VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Celebree School of Ashburn Farm
43800 Clemens Terrace
Ashburn, VA 20147
(703) 879-2452

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: March 26, 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 (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed with administration: The allergy action plan available for review or one child cannot be followed as one of the required medications is not on site.

Comments:

An unannounced monitoring inspection was conducted today. All rooms were in ratio during the inspection. The playground was not in use during the inspection. Children were observed sleeping, during a diaper change, washing hands and eating snack. 4 child and 4 staff records were reviewed. See Violation notice for non-compliances cited today. If you have questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov LI was present today from 2:00 PM - 4:30 PM.

Violations:

Standard #:	8VAC20-780-160-C
Description:	Based on a review of records, one staff record does not contain documentation of a negative result for a follow up tuberculosis screening result within the allowable two year time frame. Evidence: Staff B's record contained a negative screening result dated 1/12/22. (Expired).
Plan of Correction:	Staff will be asked to obtain a new screening result as soon as possible.
Standard #:	8VAC20-780-40-E
Description:	Repeat Violation Systemic Deficiency Based on a review of medication authorizations, the center failed to follow its policy for medication administration, by not receiving an authorization for a prescription medication on site. Evidence: There is no authorization available for review for an Epi-pen present at the facility. (Child 1)
Plan of Correction:	Parents will be asked to provide an authorization for the medication.
Standard #:	8VAC20-780-50-B
Description:	Based on a review of records, one staff record was not made available during the inspection. Evidence: Staff D's record was not available during the inspection. Staff stated the file was locked in the Owner's office.
Plan of Correction:	I will speak to the owner about access to all records.
Standard #:	8VAC20-780-60-A
Description:	Repeat Violation Systemic Deficiency Based on a review of records, child records did not contain al required information. Evidence: 1. Child #1's record did not contain documentation of parent's work and 2 emergency contacts information. 2. Child #1's record was not updated annually. File was dated 7/8/22.
Plan of Correction:	Parents will be contacted to provide missing information. All child records will be updated at a near future date.
Standard #:	8VAC20-780-80-A
Description:	Based on a review of attendance documentation, the center did not maintain a written record of attendance for each group of children. Evidence: 1. The Infant room attendance was not accurate. There were 4 infants present in the Infant B room. One infant had not been entered into the "app" system in use, and was not accounted for in attendance. 2. The 3's/4's rooms were combined for rest time. The "app" system showed 13 children present; however, there were 14 children present.
Plan of Correction:	We will begin using paper attendance sheets.
Standard #:	8VAC20-780-210-A
Description:	Based on a review of records, one staff record did not contain documentation of qualifications for a lead teacher. Evidence: Staff C's record did not contain documentation to show the person met lead teacher qualifications.
Plan of Correction:	Staff will be asked to provide transcripts to verify qualifications.
Standard #:	8VAC20-780-240-A
Description:	Based on a review of records, one staff record did not contain documentation of completion for the required Department of Education sponsored orientation course, within 90 days of employment. Evidence: Staff C's record had no documentation of completion of the 10 hour orientation course. (Date of Hire: 11/29/23)
Plan of Correction:	Staff will be reminded to complete the course as soon as possible.
Standard #:	8VAC20-780-440-B
Description:	Based on observation, cribs were not identified for use by a specific child. Evidence: 3 infants in the Infant B room were sleeping in cribs that were not identified for use by a specific child.
Plan of Correction:	The infants were moved to a different room to allow for a deep cleaning. Cribs in the Infant A room are labeled. We will make sure cribs in use are labeled.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the diaper disposal container in use was not foot operated. Evidence: The diaper disposal container in the Infant B room had a broken foot pedal. The Staff member was observed using their hand to open the lid, twice, to dispose of a diaper and then a paper towel.
Plan of Correction:	The diaper disposal container will be replaced.
Standard #:	8VAC20-780-510-I
Description:	Based on a review of medications, one medication was not maintained in the original container with the label attached. Evidence: Child #4's Albuterol Inhaler was not in the original container with the label attached.
Plan of Correction:	We will ask the parent to provide the container with the label attached.
Standard #:	8VAC20-780-550-E
Description:	Based on a review of documentation, the center did not practice shelter-in-place procedures a minimum of twice a year. Evidence: There was only one Shelter-in-place drill conducted for 2023.
Plan of Correction:	We will conduct 2 Shelter-in-place drills this year. Our form will be changed to make sure there is room to document the second drill.