VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Everbrook Academy
201 12th Street South
Suite 102
Arlington, VA 22202
(571) 344-3589

Current Inspector: Jenifer Nalli (703) 309-9153

Inspection Date: July 30, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Licensing inspector discussed keeping emergency drills for a year, staff year versus school year, measuring of new rooms, minor injury logs, and minor injury prevention plan.

Comments:

An unannounced monitoring inspection was conducted today from approximately12:50pm-5pm. There were 83 children in the direct care and supervision of 20 staff. A sample of 8 children?s records, 5 staff records, 1 medication, 5 minor injury reports, and 5 classrooms were observed. The children were observed playing with staff, napping, being fed, and being dismissed. Measurements were taken to determine the capacity of the two new rooms that were built. Most staff have been joined this facility in the last year. Areas of non-compliance are identified in this report. The exit interview was conducted with the principal. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review, each staff member did not have documentation of a negative tuberculosis screening. Evidence: Staff D did not have documentation of a negative tuberculosis screening on file.
Plan of Correction:	Staff D will grab a copy of the exam.
Standard #:	22VAC40-185-40-H
Description:	Based on interview, the sponsor did not maintain public liability insurance for each center. Evidence: 1. Proof of liability insurance was not available during inspection. 2. Staff A stated she did not know where the liability insurance document was located.
Plan of Correction:	Staff will be notified where documents are located.
Standard #:	22VAC40-185-40-I
Description:	Based on observation, the center did not develop written procedures for injury prevention. Evidence: There were no written procedures for injury prevention available during inspection.
Plan of Correction:	Create the minor injury prevention plan binder and update annually.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, children's records were incomplete. Evidence: 5 of 8 Children's records reviewed were missing required information. 1. Child A was missing the mother's employer phone number. 2. Child B was missing the mother's employer phone number. 3. Child C was missing the father's home address, phone number, employer, employer phone number, and the address of 1 of 2 required emergency contacts. 4. Child D was missing the addresses of 2 of 2 required emergency contacts. 5. Child E was missing the mother's employer phone number, and the addresses of 2 of 2 required emergency contacts.
Plan of Correction:	This will be updated in 30 days.
Standard #:	22VAC40-185-240-D-5
Description:	Based on observation and interview, the center did not always have one staff member on duty who has obtained instruction in daily health observation. Evidence: 1. Proof of daily health observation training was not available during inspection. 2. Staff A stated she did not know who was trained in daily health observation.
Plan of Correction:	I will identify an opener and a closer to take the training so that we meet compliance.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center was not maintained in a clean condition. Evidence: There was a dead insect the approximate size of dollar coin on the carpet in the "Infant 2" room.
Plan of Correction:	Completed during inspection. We have a cleaning crew that cleans every evening.
Standard #:	22VAC40-185-280-D
Description:	Based on observation, cleaning and sanitizing materials were not kept in a locked place. Evidence: 1. Disinfectant cleaner was found on the counter in the "Infant 2" room. 2. Cleaning solutions were found in an unlocked cabinet in the "Infant 2" room. 3. Cleaning solutions were found on the counter in the "Toddler 2" room.
Plan of Correction:	Completed during inspection.
Standard #:	22VAC40-185-530-A
Description:	Based on record review and interview, there was not at least one staff member trained in first aid and cardiopulmonary resuscitation and rescue breathing on premises during the center's hours of operation. Evidence: 1. The current first aid and CPR training certificates of staff on site were unavailable at the time of inspection. 2. The first aid and CPR trainings of staff B and E expired 08/2018. 3. Staff A stated she could not find the certificated of the staff's first aid and CPR training.
Plan of Correction:	All staff are trained and up to date. Training was completed in November.
Standard #:	22VAC40-185-550-D
Description:	Based on record review, the center did not implement a minimum of two shelter in place drills per year. Evidence: 1. The center conducted one shelter in place drill in 2018. 2. This drill occurred 06/2018.
Plan of Correction:	We will conduct two Shelter-in-Place drills annually.
Standard #:	22VAC40-185-550-M
Description:	Based on record review, the center failed to maintain a written record of children's serious and minor injuries with the required information. Evidence: 5 minor injury records reviewed were missing the following required information: 1. 3 were missing when the parent was notified. 2. 4 were missing the time when the parent was notified. 3. 3 were missing the method in which the parent was notified. 4. 2 were missing the future action taken place to avoid the incident.
Plan of Correction:	Supervisor who signs off on the form will make sure the form is complete.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review, staff that have lived out of state within the past 5 years have not complete a Central Registry Search in the state of previous residence. Evidence: 1. 5 of 5 staff have lived out of state on the last 5 years. 2. Staff B, C, D, E, and F did not have results from a complete out of state Central Registry Search.
Plan of Correction:	Staff B - Sent June/2019 Staff C - Sent and waiting on results Staff D - Complete results July/2019 Staff E - Sent July/2019 waiting on results Staff F - Complete results 5/2/18