Fiore Montessori II

8VAC20-780-80-B-2 · The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

Child #1's injury, which required outside medical treatment, was not reported to a department representative. Email documentation confirms that the parent informed the center of the outside medical treatment received on the same date that the injury occurred.

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8VAC20-780-270-A · Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, chipped or peeling paint.

Peeling paint was observed on the walls in classroom #1 and #2 at a location within reach of the children.

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22.1-289.036-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #1 and #2, who had been employed for one month, did not have a completed national criminal background check prior to their first day of employment.

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8VAC20-780-160-C · At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening.

The last documented TB screening for Staff #1 expired over ten months and the TB screening for Staff #5 expired six weeks ago.

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22.1-289.036-A · The center is required to have board officers/agents undergo a background check every five years. The most recent criminal history and central registry for Staff #7 was overdue by a year and nine months.

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22.1-289.035-B-4 · Based on record review and interview, the child day center failed to request an out-of-state Criminal history Records Request prior to date of employment.

Evidence: 1. The record for Staff #1 (DOH 8/12/24) out-of-state criminal record request was dated 8/22/24. 2. The record for Staff #2 (DOH 8/5/24) did not have documentation of an out-of-state criminal record request was submitted. 3. The center director acknowledged the out-of-state criminal record request was not requested.

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8VAC20-780-80-A · Based on record review and interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: 1. At the time of inspection, two children (child #3 and child #5) in the Violet classroom were not signed out upon their departure on the daily attendance. 2. The staff #4 acknowledged the two children were not signed out on the daily attendance sheet when they departed for the day.

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8VAC20-780-280-B · Based on observation, potentially poisonous materials were not kept in a locked place using a safe locking method that prevents access by children.

Evidence: The Violet class (16 - 36 months) has an unlocked cabinet under the sink with cleaning products inside.

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8VAC20-780-500-B · Based on observation and interview with director, there is not a nonabsorbent designated changing table or countertop for diapering or changing children younger than three years.

Evidence: 1.There is not a changing table or designated counter top in the classroom or bathroom. 2.Director said they did not plan to use changing tables because children would change themselves.

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