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Everbrook Academy
21684 Romans Drive
Ashburn, VA 20147
(571) 510-8735

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Nov. 23, 2021

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)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
Discussed dates on Sex Offender Search and Out of State requirements for background checks. Discussed new standards.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A renewal inspection was initiated and concluded on 11/23/2021. The supervisor was contacted by telephone and a virtual inspection was conducted. There were 63 children present, ranging in ages from 4 months old to 5 years old, with 16 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, one of five children's records did not have documentation of immunizations for a child prior to the child's first attendance.
Evidence:
1. Child #4 (start date 10/11/2021) did not have documentation of the child's immunization record in the child's file.

Plan of Correction: We have collected the immunizations and will be sure to collect them before the child starts.

Standard #: 22VAC40-185-140-A
Description: Based on record review, one of five children's records did not have documentation of a physical for a child prior to or within 30 days of attendance.
Evidence:
1. Child #4 (start date 10/11/2021) did not have documentation of the child's physical in the child's file within 30 days.

Plan of Correction: We have collected the Physical and will be sure to collect them before the child starts.

Standard #: 22VAC40-185-160-A
Description: Based on review of staff records, the center did not have documentation of a tuberculosis (TB) test or screening for staff within 21 days of hire or within 12 months prior to hiring.
Evidence:
1. Staff #1 (Date of hire 8/26/2021) had a TB test or screening dated 10/16/2021.
2. Staff #4 (Date of hire 8/16/2021) had a TB test or screening dated 10/04/2021.

Plan of Correction: We will have all staff complete the TB test within 21 days of hire.

Standard #: 22VAC40-191-60-B
Description: Based on review of five staff records, the center did not have a completed sworn disclosure statement for each staff prior to hire date.
Evidence:
1. Staff #3 (Date of hire 6/14/2021) had a sworn disclosure statement signed on 6/29/2021.
2. Staff #4 (Date of hire 8/16/2021) had a sworn disclosure statement signed on 10/04/2021.

Plan of Correction: We will be sure to have all New Hires complete on the first day of employment.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of five staff records, the center did not have the central registry finding within 30 days of employment.
Evidence:
1. Staff #2 (Date of hire 8/26/2021) did not have the central registry findings during the inspection. The center documented it was sent on 8/26/2021.

Plan of Correction: We will have all new hires complete the central registry on their first day.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the center did not have the most recent findings of the most recent inspection posted.
Evidence:
1. The center had the inspection report posted for 4/14/2021, but did not have the most recent report posted for the 8/09/2021 inspection.

Plan of Correction: We will be sure to always keep the most recent inspection posted.

Standard #: 63.2(17)-1720.1-B-4
Description: Based on record review, the center did not obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years.
Evidence:
1. Staff #1 (Date of hire 5/05/2021) lived in another state (CA) in the last 5 years and did not have the results of a criminal history record check from CA.

Plan of Correction: The staff member is completing the CA background check on 12/03/2021. Going forward we will complete all State background checks on their first day.

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. To find programs participating in Virginia Quality, click here.

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