VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Blue Ridge Montessori, Inc.
1071 Woodberry Square Place
Lynchburg, VA 24502
(434) 525-0061

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Feb. 3, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES

Comments:

An unannounced renewal inspection was made on 2/3/2020. There were 84 children present in four groupings with 12 staff directly supervising and two administrative staff present. Eight children's records and five staff records were reviewed. Four children's records and three staff records from the previous inspection were reviewed to verify correction of previous violations only. No medications were at the center for any children in care. The inspector arrived at the center at 9:15 am and departed at 2:00 pm. The inspection was completed on 2/6/2020 and sent to the provider via email on that date. The children were observed during "work" times, during outside times, during lunch, and during nap.

Violations:

Standard #:	22VAC40-185-280-G
Description:	Based on observation and interview, the center failed to ensure that hazardous substances not kept in original containers, were clearly labeled to indicate their contents. Evidence: 1. There were three clear, generic spray bottles observed that had labels of "red sanitizer, red spray, and sanitizer." Based on interview with staff #5, the spray bottles contained an industrial sanitizer provided through a dispensing system filled by a local supplier. According to staff, the liquid in each of the spray bottles was from this dispensing system. The hazardous substance in the spray bottles was not labeled to clearly indicate the contents.
Plan of Correction:	The Head of School will have all of the staff ensure the spray bottles are labeled clearly to indicate the contents.
Standard #:	22VAC40-185-490-E
Description:	Based on observation, the center failed to ensure that surfaces contaminated with body fluids were cleaned and sanitized after contamination. Evidence: 1. A toddler child was observed to throw up on the lunch table and floor once and on the floor a second time. The area on the table and floor was wiped with a disposable baby wipe. A separate area on the floor (second time) was sprayed with a sanitizing spray and wiped immediately. The areas were not cleaned and sanitized as required.
Plan of Correction:	The Head of School will remind staff of the requirement for cleaning and sanitizing after body fluid contamination.
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the center failed to ensure that hand washing was practiced as required. Evidence: 1. Sixteen children in two classrooms were observed to be changed by five different staff from soiled diapers into dry diapers. Several of these children were also helped with toileting by the staff. None of the staff washed their hands after any of the diaper changes. Disposable gloves were observed to be used and changed on approximately eight of the diaper changes.
Plan of Correction:	The Head of School will have a staff meeting to review proper diapering and hand washing procedures.
Standard #:	22VAC40-185-560-K
Description:	Based on observation, the center failed to ensure that tables used for feeding were sanitized before and after use. Evidence: 1. There were two tables observed used for toddler age children to eat their lunch. The two tables were used by different toddler children for lunch after the first group of children. The tables were not sanitized after use by the first group or before use by the second group.
Plan of Correction:	The Head of School will remind staff of the requirement to sanitize feeding tables after eating and before use by other children.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the center failed to ensure that there was a complete DSS search of the central registry as a part of the background check requirements within 30 days of employment. Evidence: 1. There was no documentation of a DSS search of the central registry in the record of staff #1. Staff #1 had a hire date of 12/13/19. There was documentation that the search was sent 12/16/19; however, there was no follow-up on the check after the results were not returned within 30 days. 2. There was no documentation of a DSS search of the central registry in the record of staff #6. Staff #6 had a hire date of 8/5/19.
Plan of Correction:	The Head of School will call the central registry office to check on the two searches.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against the staff person. Evidence: 1. Staff #6 had disclosed on the "Sworn Statement or Affirmation" form completed 8/1/19 that the staff person had lived in three other states other than Virginia in the last five years. According to the director, the center had not obtained or requested information from the central registry in the three states identified where the staff person had lived. 2. Staff #7 had disclosed on the "Sworn Statement or Affirmation" form completed 6/17/19 that the staff person had lived in another state other than Virginia in the last five years. According to the director, the center had not obtained or requested information from the central registry in the state in which the staff person had lived. 3. According to staff #5, the searches for the other states have not been requested as of the date of the inspection.
Plan of Correction:	The Head of School will contact the stated and send the out-of-state searches.