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Chesterbrook Academy #803
6210 Multiplex Drive
Centreville, VA 20121
(703) 968-2939

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

Inspection Date: March 19, 2018 and March 23, 2018

Complaint Related: Yes

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures

Technical Assistance:
It is highly recommended that all staff participate in training courses regarding appropriate supervision techniques, appropriate child discipline techniques, and creative programming ideas. Staff shall be retrained regarding the process of completing incident/accident reports. This training shall include appropriate wording to be included on these reports, as well as when a written report is needed. Consistent staffing patterns are needed throughout the full day to help ensure success for each child. This is especially important when children with challenging behaviors are in care.

Comments:
3/19/18 - An unannounced complaint investigation regarding classroom supervision and the care of children was started today. Staff records, background checks, injury reports, and classroom programming were inspected today. Staff interviews were started today; however, one staff person who needs to be interviewed was not present while the Inspector was on site. The Inspector was unable to reach a clear determination of findings on this day. The complaint will be continued at a later date. 3/23/18 Staff interviews were completed today. After careful review of all available information, this complaint was deemed valid. Ongoing compliance with the Minimum Standards is the responsibility of the licensee. Thank you for meeting with me during this investigation. If you have any questions please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Complaint related: No
Description: Based on a review of staff health records, it was determined that one TB Health Screening was not completed either within 21 days after hire nor within 12 months prior to hire. Evidence: Staff A began employment on 2/6/18. Her TB Health Screening was completed on 3/10/16.

Plan of Correction: Auditing all staff files. [sic]

Standard #: 22VAC40-185-160-C
Complaint related: No
Description: Based on a review of staff health records, it was determined that one staff person has not submitted a repeat TB Health Screening within 2 years from the date of their most recent screening. Evidence: The TB Health Screening for for staff C expired on 2/26/18.

Plan of Correction: Auditing all staff files. [sic]

Standard #: 22VAC40-185-60-A
Complaint related: No
Description: Based on a review of children's records, it was determined that one record was not complete. Evidence: The record for child A does not include the information for a second emergency contact person.

Plan of Correction: Auditing all children's files. [sic]

Standard #: 22VAC40-185-240-A
Complaint related: No
Description: Based on a review of staff training records, it was determined that one staff person has not completed all required components of First Day Orientation training. Evidence: Staff A has not completed "Recognizing Child Abuse and Neglect" training.

Plan of Correction: Auditing all staff files. [sic]

Standard #: 22VAC40-185-340-A
Complaint related: Yes
Description: Based on staff interviews and a review of administrative documents, it was determined that when supervising children, staff have not always ensured each child's complete care, protection, and guidance. Evidence: Child A (age 3) was bitten by child B (age 4) on March 6, 2018 and then by child C (age 4) on March 7, 2018. At the time of the bite on March 6, 2018 there were approximately 16-18 children in care with two staff members assigned to their direct supervision. At the time of the bite on March 7, 2018 there were approximately 9 children in care with one staff member assigned to their direct supervision. The first bite occurred during the time of day when the PS class is combined with the PK class. The second bite occurred prior to the PS class combining with the PK class. It was reported to the Inspector that at the time of each bite, some of the children in the classroom "were not listening" to the teachers and did not "sit down when they were asked." It was determined that staff were not engaged in active full classroom supervision in order to fully ensure each child's complete care, protection, and guidance.

Plan of Correction: Retraining entire staff on behavior management and classroom management techniques. [sic]

Standard #: 22VAC40-185-350-F
Complaint related: No
Description: Based on staff interviews, it was determined that children's schedules and their attachment to staff members and classmates have been repeatedly disrupted. Evidence: It was reported to the Inspector that repeatedly since January, various children have been reassigned out of their own classroom in an effort to maintain required staff:child ratios. It was reported to the Inspector that approximately 2-3 times per week, various children from the 3's classroom and the 4's classroom are reassigned to either the 2's classroom or the 5's classroom in an effort to maintain staff:child ratios. This takes place for approximately 2 hours from 4:30-6:30, when classes combine into groups as staff leave for the day.

Plan of Correction: Adjusting staff schedules and hiring staff accordingly so as to combine at appropriate times. [sic]

Standard #: 22VAC40-185-360-A
Complaint related: Yes
Description: Based on staff interviews, it was determined that during the late afternoon classroom grouping time, there is not a large enough variety of activities for the children to engage in a balance of active/quiet activities and individual/group activities. Evidence: It was reported to the Inspector that the children from the 3's and 4's classes combine daily between approximately 4:00pm and 4:30pm until the center closes at 6:30pm. During this extended grouping time, staff do not offer quality programming to ensure that children are given a large enough variety of activities for the children to engage in. It was reported to the Inspector that the children "play with toys, read books, and do art work." It was also reported to the Inspector that quite often many of the children run around the classroom and "do not listen" when asked to sit down.

Plan of Correction: Retraining entire staff on behavior management and classroom management techniques. [sic]

Standard #: 22VAC40-185-550-M
Complaint related: Yes
Description: Based on a review of injury reports, it was determined that the center did not maintain a written record of one child's serious injury. Evidence: On Wednesday, March 7, 2018 a three year old child (child A) was bitten on her shoulder by another child in care. It was reported to the Inspector that classroom and management staff were fully aware of this child's injury. However, there was no documentation on site to indicate that a written record of this injury was completed.

Plan of Correction: Retraining on accident report procedures. [sic]

Standard #: 22VAC40-80-120-E-2
Complaint related: No
Description: Based on a review of posted documents, it was determined that the findings from the most recent inspection were not clearly posted. Evidence: The most recently issued violation notice was not clearly posted. It was hanging beneath other inspection paperwork from the most recent inspection.

Plan of Correction: Clearly post all inspection paperwork. [sic]

Standard #: 63.2-1720.1-A
Complaint related: No
Description: Based on a review of staff background checks, it was determined that one new staff member was permitted to begin employment prior to the receipt of this person's fingerprint background check results. Evidence: Staff A began employment on 2/6/18; however, her fingerprint background check results were not received until 3/8/18. Center management staff permitted this person to begin employment, including working in the classroom in the direct care of children, prior to the receipt of her fingerprint background check results.

Plan of Correction: All newly hired staff will have fingerprints returned before start date. [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.

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