VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chestnut Academy LLC
5005 South Amherst Highway
Madison heights, VA 24572
(434) 241-3087

Current Inspector: Krysten Hunt (804) 335-6724

Inspection Date: July 24, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 20 Access to minor?s records 8VAC20-780 Staff Qualifications and Training. 22.1 Early Childhood Care and Education 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

Comments:

An unannounced, on-site renewal inspection was initiated on 07/24/2024 and completed on 07/30/2024, as a part of the conditional licensure period. The on-site inspection began at 10:15 AM and ended at 1:45 PM. The inspector reviewed compliance in the areas listed above. There were 24 children present and 8 staff. The inspector reviewed 5 children?s records and 6 staff records on-site 07/24/2024. This inspection included: document review (i.e. Injury logs, policies and procedures, emergency drill logs, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 08/07/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of six staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: Staff # 1 had a documented employment date of 06/25/2024. No returned letter of eligibility was provided. Staff # 7 did not provide documentation when requested.
Plan of Correction:	The staff person was sent to obtain finger prints and will not work until they are returned.
Standard #:	8VAC20-780-160-A
Description:	Based on interview and review of staff record, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: Staff # 1 started employment on 06/25/2024 and did not have a TB test was completed more than 30 days prior to hire.
Plan of Correction:	The staff person will obtain the TB screening while they are out awaiting finger prints.
Standard #:	8VAC20-780-70
Description:	Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 1 had a hire date of 06/25/2024 and was missing the following items: documented job title, documentation of any health problems that may interfere with fulfilling the job responsibilities and two required references. 2.Staff # 2 had a hire date of 07/15/2024 and was missing the following items: Job title, two required references and documentation of any health problems that may interfere with fulfilling the job responsibilities. 3.Staff # 3 had a hire date of 06/07/2024 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities and one of the two required references. 4.Staff # 4 had a hire date of 05/20/2024 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities and one of the two required references. 5. Staff # 5 had a hire date of 06/18/2024 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities and two required references.
Plan of Correction:	The missing staff information will be added to the records, the human resource person will monitor all records.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that all areas and equipment are safe, clean and operable condition. Evidence: On the playground the rocking airplane did not have the front bolts attached to the ground. The LI observed a child sitting on the back of the airplane and the front end completely came off the ground.
Plan of Correction:	The owners fixed the equipment that was missing the front bolts. All areas will be monitored.
Standard #:	8VAC20-780-330-B
Description:	Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing. Evidence: The measurable amount of resilient surfacing around the climbable and moveable play equipment was approximately 2 to 3 inches. The black tarp was showing on several places around the equipment. The pieces of mulch were approximately 2 to 4 inches in length and ? inch to 1 inch in width. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing is six inches based on the height if the equipment observed on the playground. The resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in figure 2 on attachment VII.
Plan of Correction:	The owner will call the company that supplied the mulch and will make sure that it meets the CPSC requirements for resilient surfacing.
Standard #:	8VAC20-780-350-A
Description:	Based on observation, the center failed to ensure that the ratio for infants was met. Evidence: Upon arrival at approximately 10:15 AM, the infant room had five infants with one staff person. members. The youngest child was 5 months of age. The required ratio is 4 children to 1 staff person. Two staff members were required for the room.
Plan of Correction:	The floater will now break the staff in infant room starting tomorrow. Ratio will be met.
Standard #:	8VAC20-780-350-C
Description:	Based on observation of an on-going mixed age grouping of children, the center failed to ensure that the staff to children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Evidence: There was a on going mixed age grouping that had 17 children present with three staff counted in ratio. The youngest child in the grouping was 19 months old. The required ratio is four staff. The mixed grouping of children regularly meet to have music time together.
Plan of Correction:	Music group will be done in each classroom and will not be done with all classes at one time.