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Chesterbrook Academy #804
20733 Great Falls Plaza
Sterling, VA 20165
(703) 404-1333

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: March 7, 2016

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.
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)

Comments:
Today an unannounced monitoring visit was conducted beginning at 10:50am. There were 102 children present today with 18 teachers and the Director. Children were observed playing outside on the playground, listening to teachers read stories, playing with blocks, cleaning up, and preparing for lunch. Four medications and authorizations were reviewed today in addition to five children's files and 7 staff records. This inspection, including the exit interview, ended at 1:40pm. Should you have any questions, please call.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on record review, 4 staff records (#2,3,4 and 7) do not have updated TB test results dated within 2 years of the most recent results. Evidence: TB tests are last dated: 9/2013 for staff #2, 3/2013 for staff #3, 11/2013 for staff #4, and 10/2013 for staff #7.

Plan of Correction: We will send all staff to get these renewed immediately. We will renew TB tests every two years.

Standard #: 22VAC40-185-40-J
Description: Based on discussion, there is no documentation that injury prevention plans are reviewed annually and updated as needed.

Plan of Correction: We review our accident reports and make changes accordingly. We will begin documenting our review of injury prevention plans annually and make changes if needed.

Standard #: 22VAC40-185-70-A
Description: Based on record review, two staff records (#1 and 6) are missing documentation that background checks were submitted and returned with results within 3 years of the most recent results. Evidence: Staff #1 does not have a sworn statement that has been updated since 1/2012. Staff #6 does not have updated search results of a criminal history background or search of the central registry. The last dated results for both of these background checks is 2/2012.

Plan of Correction: We will submit these background checks immediately and renew them every three years before the current ones expire.

Standard #: 22VAC40-185-260-A
Description: Based on discussion, a current copy of an annual fire inspection cannot be located.

Plan of Correction: We did have a fire inspection in October, 2015. During the inspection a request for a copy of the fire inspection from October, 2015 was made to the county. I will send this to you as soon as it is received.

Standard #: 22VAC40-185-290-3
Description: Based on direct observation, an electrical outlet was missing a protective cover by the sink in the intermediate classroom.

Plan of Correction: We will place an outlet cover in the outlet. We will make sure outlets have protective covers placed in them after they are finished being used.

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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