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: March 2, 2020

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. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Licensing inspector discussed access to the main child care area.

Comments:

An unannounced renewal inspection was conducted today from approximately 9am-2pm. There were 90 children in the direct care and supervision of 18 staff. A sample of 10 children?s records, 5 staff records, 5 minor injury logs, several classrooms and attendance records were reviewed. There were no medication on site. The children were observed playing on the playground, reading, engaged with staff, and coloring. Licensing inspector wasn't able to gain access to the child care area for approximately 13 minutes. After approximately three minutes, Licensing Inspector was offered access into the building where she waited an additional 10 minutes to gain access into the main child care area. Zero new staff members have been hired since the last inspection, director is in the process of hiring new staff. Areas of non-compliance are identified in this report. The exit interview was conducted with the director. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-40-I
Description:	Based on interview, the center failed to develop written procedures for injury prevention. Evidence: Staff A stated that the center did not have a minor injury plan.
Plan of Correction:	Annual plan was not completed injury plans are updated daily
Standard #:	22VAC40-185-60-A
Description:	Based on record review, children's records were not complete with all required information. Evidence: 3 of 9 records reviewed were missing required information: 1. Child A was missing father's work address. 2. Child C was missing the work address for the mother and the father. 3. Child I was missing the father's work phone number.
Plan of Correction:	Information will be completed at time of enrollment. Information was present in file and printed out email chain.
Standard #:	22VAC40-185-70-A
Description:	Based on review, staff records did not have all the required information. Evidence: 1. Staff B was missing proof of age. 2. Staff C was missing orientation. 3. Staff D was missing proof of age. 4. Staff E was missing job title and proof of age. 5. Staff F was missing proof of age.
Plan of Correction:	Some were corrected during inspection. Director stated staff will complete the required documents.
Standard #:	22VAC40-185-240-C
Description:	Based on record review, all staff did not complete at least 16 hours of training. Evidence: Staff F completed 7 hours of training in 2019.
Plan of Correction:	Director stated staff left training in her backpack located in her home. CDA Certificate was in file completed in 2019 which is 120 hours of training.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, hazardous substances were not kept in a locked pace. Evidence: 1. Disinfectant spray was found in an unlocked cabinet located in the "Early Preschool" and "Two's 2" rooms
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-185-350-E-4
Description:	Based on record review, the ratio for three year old children was not maintained. Evidence: 1. The "Name to Face" record taken on 03/02/2020 for the "Preschool" room showed staff were out of ratio from 8:19 am until 9:00 am. The record shows at 9:00 am there were 20 three year old children in the care of one staff (Staff G). 2. The "Name to Face" record taken on 03/02/2020 for the "Preschool 2" room showed from 9am-9:37am there were 13 three year old children in the care of one staff (Staff G). The record shows during the 9:00 am hour there was 11 three and four year olds to 1 staff and during the 10 o'clock hour there were 13 three and four year olds to one staff. 3. Staff G confirmed she was alone from 9am-9:37am with 13 three year old children.
Plan of Correction:	Staff Schedules have been changed to accommodate the peak drop off times in the morning.
Standard #:	22VAC40-185-420-E-3
Description:	Based on record review, Staff did not provide at least semiannual scheduled opportunities for parents to provide feedback on their children and the center's program. Evidence: A. Child E's record was last reviewed 08/18/2018. B. Child F's record was not reviewed in 2019.
Plan of Correction:	System set up to review parent files semiannually.
Standard #:	22VAC40-185-550-E
Description:	Based on record review and interview, emergency evacuation drills were not recorded. Evidence: Staff A stated an evacuation drill was conducted in September 2019 and not recorded.
Plan of Correction:	Fire drill was recorded from email print out in binder. Fire drills will be recorded on same form.