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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: Oct. 1, 2019

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 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
10/1/19 The Inspector was on site today following receipt of a report from management staff regarding inappropriate medication administration. Staff interviews were started today. The Inspector also reviewed administrative documents, children's records, staff records, background checks, and the physical plant today. At the time of this inspection, there were 125 children in care, with a total of 27 staff assigned to their direct supervision.

The Inspector was on site today between approximately 10:30am and 1:15pm.

A full determination of findings could not be reached today. This investigation will be continued at a later date.

10/2/19 The Inspector completed all necessary staff interviews.
This investigation was completed between approximately 2:00pm and 5:30pm.

After careful review of all available information, violations were cited as a result of the reported incident of inappropriate medication administration.

Thank you for meeting with me throughout the course of this investigation. If you have any questions please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records, it was determined that center staff did not maintain one child's record with all required information.
Evidence:
Child record Z does not include documentation showing that the parent has completed an annual review of the child's contact information. This file was most recently reviewed by the parent on 8/17/18.

Plan of Correction: We will send home a blank copy of the emergency contact form with the student to return by 10/11. [sic]

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, it was determined that one staff record was not kept complete as required.
Evidence:
Staff record F does not include: documentation of a second reference check; documentation showing that the staff person possesses the qualification required to be employed in her role of Lead Teacher.

Plan of Correction: Additional reference was requested and will be called.
Staff has been asked for a copy of her degree. [sic]

Standard #: 22VAC40-185-350-A
Description: Based on a review of video recorded classroom footage and staff interviews, it was determined that on September 18, 2019 one staff person was counted in ratio although she was not directly supervising children.
Evidence:
In reviewing classroom video footage recorded during the afternoon hours on September 18, 2019 the Inspector observed staff person B using her cell phone while counted in required staff:child ratios. This staff person was seen using her cell phone for a 30 second period of time at approximately 3:45pm. At the time, there were approximately 25 children in care with 3 staff members assigned to their direct supervision. All children were age 4 years. During the 30 second period when staff person B was using her cell phone, she was not directly supervising the children.

Plan of Correction: During our Oct. 10 staff meeting we will re-train our cell phone policy. All staff will be provided with a copy and all will re-sign. [sic]

Standard #: 22VAC40-185-510-A
Description: Based on recorded classroom video footage and staff interviews, it was determined that one staff person administered non-prescription medication without following the center's written medication policies and without written authorization from the parent.
Evidence:
On September 18, 2019 staff A administered her own personal non-prescription eye drops to child Z. On classroom video footage the Inspector observed this staff person removing eye drops from her personal belongings, and then administering the drops into one eye of the child while the child was lying on the staff person's lap. Through staff interviews, child record review, and a review of administrative records it was further determined that there was no parental authorization to administer this medication.
When administering this non-prescription eye drop medication, staff A was not following the center's written medication policy which states that only prescription medication will be given. In addition, staff A was not following the center's written medication policy which states that medication will only be given with written parental authorization.

Plan of Correction: During our Oct. 10 staff meeting we will re-train all medication and medication administration policies. [sic]

Standard #: 22VAC40-185-510-B
Description: Based on a review of classroom video footage and staff interviews, it was determined that one non-prescription medication was administered by a staff person who does not meet the qualifications to be permitted to administer medication.
Evidence:
On September 18, 2019 staff A administered non-prescription eye drops to child Z. Staff A is observed doing so on classroom recorded video that was viewed by the Inspector. Through a review of staff records, staff training documentation, and staff interviews it was determined that staff A has not completed Medication Administration Training (MAT.) Because she is not MAT trained, staff A does not meet the qualifications required to be permitted to administer non-prescription medication.

Plan of Correction: During our Oct. 10 staff meeting we will re-train medication administration policies. [sic]

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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