VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesterbrook Academy #822
4750 Rippling Pond Drive
Fairfax, VA 22033
(703) 818-9002

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Feb. 20, 2024

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. 8VAC20-820 THE LICENSING PROCESS. 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 the provider: staff qualifications, following up on CRS requests, file organization, DHO training, Preservice and Annual Health and Safety training, FARE form, milk, staff orientation and inspection report posting requirements. CORE/Environment Sanitation inspection must be submitted to the licensing inspector before new license can be issued.

Comments:

An unannounced renewal inspection took place on February 20, 2024 between the hours of approximately 9:25 a.m. and 1:20 p.m. There were 5 classrooms observed with a total of 39 children with 6 staff within the supervision guidelines. The children were observed participating in circle time, transition to a soccer class, engaging in free play and other organized activities. Positive interaction between staff and children were observed. A complete inspection of the physical plant, children and staff records, fire drill log, and emergency procedures 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-B-4
Description:	Based on record review, the center did not obtain a copy of the results of a child abuse and neglect registry search for a staff member from any state in which the individual has resided in the preceding five years. Evidence: Staff #1 (start date: 12/04/2023) has resided out of state in the preceding five years. Results of an out-of-state child abuse and neglect search was not obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	REPEAT VIOLATION Based on record review, the center did not obtain documentation of a negative tuberculosis (TB) screening for 5 out of 6 staff members at the time of employment. Evidence: Staff #1 (start date: 12/04/2023), Staff #2 (start date: 01/22/2024), Staff #3 (start date: 01/08/2024), Staff #5 (start date: 02/01/2024) and Staff #6 (start date: 02/05/2024) did not have documentation of a TB screening on file at the time of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	Based on record review, the center did not maintain a current written list of all children?s allergies that was dated in each room or area where children were present. Evidence: 1. An allergy list was not posted in the Pre-K 2 or Intermediates classrooms. 2. The allergy lists posted in the Infants, Toddlers and Beginners classrooms were not dated or current.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on record review, the center did not obtain all information for 3 out of 5 children?s records. Evidence: 1. Child #1?s (start date: 08/21/2022) record was missing an address for emergency contact #1. 2. Child #3?s (start date: 03/16/2022) record was missing an address for emergency contact #2. 3. Child #5?s (start date: 10/16/2023) record was missing a name, address and phone number for 1 out of 2 emergency contacts.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A-8
Description:	REPEAT VIOLATION Based on record review, the center did not obtain a written care plan for 2 out of 2 children with a diagnosed food allergy. Evidence: 1. The records for Child #1 and Child #5 indicated that the children have diagnosed food allergies. 2. The center did not have a written care plan for Child #1 and Child #5.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on record review, the center did not obtain all information for 6 out of 9 staff records. Evidence: 1. The record for Staff #4 (start date: 12/12/2023) did not have documentation that two or more references were checked before employment. 2. The records for Staff #3, Staff #4, Staff #6, Staff #7, Staff #8 and Staff #9 did not contain documentation that demonstrates that the staff members possess the certification required to be a lead teacher.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-190-A
Description:	Based on record review, the center did not ensure that program directors meet the qualifications. Evidence: Staff #1 (start date: 12/04/2023) does not meet program director qualifications.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	Based on record review, the center did not ensure that orientation training included all facility specific topics. Evidence: Orientation training for Staff #2, Staff #3, Staff #4, Staff #5 and Staff #6 did not include prevention of shaken baby syndrome and abusive head trauma, prevention of sudden infant death syndrome and use of safe sleep practices and prevention of and response to emergencies due to food and other allergic reactions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-L
Description:	Based on record review, the center did not ensure that there was always at least one staff member on duty who has obtained, within the last three years, instruction in daily health observation (DHO) of children. Evidence: During the inspection, there were no staff on duty who had obtained instruction in DHO within the last three years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on record review, the center did not obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. Evidence: The center did not have an environmental sanitation inspection completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	REPEAT VIOLATION Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, were kept in a locked place. Evidence: 1. Disinfectant wipes were observed on a toy shelf in the Pre-K 2 classroom, accessible to children. 2. Disinfectant wipes were observed in an unlocked cabinet at the bottom of the changing table in the Beginners classroom, accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	Based on observation, the center did not ensure that cleaning and sanitizing materials were stored in areas physically separate from food and were not located above utensils or single-service articles. Evidence: 1. In the Toddlers classroom, one spray bottle containing bleach/water and one spray bottle containing soap/water were on a shelf next to graham crackers, goldfish and bunny grahams and above cups, bowls, plates, forks and spoons. 2. In the Beginners classroom, one spray bottle containing bleach/water and one spray bottle containing soap/water were on a shelf above cups, bowls and napkins.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center did not ensure that children?s hands were washed with soap and water after toileting, and staff washed their hands with soap and water before and after a diaper change. Evidence: 1. Staff #7 was observed changing Child #6. 2. Staff #7 did not wash their hands before or after changing Child #6. 3. Child #6?s hands were not washed after their diaper change. 4. Child #7, Child #8 and Child #9 did not wash their hands after toileting.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that a diapering surface was cleaned with soap and water and sanitized after each use. Evidence: 1. Staff #7 was observed changing Child #6. 2. Staff #7 did not clean and sanitize the diapering surface after changing Child #6.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-A
Description:	Based on observation, the center did not ensure that over-the-counter skin products were not kept beyond the expiration date of the product. Evidence: 1. A diaper ointment belonging to Child #10 expired in December 2023. 2. A diaper ointment belonging to Child #7 expired in February 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-C
Description:	Based on observation, the center did not ensure that all requirements for diaper cream were met. Evidence: A diaper cream belonging to Child #11 was not labeled with the child?s name.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A
Description:	Based on observation and record review, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. Evidence: 1. Staff #7 was the only staff member in the Toddlers classroom during the inspection. Staff #7 does not have current certification in CPR and first aid. 2. Staff #6 was the only staff member in the Beginners classroom during the inspection. Staff #6 does not have current certification in first aid. 3. Staff #5 was the only staff member in the Intermediates classroom during the inspection. Staff #5 does not have current certification in CPR and first aid.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on record review, the center did not implement a monthly practice evacuation drill. Evidence: The center did not implement a practice evacuation drill in October 2023, December 2023 or January 2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center did not ensure that food containers were clearly dated and labeled in a way that identifies the owner. Evidence: 1. Food containers belonging to Child #11 and Child #12 were not dated and labeled with the children?s names. 2. 3 out of 3 bottles belonging to Child #12 were not dated and labeled with the child?s name.
Plan of Correction:	Not available online. Contact Inspector for more information.