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Chesterbrook Academy #807
6200 Interparcel Road
Alexandria, VA 22315
(703) 921-9600

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: Feb. 27, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, 1 of 10 children's records did not contain documentation that the child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #1's record did not contain immunizations.

Plan of Correction: An audit of child files has been completed and parents notified of missing information and/or forms.

Standard #: 22VAC40-185-140-A
Description: Based on review of 10 children's records, the center did not obtain documentation of a physical examination for 2 children prior to or within 30 days of first attendance. Evidence: 1. Child #1 (Date of enrollment: 3/13/2017) and Child #2's (Date of enrollment: 11/26/2018) records did not contain a physical examination.

Plan of Correction: An audit of child files has been completed and parents notified of missing information and/or forms.

Standard #: 22VAC40-185-160-A
Description: Based on record review, 1 of 10 staff records reviewed did not contain documentation of an initial Tuberculosis screening completed no later than 21 days after employment or within 12 months prior to employment. Evidence: 1. Staff #2's (Date of hire: 12/31/2018) record did not contain documentation of a Tuberculosis screening.

Plan of Correction: An audit of staff files has been completed and all teachers notified TB tests must be turned in by 3/15/19.

Standard #: 22VAC40-185-160-C
Description: Based on record review, 2 of 10 staff records reviewed did not contain documentation that a Tuberculosis screening or test has been completed at least every 2 years from the date of the initial screening. Evidence: 1. Staff #3 and Staff #9's record did not contain an updated Tuberculosis test. Staff #3's last TB test on file was completed 8/17/16. Staff #9's last TB test on file was completed 10/19/16.

Plan of Correction: An audit of staff files has been completed and all teachers notified TB tests must be turned in by 3/15/19.

Standard #: 22VAC40-185-60-A
Description: Based on record review, 5 of 10 children's records reviewed were not complete. Evidence: 1. Child #10's record did not contain each parent's place of employment and work phone number. 2. Child #2's record did not contain the physician name and phone number. 3. Child #2's record was missing a written agreement signed by the child's parent that includes an authorization for the center to obtain emergency medical care, a statement that the center will notify the parent when the child becomes ill and the parent will arrange to have the child picked up as soon as possible, and a statement that the parent will inform the center within 24 hours after the child or any member of the immediate household has developed any reportable communicable disease. 4. Child #6's record did not contain an address for 2 emergency contacts. 5. Child #9's record did not contain documentation an annual update was completed. 6. Child #1's record did not contain documentation that proof of identity was verified.

Plan of Correction: An audit of child files has been completed and parents notified of any missing information and/or forms.

Standard #: 22VAC40-185-260-A
Description: Based on review of the most recent fire inspection, the center does not have documentation of an updated annual inspection. Evidence: 1. The most recent fire inspection was completed on 8/9/2017.

Plan of Correction: The fire marshall has been called and an inspection has been scheduled for 3/8/19.

Standard #: 22VAC40-185-270-A
Description: Based on observation, not all areas of the center were maintained in a clean and safe condition. Evidence: 1. In the Intermediate classroom restroom, which is used by the children, there was a golf ball sized hole in the wall next to the toilet. 2. The director stated she was aware of the hole and has placed a work order for its repair on Monday, 2/25/2019.

Plan of Correction: A work order has been put in to repair the hole.

Standard #: 22VAC40-185-280-B
Description: Based on observation, hazardous substances, such as cleaning materials and bleach, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Pre-K 2 classroom, bleach, Lysol spray, and other cleaning supplies, were in an unlocked cabinet labeled "Cleaning Supplies" above the sink. 2. 23 children were present in the classroom at the time of this observation.

Plan of Correction: Daily licensing checks are being completed to ensure that all cabinets are locked, etc.

Standard #: 22VAC40-185-320-B
Description: Based on observation, not all restroom areas for children were equipped with toilet paper. Evidence: 1. The toilet paper dispenser in the Intermediate classroom restroom was empty and toilet paper was not found anywhere else in the restroom.

Plan of Correction: All classrooms have been provided with extra toilet paper.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, 1 of 10 staff records reviewed did not contain documentation that a Central Registry search was completed within 30 days of employment. Evidence: 1. Staff #8 (Date of hire: 12/17/2018) does not have documentation that Virginia Central Registry results were obtained. 2. The center director advised that the check has not yet been requested.

Plan of Correction: All background checks have been sent.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review, there is not documentation that Child Abuse and Neglect Central Registry searches were completed within 30 days of employment for employees who have resided outside the state of Virginia within the last 5 years. Evidence: 1. Staff #7 (Date of hire: 7/10/2014), Staff #8 (Date of hire: 12/17/2018) and Staff #9 (Date of hire: 8/24/17) have resided outside the state of Virginia within the last 5 years. Their records did not have documentation that out-of-state registry check results were obtained. 2. The center director advised that the checks have not yet been requested.

Plan of Correction: All background checks have been sent.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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