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

Current Inspector: Nancy Radcliffe

Inspection Date: Oct. 5, 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.
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 10 am/pm through 2 pm. Today, I met with the Staff of the Chesterbrook Academy #822 located in Fair Lakes, Virginia. At the start of this unannounced monitoring inspection there were a total of 92 children with 11 staff; in all 6 rooms. A total of 5 children?s files and 4 new staff files were reviewed. The children were engaged in the following: story time, large motor skills on the playground, diaper changing, hand washing, bathroom breaks, centers within the classroom, learning about patterns & autumn leaves, lunch, 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 #: 22VAC40-185-60-A
Description: Based on review, 2 of 5 children's files reviewed indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date on inspection (10/05/2016), at least 2 completed emergency contact information was not available for review for: Child #1 and Child #4. 2. Child #1 had only 1 of 2 completed emergency contacts listed, and Child #4 was missing the addresses for both listed emergency contacts.

Plan of Correction: All missing information shall be obtained and placed in the applicable child's record.

Standard #: 22VAC40-185-70-A
Description: Based on review, 4 of 4 new staff records reviewed indicated that not all of the required information/documenation was contained within each staff record. Evidence - 1. On the date of inspection (10/05/2016), the educational documentation for Staff #1, Staff #3, and Staff #4 was not available for review. 2. At lease 2 completed references for Staff #1, Staff #2, and Staff #4 were not available for review. Only 1 of 2 completed references for Staff #3 was available for review.

Plan of Correction: All missing information/documentation shall be obtained and placed in the applicable staff file.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas outside the center were not maintained in a safe condition. Evidence - 1. On the date of inspection (10/05/2016), on the toddler playground, a jagged edge to a broken decorative piece was observed on the side of the "train" climbing equipment. This broken piece was located on the side of the train that faces away from the center. The broken piece's edge is some what jagged in nature producing a sharp point. This broken piece is accessible to the children in care. 2. The trim that boarders the outside corner window of the Beginner's room, facing the school-age playground, is piecing a section near the bottom. The plastic pieces appears to have broken off, leaving a jagged edge. This area is accessible to the children in care. 3. The soffit of the center, that faces the school-age playground outside, was viewed to have an area of peeling paint. This soffit area hangs over the walk way and directly off the playground. It appears a section is already missing with more peeling paint ready to fall. This area where the peeling paint would land, if and when it falls, is accessible to the children in care.

Plan of Correction: All three areas of concern shall be addressed by maintenance.

Standard #: 22VAC40-185-290-3
Description: Based on observation and interview, electrical outlets within the Pre-K 1 room did not have protective covers. Evidence - 1. On the date of inspection (10/05/2016), covers were missing from an outlet left located on the left side wall of the classroom, and from a powerstrip. 2. These outlets would were accessible to the children in care. 3. There were a total of 18 children in the room when this observation was made. 4. The Director stated (during an interview conducted on the date of inspection) that the staff are currently returning all covers to outlets throughout the center due to the recent remodeling the center has experienced. Contractors have removed these covers needing to use these outlets for their equipment during the remodel.

Plan of Correction: Staff shall replace all missing covers.

Standard #: 22VAC40-185-350-E-4
Description: Based on observation and interview, for children from three years to the age of eligibility to attend public school, five years by September 30, there was not one staff member for every 10 children within the Pre-K 2 room. Evidence - 1. On the date of inspection (10/05/2016), at approximately 10 am., the Pre-K 2 room had a total of 14 children with only 1 staff person. 2. The Director stated (during an interview conducted on the date of inspection) that she was aware that the room was out of ratio due to the unforeseen absence of a staff person. 3. The Director also stated that she would assist in the room. The Director's assistance began at approximately 11 am, bringing that room in to ratio compliance at that time.

Plan of Correction: Corrected on the date of inspection.

Standard #: 22VAC40-185-510-A
Description: Based on review, 1 of 2 written medication authorizations reviewed indicated that it had expired. Evidence - 1. On the date of inspection (10/05/2016), the written medication authorization for Child #6 had an expiration date of 07/2016. 2. Child #7 is currently enrolled and his medication was on site on the date of inspection.

Plan of Correction: A new written medication authorization shall be obtained for Child #6. The medication shall be returned to the parents of Child #6 until a new authorization is obtained.

Standard #: 22VAC40-191-60-C-1
Description: Based on review, 1 of 4 new staff files indicated that the center does not have an original criminal history record report (CRC) within 30 days of employment. Evidence - 1. On the date of inspection (10/05/2016), an original CRC was not available for review for Staff #2. 2. Based on the information contained within the staff file for Staff #2, the start date for Staff #2 was listed as - 06/24/2016. 3. The copy of the CRC finding request contained within the staff file for Staff #2, listed the date that this request was mailed as - 09/13/2016.

Plan of Correction: Future employment of Staff #2 shall be denied until the finding for the CRC for Staff #2 has been 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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