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. 4, 2025

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 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.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on 2/4/2025. The on-site inspection began at 11:05am and ended at 2:15pm. The inspector reviewed compliance in the areas listed above. There were 155 children present and 23 staff. The inspector reviewed 7 children?s records and 5 staff records onsite. This inspection included document review, tour of the facility and interviews. 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 3/4/2025. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Centers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff A, who was seen supervising children, did not have national criminal background check results on file during inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
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. There was no documentation that a central registry check had been requested prior to Staff A supervising children.
Plan of Correction:	Management immediately submitted central registry to LCG360. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.
Standard #:	22.1-289.035-B-4
Description:	The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff D who indicated that they have lived in two other states outside of Virginia in the past 5 years, did not have results for out-of-state child abuse and neglect registry search, out-of-state sex offender registry check and out of state criminal history check for one state and no results for another states criminal history check. Staff D has been employed for 17 months.
Plan of Correction:	Management immediately submitted background check for out of state. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.
Standard #:	8VAC20-780-160-A
Description:	Each staff member shall submit documentation of a negative tuberculosis screening at time of employment and prior to coming into contact with children. Staff A and Staff B both supervising children during the inspection, did not have documentation of a negative tuberculosis screening.
Plan of Correction:	Management immediately obtained Tb test from employee on February 4,2025. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.
Standard #:	8VAC20-780-40-G
Description:	Child Day Centers are required to view the child's proof of identity and age within seven business days of the child's initial attendance. Child F?s who has been in enrolled for 5 months, had no proof of identity in their record.
Plan of Correction:	Child Identification form completed on February 6, 2025. Child file is now in compliance. Moving forward all required documents will be in the file before childs start date.
Standard #:	8VAC20-780-40-M
Description:	The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. 1. In the Preschool 1 classroom, Child A with a documented allergy is missing from the current written list of children?s allergies. 2. In the Preschool 2 classroom Child B with a documented allergy is missing from the current written list of children?s allergies. 3. In the Pre-K 1 classroom Child C with a documented allergy is missing from the current written list of children?s allergies. 4. In the Early Preschool Classroom Child D?s allergy information was posted on a sticky note outside of the cabinet, not kept confidential or dated.
Plan of Correction:	Allergy list updated currently. School allergy list will be updated monthly or when we have any changes i.e new students or classroom changes. Allergy list updated February 5, 2025.
Standard #:	8VAC20-780-70
Description:	Center must have required information in staff record. 1. Staff A and Staff B did not have files available during inspection. 2. Staff E was missing two or more references as to character and reputation checked before employment or volunteering.
Plan of Correction:	Management completed reference check. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.
Standard #:	8VAC20-780-245-J-1
Description:	Whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member or independent contractor who has satisfactorily completed a training program for this purpose. Staff C?s name was documented on the medication log for administering medication to Child F. Staff C did not have documentation showing Medication Administration training was completed.
Plan of Correction:	Staff C did complete the Medication training, but certificate not on file. Staff C will not administer medication until certificate is on file. Moving forward only staff with medication certificates will administer medication.
Standard #:	8VAC20-780-500-B
Description:	The diapering area shall have a nonabsorbent surface for diapering or changing. The diaper changing pad in the Two?s Classroom was ripped, causing it to no longer be nonabsorbent.
Plan of Correction:	Management threw away ripped diaper changing pad and replaced with new pad on February 6, 2025. Management reviewed with staff the policy notifying management of any damaged items in the classroom (i.e. changing pads and mattresses) on February 4,2025.
Standard #:	8VAC20-780-550-D
Description:	The center shall implement a monthly practice evacuation drill. Emergency drills were not conducted for August, October, November and December 2024.
Plan of Correction:	All emergency drills will be conducted at the appropriate time and documented properly. Moving forward management will calendar drills to ensure compliance.