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Chesterbrook Academy #826
22695 Cotton Grass Way
Ashburn, VA 20148
(571) 223-3233

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

Inspection Date: July 17, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
A follow up meeting was held on 07/25/2019 at the Fairfax Licensing office to discuss the findings of the Renewal Inspection.

Comments:
An unannounced Renewal inspection was conducted this date. A total of 89 children in care with 14 staff present during the inspection. One class was on a field trip and not present during the majority of the inspection. Observation of all 10 classrooms was completed. The outside playgrounds were inspected. The classrooms were decorated with fireworks artwork from the recent holiday and also construction paper ice cream cones. Transitions observed from outside to inside, hand washing procedures and preparation for lunch was also observed. Lunch today was pizza, blueberries and carrots. Children observed at small table top activities such as legos, magnetic shapes and plastic food and plates. All medications and topical ointments were reviewed. A total of 12 children's records and 5 staff records were reviewed. An additional 5 staff records were reviewed to determine lead qualifications. This inspection began at approximately 10:15am and ended at 3:10pm. Please email me at: lisa.hudson@dss.virginia.gov with any questions.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on child record review, documentation of additional immunizations were not obtained every six months. Evidence: l. Child #6 is under the age of 2 years. The most recent documentation of immunizations is dated 7/3/18. 2. Child #8 is under the age of 2 years. The most recent documentation of immunizations is dated 10/2017.

Plan of Correction: Management will review student files and will implement an auditing system.

Standard #: 22VAC40-185-40-E
Description: Based on staff interviews and documentation review, staff failed to follow the center's own policies and procedures required by the Standards. Evidence: l. The Center's Face to Name policy for accounting for children at all times requires staff to compare the children's faces to the name listed on the Face to Name Transition and Attendance sheet and document the exact time of the Face to Name attendance check and the transition code for the new location such as PG=plaground. 2. On 7/17/2019, Staff #1 failed to complete the required Face to Name documentation for two children as the class transitioned from the playground to the School Age Classroom. 3. Licensing Inspector counted 26 children in the School Age Class and reviewed the Face To Name documentation at approximately 11am on 7/17/2019. Staff #1 documented that 24 children transitioned from the playground to the School Age Class. According to the documentation, the current location of Child #1 and #2 was the playground. Staff #1 failed to document the transition from the playground to the classroom for Child #1 and #2.

Plan of Correction: Teachers will be monitored by management during transitions while completing Face to Name via Tadpoles and paper Face to Name to ensure proper transition procedures are in place. Review Face to Name training with role modeling behavior on September 3rd, 2019. A member of management will observe every single transition in and out of the building, all transitions will be documented for licensing's review with management's signature and filed in the IPOC binder. Mangement will continue to have video logs as stated in our previous IPOC to ensure the quality of care and safety of the children. If a staff member fails to do a Face to Name transition correctly management will retrain the staff member, management will model the correct procedures, and staff will be written up for the first offense, the second offense the staff will receive a final warning, and the third offense the staff will be terminated.

Standard #: 22VAC40-185-270-A
Description: Based on observation of the Center, two areas of the Center were not maintained in a safe and operable condition. Evidence: l.The thermometers located in the Infant A's refrigerator was broken. One thermometer had a temperature reading of 70 degrees and another one had a reading of 49 degrees. 2. The art cart located in the Intermediate B class had a broke bracket at the base of the cart which posed a tripping hazard. 3. A hole the width of approximately 3 inches was found at the base of the exterior wall in the School Age Class.

Plan of Correction: Thermometers have been replaced throughout the building. Art Cart in Intermediates B has been removed. Hole in the School Age room will be replaced within 2 weeks.

Standard #: 22VAC40-185-340-D
Description: Based on staff record review and staff interviews, 8 out of 9 staff in program leader positions did not meet lead qualifications. Evidence: Staff #1,2,3,4,5,6, 7 and 8 were in lead teacher positions on 07/17/2019. All 8 staff did not qualify as program leaders.

Plan of Correction: Organize files and ensure all training is valid. Over the course of the next 3 months we will ensure all lead teachers are qualified via the state or Nobel. Management will implement weekly mock licensing visits to ensure all licensing standards are met. Management will retrain staff on Links to Learning to ensure age appropriate curriculum is present in every classroom. Teachers will be required to complete valid training and new training to ensure lead qualifications within three months. If a staff members fails to complete the required training, the staff member will be replaced with a qualified lead teacher and/or be terminated. The Regional Director will come in weekly to observe that all the modifications in accordance to the IPOC are being followed.

Standard #: 22VAC40-185-420-E-1
Description: Based on staff interview and review of daily record for the infants in care, the daily record for one infant was not complete. Evidence: For Child #1's record did not include the time spent on their stomach. Based on staff interview, Staff #1 stated that they failed to document the time Child #1 spent on their stomach.

Plan of Correction: Management team will retrain teachers to start documenting tummy time. Management team and teachers will improve overall communication with parents via Tadpoles.

Standard #: 22VAC40-185-510-J
Description: Based on observation of the Toddler A classroom, medication was found unlocked. Evidence: A vial of insulin and an insulin syringe needle was found inside the refrigerator located in the Toddler A classroom. This medication was not locked.

Plan of Correction: Management will retrain staff member to lock the provided medication bag. Member of management will check the medication bag daily.

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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