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Chesterbrook Academy #822
4750 Rippling Pond Drive
Fairfax, VA 22033
(703) 818-9002

Current Inspector: Nancy Radcliffe

Inspection Date: March 19, 2015

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.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussion was held on the topics of current enrollment and current staffing.

Comments:
The following inspection took place between the hours of 11:30 am through 4 pm. Today, I met with the Staff of the Chesterbrook Academy 822 located in Chantilly, Virginia. At the start of this unannounced monitoring inspection there were a total of 64 children with 10 classroom staff; good ratios in all 6 rooms. A total of 6 new staff files were reviewed. The children were engaged in the following: story time, diaper changing, hand washing, nap time, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review, 1 of 6 new staff files reviewed indicated that each staff member did not submit documentation of a negative tuberculosis (TB) documentation no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence - 1. On the date inspection (03/19/2015), TB documentation was not available for review for Staff #4. 2. The start date for Staff #4 was listed 10/14/2014.

Plan of Correction: TB documentation will be obtained for Staff #4.

Standard #: 22VAC40-185-70-A
Description: Based on review, 2 of 6 new staff files reviewed indicated that not all of the required information/documentation was contained within each staff record. Evidence - 1. On the date of inspection (03/19/2015), at least 2 references were not available for review for the following staff: Staff #3, and Staff #4. Only 1 of 2 references were on file for Staff #4. 2. Educational documentation was not available for review for Staff #3. Staff #7 stated (during an interview on the date of inspection) that Staff #3 is currently in a Lead Teacher position.

Plan of Correction: All missing documentation will be obtained for all applicable staff.

Standard #: 22VAC40-185-280-B
Description: Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence - 1. On the date of inspection, one cabinet within the AM Pre-School room, and one cabinet within the Intermediates room were left unlocked. 2. Cleaning supplies were observed being stored within both unlocked cabinets.

Plan of Correction: Corrected on the date of inspection.

Standard #: 22VAC40-185-340-A
Description: A child's protection was not ensured while under a staff person's direct supervision. Evidence - 1. On the date of inspection (03/19/2015), a child was observed during nap time sleeping near (just inside) the door of her classroom. The child was lying off her cot; directly in the path of the swing of the opening door. 2. This was observed within the Pre-K 1 room.

Plan of Correction: Corrected on the date of inspection. Child and cot were moved to another area of the classroom.

Standard #: 22VAC40-191-40-D-1-A
Description: Based on review, 4 of 6 new staff files reviewed indicated that the sworn statement or affirmation (SDS) was not available for review. Evidence - 1. On the date of inspection (03/19/2015), SDS documentation was not available for review for the following: Staff #1 (start date - 09/09/2014), Staff #2 (start date - 10/23/2014), Staff #4 (start date - 10/14/2014), and Staff #6 (start date - 12/26/2015). 2. Staff #7 confirmed this finding on the date of inspection.

Plan of Correction: SDS documentation will be completed for all applicable staff.

Standard #: 22VAC40-191-60-C-1
Description: Based on review and interview, 2 of 6 new staff files reviewed indicated that the child day center does not have an original criminal history record report (CRC) within 30 days of employment. Evidence - 1. On the date of inspection (03/19/2015), an original CRC was not available for review for: Staff #2, and Staff #6. 2. The start date for Staff #2 was listed as 10/23/2014. The start date for Staff #6 was listed as 12/26/2015. 3. Staff #7 stated (during an interview conducted on the date of inspection) that the request for Staff #6 was returned to the center on 03/18/2015 due to the failure of having the signature line left blank. According to a copy of the document on file, the request was sent on 12/26/2015. No further documentation was made about any inquiry of the status for the sent request after the original 30 days. Staff #7 also stated that a finding for Staff #2 may have been received, but is was not available for review on the date of inspection.

Plan of Correction: Future employment will be denied for both Staff #2, and Staff #6 until their original CRC findings are obtained.

Standard #: 63.2-1720-F
Description: Based on interview, two (2) employees were permitted to work in a position that involves direct contact with children receiving services without an original original criminal history record (CRC) having been received (unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section). Evidence - 1. On the date of inspection (03/19/2015), Staff #7 stated (during an interview conducted on the date of inspection 03/19/2015) that there have been various times since their start dates when either Staff #2 and Staff #6 were placed in a position to solely supervise children without another employee for whom a background check has been completed in accordance with the requirements of this section. 2. The start date of Staff #2 was listed as 10/23/2014. The start date of Staff #6 was listed as 12/27/2014. 3. On the date of neither Staff #2, nor Staff #6 had an original CRC available for review at the center.

Plan of Correction: Both Staff #2 and Staff #6 will be denied all future employment. Each will return to work once their original CRC finding is obtained.

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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