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Chesterbrook Academy #816
222 Spring Street
Herndon, VA 20170
(703) 464-5400

Current Inspector: Nancy Radcliffe

Inspection Date: May 17, 2018

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.
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 was provided on the correct medical authorization form to use, making sure no one begins work until their eligible fingerprint letter is received and the new Central Registry System.

Comments:
An unannounced renewal inspection took place today between the hours of 10:00am and 2:00pm. At the start of this unannounced monitoring inspection there were a total of 145 children with 124staff. A total of 5 children?s files, 5 staff files, all medications, emergency procedures and physical plant were reviewed. The children were observed playing in centers, floor time, table top activities, having lunch, which consisted of sloppy joe on a whole wheat bun, green beans and applesauce, and getting ready for nap time. Positive interactions were observed between staff and children. Areas of non-compliance are identified in this report. If you should have any future questions, please email at: nancy.radcliffe@dss.virginia.gov or 703-268-3728. Thank you for your cooperation during the inspection.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on review of children?s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1 (DOB 5/13/17) does not have an updated immunization record, last updated 9/13/17.

Plan of Correction: I will contact mom and get the updated immunization.

Standard #: 22VAC40-185-140-A
Description: Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of first attendance. Evidence: Child # 2 (start date 2/16/15) does not have documentation of a physical on file.

Plan of Correction: I will contact mom and get a copy of the physical.

Standard #: 22VAC40-185-70-A
Description: Based on review of five staff records, the center did not maintain complete staff records. Evidence: Staff # 1, 2, 3, 4 and 5 did not have documentation of 2 reference checks completed in their record. Staff # 1,2 and 5 do not have documentation of any education in their record.

Plan of Correction: I will do reference checks for all new employees.

Standard #: 22VAC40-185-240-D-5
Description: Based on administrative record review, the center does not always have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: The center does not have any staff who is current in their training of Daily Health Observation.

Plan of Correction: We have a class scheduled for 5/20/18, all staff will be trained.

Standard #: 22VAC40-185-330-B
Description: Based on observation, on the playground, under the slide, resilient surfacing does not comply with minimum safety standards. Evidence: On the two playgrounds under the slide, the resilient surfacing is sinking down and appears to be bald in spots.

Plan of Correction: I will contact corporate and try to get it fixed.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the diapering surface is not being cleaned with soap and at least room temperature water and sanitized after each use. Evidence: The changing table pad was not cleaned with soap and water after each use in the Infant and Toddler rooms.

Plan of Correction: I will retrain the staff on the procedure of cleaning and then sanitizing after use.

Standard #: 22VAC40-185-510-C
Description: Based on review of medications, the center did not have written authorization for administering medication. Evidence: 1. The medical authorization's for child # 3, 4, and 5 were documented on a form for a different facility, therefore not giving the center authorization for administering the medication. 2. The medical authorization form for child #6 did not have a discontinue date documented on the form.

Plan of Correction: I will give the correct forms to their parents and have them complete them.

Standard #: 63.2-1720.1-B-2
Description: Based on staff record review, not all employees had an eligible fingerprint result prior to first day on employment. Evidence: Staff # 5 did not have fingerprinting results on file before her start date (5/15/18)

Plan of Correction: Her results came back today, 5/17/18. I won't let anyone else start before I get their results back.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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