VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Everbrook Academy
24299 Liberty Harvest Court
Sterling, VA 20166
(703) 327-4470

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: March 27, 2025

Complaint Related: No

Areas Reviewed:

8 VAC 20-780 Administration 8 VAC 20-780 Staff Qualifications and Training 8 VAC 20-780 Physical Plant 8 VAC 20-780 Staffing and Supervision 8 VAC 20-780 Programs 8 VAC 20-780 Special Care Provisions and Emergencies 8 VAC 20-780 Special Services 8 VAC 20-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 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:

* Discussion of the lead water testing now required by the Code of Virginia. The CDC has completed this test.. Please send all water testing plans and lead testing results to: leadtestingprogram@vdh.virginia.gov * Effective 12/09/2024, the Office of Background Investigations implemented changes to their provider portal. Please note that all providers will need to create an account to request Central Registry background clearances. Please contact OBI directly if you have questions or concerns. Here is a caption from the memo that was sent on 12/04/2024: Both current and new users will need to register a new account to access the new OBI Provider Portal after December 9, 2024, to ensure all features of the enhancements are applied to user accounts. Registration will create an account with up to 5 authorized users and will allow the primary account user to update account access and facility contact information as needed. * Standard 8VAC20-780-340 D (for CDCs) requires a staff member that meets the qualifications of a program leader or program director to be `regularly present? in each grouping of children. As stated in the exception in 8VAC20-780-340 E, a program leader is not required in each grouping of children during the first and last hour of operation when a center operates more than six hours per day and during the designated rest period (nap time) if certain requirements are met. The standards do not provide additional exceptions or occurrences when it is acceptable for a program leader to not be present. However, it is reasonable to permit flexibility during short breaks (e.g., a restroom break). * Discussion (for CDCs) that the Code of Virginia defines school age as five by September 30th (? 22.1-1). A child who will turn 5 by September 30 within the current year is considered school-age on the day following the last day of the school year of the school division in which the child resides, typically in May or June. A preschool class that operates in the summer months in which all of the children turn 5 by September 30 is not required to follow standards specific to preschool-aged children. For example, the ratio in the group can change from 1:10 to 1:18 regardless of whether the class is called ?preschool,? because all the children in the group are school-aged.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on 03/27/2025. The on-site inspection began at 9:30 am and ended at 1 pm. The inspector reviewed compliance in the areas listed above. There were (55) children present and (8) staff. The inspector reviewed (5) children?s records and (13) staff records (2 new staff) on-site on 03/27/2025. This inspection included: document review (i.e. files, Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms); 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.

Violations:

Standard #:	8VAC20-780-130-E
Description:	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. Child #16, who had been attending for two months, has documentation of an immunization record on file that expired four months ago.
Plan of Correction:	An updated immunization page was obtained and filed. We have reviewed our file checklist with all management staff and it will be reviewed weekly so that parents are given at least 2 week's notice to bring in updated records.
Standard #:	8VAC20-780-240-B
Description:	Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #13, who started 4 weeks ago, did not have documentation of their orientation training on file. This training is separate from the required Preservice Training.
Plan of Correction:	The orientations were completed and placed in their files. The staff file checklist was reviewed with all management staff to ensure that all documents are complete before a staff member is in ratio with the children.
Standard #:	8VAC20-780-550-E
Description:	Shelter in place procedures shall be practiced a minimum of twice per year. Shelter-in-place (2) drills were not conducted in 2024.
Plan of Correction:	Two shelter in place drills will be conducted and recorded in 2025. We have added this to our annual drill log to ensure they are completed moving forward.