VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesterbrook Academy #816
222 Spring Street
Herndon, VA 20170
(703) 464-5400

Current Inspector: Tameika King (804) 629-7486

Inspection Date: July 5, 2023

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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed with provider returning milk to the refrigerator immediately after meal time has ended, requirements of injury reports, injury prevention plan and annual review of the plan.

Comments:

An unannounced Monitoring Inspection took place on 07/05/2023 between the hours of approximately 10:15 a.m. and 12:20 p.m. There were 6 classrooms observed with a total of 66 children with 12 staff within the supervision guidelines. The children were observed preparing to go outside, painting with cotton swabs, playing with manipulatives, and other organized activities. Positive interactions between the staff and children were observed. A complete inspection of the physical plant, children and staff records, playground, fire drill log, and medication was conducted during this inspection. 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. If you have any questions, please e-mail me at tameika.king@doe.virginia.gov. Thank you for your cooperation during the inspection.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, the center failed to obtain updated background checks every five years for 2 out of 5 staff members. Evidence: 1. Staff #4?s most recent fingerprint results were dated 06/05/2018. 2. Staff #5?s most recent fingerprint results were dated 04/11/2018. 3. Staff #5?s most recent sworn disclosure statement was dated 03/16/2018.
Plan of Correction:	Staff #4 will have fingerprinting 7/8. Staff #5 completed disclosure and did fingerprints.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years, prior to employment. Evidence: 1. Staff #2?s (hire date: 06/13/2023) sworn disclosure statement indicates that the staff member has resided out of state in the preceding five years. 2. Staff #2?s record did not contain results of out-of-state criminal history record checks.
Plan of Correction:	Staff #2 has followed up with both states. Admin to follow up in writing on 07/10/2023.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center did not have a central registry finding within 30 days of employment for 1 out of 5 staff members. Evidence: Staff #1?s (hire date: 03/27/2023) record did not contain a central registry finding.
Plan of Correction:	VA contacted for follow up on missing report.
Standard #:	8VAC20-780-130-E
Description:	Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #3?s (age: 17 months) most recent immunization record was dated 05/09/2022.
Plan of Correction:	Parent provided up to date record.
Standard #:	8VAC20-780-520-A
Description:	Based on observation, over-the-counter skin products were kept beyond the expiration date of the product. Evidence: 1. A sunscreen belonging to Child #7 expired June 2023. 2. A sunscreen belonging to Child #8 expired December 2022. 3. A healing ointment belonging to Child #9 expired August 2022. 4. A diaper cream belonging to Child #9 expired June 2023. 5. A healing ointment belonging to Child #10 expired May 2023.
Plan of Correction:	All products returned. Admin checked all classes. Teachers review procedure.
Standard #:	8VAC20-780-520-B
Description:	Based on record review, not all requirements for sunscreen were met. Evidence: The center did not have written parent authorization for sunscreens belonging to Child #11 and Child #12.
Plan of Correction:	Paperwork collected.
Standard #:	8VAC20-780-520-C
Description:	Based on record review, not all requirements for diaper ointment or cream were met. Evidence: The center did not have written parent authorization for a diaper cream belonging to Child #7.
Plan of Correction:	Paperwork collected.
Standard #:	8VAC20-780-550-P
Description:	Based on record review, the center did not ensure that all information was included on 5 out of 5 injury reports reviewed. Evidence: 1. An injury report completed on February 10, 2023 did not include the time when parents were notified. 2. An injury report completed on April 5, 2023 did not include the time when parents were notified or documentation on how parent was notified. 3. An injury report completed on April 6, 2023 did not include the date and time when parents were notified or documentation on how parent was notified. 4. An injury report completed on June 7, 2023 did not include the time when parents were notified. 5. An injury report completed on June 20, 2023 did not include the time when parents were notified.
Plan of Correction:	Staff will be retrained on completing forms.