VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Celebree School of Reston
11109 Sunset Hills Road
Reston, VA 20190
(974) 454-0567

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Feb. 16, 2024 and Feb. 28, 2024

Complaint Related: Yes

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services.

Comments:

An unannounced complaint inspection was conducted on 2/16/2024 from 12:00pm to 12:30pm, and 2/28/2024 from 12:30pm to 2:35pm in response to a complaint that was received by the department regarding Administration, Staff Qualifications and Training, Staff and Supervision, Programs, Special Care Provisions and Emergencies, and Special Services. Staff interviews, and review of documents were made. The preponderance of evidence does support a valid finding regarding standards related to Administration, Staff Qualifications and Training, Staffing and Supervision, Programs, Special Care Provisions and Emergencies, and Special Services. Areas of non-compliance are identified on the Violation Notice. If you have any questions regarding this inspection, please contact Mark Davis at 804-629-7103 or at Mark.Davis@doe.virginia.gov

Violations:

Standard #:	8VAC20-780-160-A
Complaint related:	Yes
Description:	Complaint Related Based on review of staff files, documentation of a negative tuberculosis screening was not completed within 30 calendar days of the date of employment. Evidence: Staff #2 did not have documentation of a tuberculosis screening within30 calendar days of the date of employment. Staff #3 began employment 9/5/2023 and the documentation of a negative tuberculosis screening was dated 3/11/2023.
Plan of Correction:	Center will ensure that all staff submit documentation of tuberculosis screening within 30 calendar days of the date of employment.
Standard #:	8VAC20-780-70
Complaint related:	Yes
Description:	Complaint Related Based on review of staff records and confirmed by the center director, documentation to demonstrate that each individual possesses the education, certification, and experience required by the job position, and orientation and training as required was not kept for each staff person. Evidence: Staff #1 did not have documentation of: references, documentation of agreeing to the centers policies and procedures, Staff #3 only had one reference, did not have record of orientation, no record of staff being provided in writing of the centers policies and procedures
Plan of Correction:	The center will ensure that full documentation of staff qualifications are kept on file.
Standard #:	8VAC20-780-210-A
Complaint related:	Yes
Description:	Complaint Related Based on review of staff files, program leaders did not meet the qualifications of the position. Evidence: Staff #3 and Staff #4 did not meet the qualifications of the program leader position.
Plan of Correction:	Center will ensure all program leaders meet the qualifications of their position.
Standard #:	8VAC20-780-240-B
Complaint related:	Yes
Description:	Complaint Related Based on review of staff files, it was determined that staff did not complete orientation training prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff # 1 and Staff #2 had not completed orientation training and have assumed job duties for longer than seven days.
Plan of Correction:	Center will ensure that all staff complete orientation prior to working alone with children and no later than seven days of assuming job responsibilities.
Standard #:	8VAC20-780-240-C
Complaint related:	Yes
Description:	Complaint Related Based on review of staff files, it was determined that orientation training did not include the polices and procedures listed in subsection D Staff Orientation and the standards that relate to the staff member's responsibilities.
Plan of Correction:	Center will ensure that orientation training includes policies and procedures of section D of orientation and standards that relate to the staff member's responsibilities.
Standard #:	8VAC20-780-340-C
Complaint related:	Yes
Description:	Complaint Related Based on interviews with the director and staff members, there was not always one staff member who meets the qualifications of a program leader and an immediately available staff member during the stated hours of operation when one or more children were present. Evidence: It was determined that on 2/15/2024, 2/16/2024, and 2/27/2024 there was only one staff member present at the center at opening while children were present due to a staff member arriving late.
Plan of Correction:	The center will ensure there is always at least 2 staff members on the premises during operation.
Standard #:	8VAC20-780-370-3
Complaint related:	Yes
Description:	Complaint Related Based on interview with the director it was determined that infants were not provided with outdoor time if weather and air quality allowed based on the Air Quality Color Code Chart as provided by the Department of Environmental Quality. Evidence: The director confirmed that the infants were not always provided with outdoor time if weather and air quality allowed.
Plan of Correction:	The center will ensure that infants are provided with daily outdoor time when weather and air quality allow.
Standard #:	8VAC20-780-530-A-1
Complaint related:	Yes
Description:	Complaint Related Based on review of staff training, it was determined that staff members certification in CPR did not include an in-person competency demonstration. Evidence: Staff #2 and Staff #4 had a current certification in CPR that was missing an in-person competency demonstration.
Plan of Correction:	The center is scheduling an in-person CPR class for all staff members.
Standard #:	8VAC20-780-560-F
Complaint related:	Yes
Description:	Complaint Related Based on interview with center director, the menu listing foods to be served for meals and snacks did not list substitutes food. Evidence: The center director confirmed that although parents were notified about food substitutions digitally, the posted menu was not updated.
Plan of Correction:	The center will update the menu with any substituted food as this occurs.