VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Everbrook Academy
7550 Nolan Road
Gainesville, VA 20155
(571) 469-1647

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Oct. 25, 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. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Technical Assistance: Staff orientation documentation should contain the date of the training and the staff member?s signature acknowledging the training. Children?s records should be reviewed annually by the parents to confirm if any information has changed and parents should initial their confirmation of review in the record.

Comments:

An unannounced monitoring inspection was conducted on 10/25/23 from 10:30am to 2:00pm with the Director. There were 92 children in care, ranging in age from three-months to five-years-old, supervised by 13 staff. The older children were observed playing in structured centers and on the playground; doing ?dot art?, washing hands, and listening to stories; playing with blocks and reading books; listening to the teacher read a story and talk about emotions; transitioning from ?the Brook? back to class, washing hands, and eating lunch; finishing lunch, washing hands, and getting ready for nap by reading books. Infants were observed napping and having free play on the floor. Lunch served was beef macaroni and cheese, steamed broccoli, pears, and milk. Six child records and four staff records were reviewed. The Center has 15 staff with current certification in CPR and First Aid, and 22 staff trained in Daily Health Observation. Two medications and authorization forms were reviewed, and the center has seven staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The most recent fire inspection on record was dated 9/22/22; the most recent health inspection on record was dated 12/5/22. 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 11/10/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	8VAC20-780-130-A
Description:	REPEAT Based on review of six child records, the center did not obtain documentation that each child had received the immunizations required before the child attended the center. Evidence: The immunizations on record for Child E, with a start date of 10/31/22, were dated 12/28/22.
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 documentation of a physical examination by a physician for each child within 30 days after the first day of attendance. Evidence: The physical on record for Child E, with a start date of 10/31/22, was dated 12/28/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on observation, review of documentation, and interview, the center did not ensure that a written record of daily attendance was maintained for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 10/25/23 at approximately 10:49am, eight infants were observed in the Infant classroom. The attendance record contained documentation of only seven children in care. Interview revealed that the eighth child had arrived at approximately 8:36am.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	REPEAT Based on review of four staff records and interview, the center did not ensure that the Virginia Department of Education-sponsored orientation course (Preservice) was completed by one staff within 90 calendar days of employment. Evidence: The record for Staff #3, with an employment date of 5/8/23, did not contain documentation of Preservice training and management confirmed that the employee had not finished the training yet.
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 obtain an annual fire inspection. Evidence: The most recent fire inspection on record was dated 9/22/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on review of staff records and interview, the center did not ensure that in each grouping of children there was at least one staff member who met the qualifications of a program leader who was regularly present. Evidence: Staff #3 was indicated by management as being the Lead in their classroom and was observed to be alone in their class on 10/25/23. Record review indicated the staff was not qualified to be Lead.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center did not ensure that infant bottles were dated and labeled with the child?s name. Evidence: On 10/25/23, four bottles were observed in the Infant refrigerator without labeling indicating the child?s name and the date.
Plan of Correction:	Not available online. Contact Inspector for more information.