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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: Nov. 29, 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.
22.1 Background Checks Code, Carbon Monoxide

Comments:
An unannounced renewal inspection was conducted on 11/29/22 from 10:45am to 2:15pm with the Director. There were 81 children in care, ranging in age from eight-weeks to five-years-old, supervised by 15 staff. The children were observed being fed bottles and having diapers changed; looking at books and coloring; washing hands and getting ready for lunch; eating lunch; and getting ready for nap. Six child records and five staff records were reviewed. The Center has 16 staff with current certification in CPR and First Aid, and 17 staff trained in Daily Health Observation Training. Four medications and authorization forms were reviewed and the center has seven staff with current certification in Medication Administration Training (MAT). The attendance, menu, 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, broccoli or mixed vegetables, and pears or peaches. 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 12/12/22. 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 documentation of the results of a search of the central registry for all staff within 30 days of the date of employment. Evidence: 1. The record for Staff #1, with an employment date of 6/27/22, did not contain documentation of the results of a search of the central registry. 2. The central registry results on record for Staff #3, with an employment date of 5/23/22, were dated 8/22/22. The central registry results on record for Staff #4, with an employment date of 6/6/22, were dated 7/25/22. The central registry results on record for Staff #5, with an employment date of 9/6/22, were dated 10/20/22.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-130-A
Description: Based on review of six child records, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1. The record for Child D, with a start date of 11/14/22, did not contain documentation of immunizations. 2. The record for Child B, with a start date of 9/12/22, contained documentation of immunizations dated 9/15/22. The record for Child C, with a start date of 2/25/22, contained documentation of immunizations dated 3/9/22.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-140-A
Description: Based on review of six child records, the center did not obtain a physical examination by or under the direction of a physician for each child within 30 days after the first day of attendance. Evidence: The record for Child A, with a start date of 1/31/22, did not contain a physical.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on review of six child records, the center did not obtain all required documentation for child records. Evidence: The records for Child B and Child D did not contain documentation of viewing proof of the child's identity and age.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A-8
Description: Based on review of six child records, the center did not obtain 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. Evidence: 1. The record for Child C contains documentation that the child is allergic to tree nuts, milk, and eggs. The child has emergency medication on site for their allergies. There is no allergy care plan from the physician on record for Child C. 2. The record for Child F contains documentation that the child is allergic to peanuts and cashews. The child has emergency medication on site for their allergies. There is no allergy care plan from the physician on record for Child F.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-260-A
Description: Based on review of documentation and interview, the center did not provide to the licensing representative an annual fire inspection report. Evidence: The most recent fire inspection report on record was dated 11/22/21. The Director confirmed this was the most recent fire inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-I
Description: Based on review of four medications and authorizations, the center did not obtain written authorization from the parent to administer medication to a child in care. Evidence: Emergency medication was observed on site for Child C, but there was no authorization from the parent for the center to administer medication to the child.

Plan of Correction: Not available online. Contact Inspector for more information.

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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