VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesterbrook Academy #816
222 Spring Street
Herndon, VA 20170
(703) 464-5400

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Oct. 17, 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 8VAC20-820 HEARINGS PROCEDURES 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on October 17, 2024. The on-site inspection began at 8:50 a.m. and ended at 11:15 a.m. The inspector reviewed compliance in the areas listed above. There were 65 children present and 9 staff. The inspector reviewed 6 children?s records and 5 staff records on site. This inspection included document review, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on October 30, 2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-A
Description:	REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The center is required to have employees undergo a background check every five years. The central registry check for Staff #3 is overdue by 12 weeks. The central registry check for Staff #5 is overdue by 8 months.
Plan of Correction:	All background checks resubmitted.
Standard #:	22.1-289.035-B-3
Description:	The center must request a search of the central registry prior to the employee's first day of employment. The center did not have documentation showing that a central registry search was requested for Staff #2, who has been employed for two months.
Plan of Correction:	Background check resubmitted.
Standard #:	22.1-289.035-B-4
Description:	REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The center is required to request background checks from any state in which the individual has resided in the preceding five years. The center did not have documentation that a search of the child abuse and neglect registry and sex offender registry was requested from one state for Staff #2, who has been employed for two months.
Plan of Correction:	Out of state checks printed and placed in file.
Standard #:	8VAC20-780-130-A
Description:	REPEAT VIOLATION The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The center did not obtain documentation of immunizations for Child #2 and Child #3. Child #2 has been attending the center for 10 days and Child #3 has been attending for one year.
Plan of Correction:	All student files reviewed for missing documents.
Standard #:	8VAC20-780-140-A
Description:	REPEAT VIOLATION Each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days of the first day of attendance. Child #3 and #6 did not have a physical examination on file. Child #3 has been attending the center for one year and Child #6 has been attending for 42 days.
Plan of Correction:	All student files reviewed for missing documents.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Each center shall maintain a separate record for each child enrolled which shall contain documentation of viewing proof of the child?s identity and age. Child #1 and #2?s records did not contain documentation of viewing proof of the child?s identity and age. Child #1 has been enrolled for 11 months and Child #2 has been enrolled for 10 days.
Plan of Correction:	All missing paperwork obtained.
Standard #:	8VAC20-780-240-I
Description:	Documentation of orientation training shall be kept by the center. The center did not have documentation of Staff #1?s Virginia Department of Education-sponsored orientation course.
Plan of Correction:	Staff completed training again.
Standard #:	8VAC20-780-350-B-1
Description:	REPEAT VIOLATION The staff-to-children ratios are required whenever children are in care. There were 1 staff and 5 children, including Child #1 (age: 14 months), present in the Toddlers classroom, exceeding the required ratio of 1 staff to 4 children for children ages birth up to 16 months.
Plan of Correction:	Staff schedules adjusted to meet morning needs.
Standard #:	8VAC20-780-350-B-2
Description:	The staff-to-children ratios are required whenever children are in care. There were 2 staff and 13 children, including Child #7 (age: 23 months), present in the Beginners classroom, exceeding the required ratio of 1 staff to 5 children for children ages 16 months up to 24 months.
Plan of Correction:	Staff schedules readjusted to meet needs.
Standard #:	8VAC20-780-350-B-4
Description:	The staff-to-children ratios are required whenever children are in care. There were 2 staff and 23 children (ages: 4 to 5 years) present in the PreK-2 classroom, exceeding the required ratio of 1 staff to 10 children for children ages 3 years old up to school age eligible.
Plan of Correction:	Staff schedules readjusted to meet morning needs.
Standard #:	8VAC20-780-510-P
Description:	REPEAT VIOLATION When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Authorization for a medication belonging to Child #8 expired over 2 months ago. The parent did not pick up the medication and the center did not dispose of it.
Plan of Correction:	Medication returned to parent and new paper requested.