VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Guidepost Montessori at Fairfax
3909 Oak St
Fairfax, VA 22030
(703) 934-0920

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: April 10, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed with Lead Guide: Allergy action plan instructions, and the ability to follow those directions.

Comments:

An unannounced monitoring inspection was conducted today. Both classrooms are in ratio during the inspection. Emergency evacuations drills, emergency supplies, first aid kit supplies, menu and the daily schedule were all in compliance today. Violations were discussed with lead guide @ exit interview. If you have questions regarding this inspection, please contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov. LI was present from 2:30PM - 5:00PM. The report will be typed off site and emailed for signatures.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of records, background searches for staff who have lived outside of the state of Virginia in the past 5 years, were not conducted, or were not acceptable. Evidence: *2 of 3 records reviewed required criminal history searches for states where staff resided in the past 5 years. There were no searches on file prior to employment. (Staff A -Date of Hire (DOH): possibly 4/3/23), (Staff B: DOH 9/6/21) *1 of 3 records required child abuse and neglect searches for states where the staff member resided in the past 5 years. There is no search on file, past 45 days of employment, for 1 state of residence. A search result is on file for another state; however, it is not acceptable as it was sent to the staff person and not the facility and was dated 2020. Results may only be disseminated on place, one time. (Staff B-(DOH: 9/6/21)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of records, staff records do not contain documentation of a negative Tuberculosis (TB) screening result submitted at the time of employment and completed within the past 30 days. Evidence: 1 of 3 records reviewed contained documentation of a TB screening dated 9/2/22. (Staff C- DOH: 4/3/23/or 4/4/23)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Based on a review of medications, the facility failed to follow is own medication policies. Evidence: *Medications policies state: 1."It is the parent?s responsibility to keep a record at home to maintain medications at the school that are up to date." 2 epi-pens at the center are expired. (Child #2?s epi-pen expired 9/22) (Child 4?s epi-pen expired 3/23) 2. Parents must fill out and sign a Medication Administration Authorization form for prescription and over-the-counter medications. There are 2 OTC medications present at the center that have no authorization completed. (Child 5). One OTC medication (Hyland?s Cough & Cold) has a Topical ointment authorization form completed (Child 6). One medication authorization form for Albuterol inhaler authorized ?CAP? to administer the medication not Guidepost. (Child 3). One medication authorization for an epi-pen authorizes ?Allergy of Springfield? to administer the medication, not Guidepost. (Child 2)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of records, child records do not contain documentation of a written care plan for a child diagnosed with a food allergy. Evidence: 2 of 4 child records reviewed with a diagnosed food allergy, did not contain documentation of an allergy action plan. (Children 2,3)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on a review of records, staff records do not contain all required information. Evidence: 1. 2 of 3 records reviewed did not contain documentation of the Date of Hire (Staff A, C) 2. 2 of 3 records reviewed did not contain documentation of references prior to employment. *1 had one reference documented. (Staff A-DOH possibly 4/3/23) *1 had no references documented. (Staff C-DOH possibly 4/3/23 or 4/4/23) 3. 1 of 3 records did not have any education or experience documented. (Staff A)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-J-3
Description:	Based on a review of documentation and staff statement, a child with an emergency medication is not in the care of a staff member who meets the requirements for administering that medication. Evidence: 1 child in care has been prescribed rectal medication. There is no staff member present at the center that is currently certified in Rectal Medication Administration Training. (Child 1)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-H
Description:	Based on observation, staff purses were stored accessible to children. Evidence: Staff purses were observed stored in the bathroom in CH1, and in an unlocked cabinet in CH2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-420-E-3
Description:	Based on a review of records, one child record has not been updated annually. Evidence: 1 of 4 child records reviewed had not been updated annually. The record is dated 8/23/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-E
Description:	Based on a review of medications, long term and over-the-counter medications shall be allowed with written authorization from the child?s physician?s and parent. Evidence: *One medication authorization (Motrin) is signed only by the parent and authorized from 9/8/22- 9/8/23. No physician?s signature is available. (Child 7) *One medication authorization (Benadryl) is signed by the parent only, with no doctor?s signature on the form. (Child 3)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	Based on a review of medications, prescription medications were not in the original box, with a prescription label attached. Evidence: 2 medications present at the center have no prescription label attached. *Albuterol inhaler (Child 2) *Epi-pen (Child 4)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, medications were not stored locked using a safe locking method that prevents access by children. Evidence: Medications were stored in ?ziplock baggies?, in backpacks in the classrooms. The backpack and medications were not secured by a safe locking method.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-P
Description:	Based on a review of medications, 1 medication was not disposed of or returned to the parent when the authorization expired. Evidence: 1.The authorization for an Epi-pen in CH1 expired 8/22. (Child 2).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-P
Description:	Based on a review of documentation, injury reports available for review do not contain all required information. Evidence: 5 of 5 reports reviewed did not contain documentation of the time, date or method of parent notification. The form in use by the facility, specifically does not include a space to record the time of notification.
Plan of Correction:	Not available online. Contact Inspector for more information.