Chesterbrook Academy #822
4750 Rippling Pond Drive
Fairfax, VA 22033
Current Inspector: Nancy Radcliffe
Inspection Date: March 15, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
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)
- Technical Assistance:
Technical assistance today included safety regarding outdoor areas (hanging tree branches,); required postings, newest background check procedures; parent visitor/volunteer; indoor physical environment and emergency supplies.
An unannounced inspection took place today from 11:10 am-4:10pm. There were 97 children present with 14 staff members. The children were observed eating lunch and preparing for nap time. There were a large variety of age appropriate learning activities available. If you have any questions, please contact me at email@example.com
Standard #: 22VAC40-185-40-J Description: Based on a review of records today, no injury prevention procedures were available that were based on a review of the documentation of injuries as required. Evidence: There was no established review of documentation of injuries available for review today. Plan of Correction: Started to use injury prevention log 3/16/18
Standard #: 22VAC40-185-60-A Description: Based on review of children's files today, not all files had all required documentation. Evidence: Out of five files reviewed today, Child #3 was missing an address for one emergency contact and Child #5 was missing the required documentation for the annua review of contact information (expired 9/17) Plan of Correction: Auditing all student files and making sure paperwork is up to date.
Standard #: 22VAC40-185-70-A Description: Based on a review of staff records today, not all had documentation as required. Evidence: Of five records reviewed today, Staff # 2 did not have documentation of qualifications for the position of lead teacher. Staff # 2, 3, and 4 did not have emergency contact numbers documented. Plan of Correction: Teacher training log updated. Auditing files and getting appropriate information.
Standard #: 22VAC40-185-240-D-5 Description: Based on records and staff confirmation, no staff members present today were current in Daily Health Observation. Evidence: Director confirmed no staff member has a current certification in Daily Health Observation. Plan of Correction: Scheduling training for all staff by 4/15/18.
Standard #: 22VAC40-185-270-A Description: Based on observation today, the following areas and equipment were observed to not be maintained in a clean, safe and operable condition as required. Evidence: 1.There was peeling paint observed to be accessible at child height in 3 rooms. (previously cited on 9/5/17) 2. Rusty nails were observed to be protruding on the wall in the children's bathroom, above the commode. 3. Hanging cords from window blinds were observed accessible to children in 3 rooms. 4. Outside on a plastic climbing structure: a plastic panel was observed to be broken on the blue train, exposing a bolt. 5. Several window frames were observed to cracked with sharp edges, and screens were not set securely in place. 6. Along the fence line, there were several areas with splintery wood. 7. Thick tree roots were observed in bare areas under one of the slide chutes where children exit while sliding on the structure. Plan of Correction: Hooks installed for blind cords. All other facility maintenance will be completed by 4/15/18.
Standard #: 22VAC40-185-280-B Description: Based on observation today, some hazardous substances were not kept in a locked place and keys were not inaccessible as required. Evidence: In two classrooms, keys were observed in the locks of both cabinets where spray cleaners were stored today. Plan of Correction: Locked all cabinets and hooks purchased for key storage.
Standard #: 22VAC40-185-330-B Description: Based on observation during today's inspection, there was an inadequate amount of resilient material in the fall zones of climbing equipment. Evidence: Bare spots were observed under and on the side of the equipment although mulch was plentiful near the fence. Plan of Correction: Mulch to be raked and new load to be delivered by 4/15/18.
Standard #: 22VAC40-185-510-A Description: Based on review today, not all medications on-site had current authorizations. Evidence: The medication authorization for Child # 1 expired 1/18, and Child # 4's authorization expired 11/17. Plan of Correction: Audit of medications done and coming up with a medication tracking system.
Standard #: 22VAC40-185-510-C Description: Based on review of the children's medication box today, not all the center's procedures were not followed. Evidence: Child #1 and Child #5 had emergency allergy medication on site that had expired according to the manufacturer, 1/18 & 2/18 respectively. Plan of Correction: All expired medications given back to families.
Standard #: 22VAC40-185-510-N Description: Based on review of children's medications today, expired medications were not returned to parent within the allotted time as required. Evidence: Of 6 medications reviewed, 3 remained on site despite that they were no longer needed. Staff reported that Child # 2 left the center 8/17; and Child # 3 and 4 had medication that was no longer authorized after ten days. Plan of Correction: All expired medication given back to families.
Standard #: 22VAC40-185-540-C Description: Based on an inspection of the first aid kit today, some items were not present. Evidence: There were no triangular bandages available as required. This was previously cited 9/05/17. Plan of Correction: Triangular bandages purchased 3/16/18.
Standard #: 22VAC40-185-540-E Description: Based on a review of emergency supplies today, there was no operable battery-operated radio as required. Plan of Correction: Batteries acquired and replaced.
Standard #: 22VAC40-185-550-M Description: Based on file review today, there were incomplete documentation of incident/accident reports. Evidence: Upon reviewing reports, Child #1 had no time and date of injury recorded. Child #1 & #3 had no information regarding the type of treatment of the injury documented. Child #3 was missing information regarding date, time and method of parental notification. Child #2 was missing information for future action to prevent recurrence of the injury following a documented incident of the child's finger being "stuck in a window." Plan of Correction: Staff meeting scheduled for March 27 for retraining.
Standard #: 22VAC40-185-560-A Description: Based on observation, the current month's menu was not posted as required. Evidence: The posted menu was for previous month. Plan of Correction: Corrected during inspection.
Standard #: 22VAC40-191-40-D-3-D Description: Based on a review of staff files today, some background checks were not completed as required. Evidence: Of five records reviewed, Staff # 5 last had a Search of Child Protective Registry on 9/14. Plan of Correction: Sent. 3/17/18
Standard #: 63.2-1720.1-B-3 Description: Based on a review of 5 staff files today, 2 did not have current results for central registry searches. Evidence: Staff #5 had an expired CPS check. (expired 9/17) Staff #3 did not complete an out of state CPS as required. Plan of Correction: CPS Check sent out 3/17/18. Other background sent by 3/22/18.
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.