VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Everbrook Academy
4645 Daisy Reid Avenue
Woodbridge, VA 22192
(703) 590-4145

Current Inspector: Christina Jones (540) 340-2672

Inspection Date: Feb. 29, 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. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Re-train staff to clean and sanitize changing pad after every use.

Comments:

An unannounced monitoring inspection was conducted with the director on February 29at, 2024, beginning at 8:20 a.m. and ending at 10:38 a.m. There were 107 children, ages 6 months through 11 years old, in the direct care of 17 staff members. The children were observed playing with age-appropriate toys, doing circle time, and coloring. Seven children?s records were reviewed. Four staff records were reviewed. Five medications and two allergy care plans to be reviewed and in compliance. The first aid kit, flashlight, and battery-operated radio were observed and in compliance. The most recent evacuation drill was documented as 2/26/2024. The most recent health inspection was dated 11/20/2023. The most recent fire inspection was dated 1/19/2023. If you have any questions regarding this inspection, contact the licensing inspector at 540-216-1434.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on a review of documentation, the facility failed to obtain a sworn statement or affirmation for staff before they were employed. Evidence: Staff A's record was missing documentation of a signed sworn statement.
Plan of Correction:	Obtained sworn disclosure statements signed by staff. Files are now in compliance. Moving forward school management will require a paperwork day during hiring process to ensure all required staff file documents are in place prior to ensure all required staff documents are in place prior to employees 1st day of employment.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of documentation, the facility failed to obtain documentation of a negative tuberculosis screening from staff at the time of employment and prior to coming into contact with children. Evidence: Staff A and B's records were missing documentation of a tuberculosis screening.
Plan of Correction:	Staff A & B provided documentation of TB testing on 3/4/2024. Files are now in compliance. Moving forward school management will conduct a paperwork day during the hiring process to ensure all required staff file documents are in placed prior to employees 1st day of employment.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of documentation, the facility failed to ensure that all of the children's records contained the required information. Evidence: Child A's record was missing one emergency contact.
Plan of Correction:	The child's file is now up to date. Moving forward school management will ensure that all paperwork day is completed before the child(s) 1st day.
Standard #:	8VAC20-780-260-A
Description:	Based on a review of documentation, the center failed to provide an annual fire inspection report to the licensing representative. Evidence: The most recent fire inspection was dated 1/19/2023.
Plan of Correction:	Management will use the LCG provided checklist and calendar alerts to ensure that drills are completed on time.
Standard #:	8VAC20-780-550-E
Description:	Based on a review of documentation, the facility failed to conduct two practice shelter-in-place drills per year. Evidence: There was no documentation of a shelter-in-place drill being conducted in 2023.
Plan of Correction:	Management will use the LCG provided checklist and calendar alerts to ensure that drills are completed on time.
Standard #:	8VAC20-780-550-F
Description:	Based on a review of documentation, the facility failed to conduct one practice lockdown drill per year. Evidence: There was no documentation of a lockdown drill being conducted in 2023.
Plan of Correction:	Lock down drill has been completed. Management will use the LCG provided checklist and calendar alerts to ensure that drills are completed on time.