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Chesterbrook Academy #819
12960 Troupe Street
Woodbridge, VA 22192
(703) 878-1220

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: May 11, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING.
8VAC20-780 Physical plant.
8VAC20-780 STAFFING AND SUPERVISION.
8VAC20-780 PROGRAMS.
8VAC20-780 Special care provisions and emergencies.
8VAC20-780 SPECIAL SERVICES.
8VAC20-770 Background Checks
8VAC20-820 THE LICENSE.
22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:
Technical Assistance Provided to the Director regarding CPR training versus CPR certification

Comments:
An unannounced monitoring inspection was conducted on 5/11/22 from 11:45am to 2:00pm with the Director. There were 53 children in care, ranging in age from six-months to five-years-old, supervised by nine staff. The children were observed eating lunch, washing hands, getting ready for nap, listening to a story, and napping. Four child records and five staff records were reviewed. One medication and authorization form were reviewed and the center has six staff current in Medication Administration Training (MAT). The attendance and emergency drill log were reviewed. The most recent Fire Inspection on file was dated 11/22/21 and the most recent Health Inspection on file was dated 12/9/21. Lunch served was chicken nuggets, pineapple, green beans, and milk. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 5/18/22. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on review of five staff records, the center did not obtain the results of a search of the central registry within 30 days of employment for one staff. Evidence: The record for Staff A, with an employment date of 2/8/22, did not contain the results of a search of the central registry.

Plan of Correction: Central Registry was emailed 5/11 and 5/17. If no response is received by 5/20, a new request will be mailed.

Standard #: 8VAC20-780-140-A
Description: Based on review of four child records, the center did not obtain a physical examination by a doctor for one child within 30 days after the first day of attendance. Evidence: The record for Child C, with a start date of 11/1/21, did not contain a physical.

Plan of Correction: Physical for Child C has been received.

Standard #: 8VAC20-780-40-M
Description: Based on observation, documentation review, and interview, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: The posted allergy list in the classrooms was dated 9/16/20. There are children who have enrolled after 9/16/20 who haveallergies, sensitivities, and dietary restrictions.

Plan of Correction: Allergy list for the classrooms are now completed displaying the list of student allergies, sentisitivies, and dietary restrictions.

Standard #: 8VAC20-780-60-A
Description: Based on review of four child records, the center did not obtain all of the required documentation for a child record. Evidence: 1. The record for Child B did not contain documentation that the center had viewed proof of the child?s identity and age. 2. The record for Child B did not contain a written care plan for each child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Plan of Correction: Child B- Child's birth certificate is now in hand.

Allergy action plan given to parent for pediatrician to complete.

Standard #: 8VAC20-780-510-I
Description: Based on observation, the center did not ensure that prescription medications were maintained in the original, labeled container. Evidence: On 5/11/22 there was a prescribed emergency medication onsite for Child A that was not in the original, labeled container.

Plan of Correction: Parents were contacted and they said they will request a prescription from the doctor.

Standard #: 8VAC20-780-530-A-1
Description: Based on review of documentation and interview, the center did not ensure that there was at least one staff with current certification in cardiopulmonary resuscitation (CPR), in each classroom or area where children were present. Evidence: During the inspection on 5/11/22 there was no staff with current CPR certification in the Toddlers class, Three-year-old class, or PreK class.

Plan of Correction: All Staff will receive in-person CPR Certification on June 18th.

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.

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