The Montessori School

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: At time of inspection, the agreement for child # 3 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: At time of inspection, child # 1 did not have an updated annual health assessment documented in their record.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact forms for children #2 and #3 did not have parental consent form emergency medical care and minor first aid documented in their records.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At time of inspection, staff person # 3 did not have proof of receiving annual emergency plan training documented in their record.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: At time of inspection, staff person #3 did not have current training in pediatric first aid and CPR training documented in their record.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff persons # 3 and #4 shall complete required 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(j)

Description: Health and Safety Training

Noncompliance Area: At time of inspection, staff persons # 2 and #3 did not have updated health and safety training documented in their records.

Correction Required: Staff persons shall obtain available ongoing professional development relating to the health and safety topics as specified in § 3270(f) prior to obtaining professional development in other topics as permitted in § 3270.31(e)(2).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff persons #1 and #2 did not have updated FBI clearances completed by Identigo as required. In addition, staff person # 5 did not have a copy of NSOR certificate documented in their record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The parents of child # 1 did not have an agreement documented in their record at time of inspection.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: At time of inspection, child #2 did not have an updated health assessment documented in their record dated within the last 12 months. (last date 12/7/23)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of inspection, staff person #4 did not have two non-family references documented in her record as required.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff person #1 had not received documented training regarding the facility emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff person # 1did not have required 12 hours of childcare training completed. (4 hours documented)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At time of inspection, staff person #1-3 did not have annual written evaluations completed by the director of facility.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: At time of inspection, child #1 did not have a signed completed agreement documented in their record.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: At time of inspection, children # 2 and #3 did not have initial health assessments with immunization records documented in their records.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: At time of inspection, the facility had expired insurance on file and could not produce a valid/current copy of general liability insurance during inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At time of inspection, it was observed that designated staff had not conducted fire drills at least once every 60 days. The last two fire drills were conducted on 1/2/23 and 1/5 /24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed child # 1 through 4 agreement form did not include the admissions date.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed child #5 entered the classroom from outside and did not wash his hands before sitting down to eat lunch.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff person# 5 did not include verification of TB test being completed. Staff persons# 4 and 6 file did not include verification of health assessment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed child #1 cup was in the refrigerator with no name label.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed a facility person #1 was hire on 2/6/23 from a staffing agency and was caring for children. The facility did not obtain a complete file from the staffing agency.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff persons# 4 and 5 file did not include verification of child care experience or transcript.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff person #4 file did not include two written nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff persons # 2 through 7 file did not include emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff persons # 4 and 5 file did not include 12 clock hours of annual training completed

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: While conducting renewal inspection on 2/6/23 it was observed staff persons # 2 through 6 file did not include fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff persons #4 and 5 has not completed the required pediatric first aid /CPR training .

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #4 and 5 shall complete pediatric first aid/CPR training within 90 days of hire. Staff persons #4 and 5 will have until 2/21/23 to complete the required training. Until such time as the required training has been completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff persons # 4 and 5 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed staff person# 2,5, and 6 file did not include verification of NSOR clearances. Staff person#3 file included expired state police clearance. Staff person# 4 file did not include state police clearance, NSOR clearance, mandated reporter training. Staff person#4 also out of state Atlanta Georgia clearances are required. Staff person#7 file did not include FBI clearance, NSOR clearance, mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff persons # 2 through 7 must obtain NSOR clearance. Staff persons # 3 must obtain state police clearances, and staff person #4 must obtain state police, NSOR clearances, and mandated reporter training. Staff person #4 must also obtain out of state criminal background clearance, and child abuse registry. Staff person#7 must obtain mandated reporting training, and FBI clearance. Staff persons # 1 through 7 may not work in a child care position at the facility. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.81

Description: Glass

Noncompliance Area: While conducting the renewal inspection on 2/6/23 it was observed in classroom 1 and 2 the glass exit doors did not have visual identifications.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.124(b)(6)/3270.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: During time of inspection, the parents of child #1 and #2 did not have the health insurance policy name and/or policy number documented on their child's emergency contact form. The parents of child # 2 and #3 did not have the address of release person in an emergency documented on emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: After review of the immunization record it was observed that child #1 did not have an updated immunization for influenza documented in their record or a letter of exemption explaining the reason for not being updated documented in file.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During time of inspection, it was observed that the parents of child # 3 did not sign to give permission for emergency medical care and administration of minor first aid documented on their child's emergency contact form.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During time of inspection, the director did not completed annual written evaluations for staff person # 1-3.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.