employment. 2. Staff #3 confirmed that Staff #4 had not completed the orientation course within 90 days of employment.

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