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Chesterbrook Academy #801
4401 Roger Stover Drive
Fairfax, VA 22033
(703) 803-7920

Current Inspector: Nancy Radcliffe

Inspection Date: Oct. 26, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, and that the Center Director is away at a national conference until the end of the week.

Comments:
The following inspection took place between the hours of 9 am through 1:30 pm. Today, I met with the Staff of the Chesterbrook Academy #801 located in Fair Lakes, Virginia. At the start of this unannounced monitoring inspection there were a total of 100 children with 20 staff; good ratios in all 7 rooms. A total of 5 children?s files and 3 new staff files were reviewed. The children were engaged in the following: centers within their room, art, learning about shapes, small motor skills, large motor skills out on the playground, story time, music, song, diaper changing, bathroom breaks, hand washing, tummy time, infant feeding, lunch, nap time, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on review, 1 of 5 children's files reviewed indicated that the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence - 1. On the date of inspection (10/26//2016), the most current immunization documentation on file for Child #1 was dated - 01/02/2016. 2. Based on the information on file, Child #1 was under the age of two years on the date of inspection.

Plan of Correction: The Parent of Child #1 shall be contacted in order to obtain an updated immunization page.

Standard #: 22VAC40-185-140-A
Description: Based on review, 1 of 5 children's files reviewed indicated that each child did not have documentation of a physical examination (by or under the direction of a physician) on file within one month after attendance. Evidence - 1. On the date of inspection (10/26/2016), documentation of a physical was not available for review for Child #1. 2. The start date for Child #1 was listed as - 02/01/2016.

Plan of Correction: The Parent of Child #1 shall be contacted and a physical obtained.

Standard #: 22VAC40-185-160-A
Description: Based on review, 3 of 3 new staff files reviewed indicated that each staff member did not submit documentation of a negative tuberculosis screening (TB) no later than 21 days after employment. Evidence - 1. On the date of inspection (10/26/2016), initial TB documentation was not available for review for the following staff: Staff #1, Staff #2, and Staff #3. 2. The following start dates were listed for each: 05/09/2016 (for Staff #1), 07/11/2016 (for Staff #2), and 06/13/2016 (for Staff #3).

Plan of Correction: All applicable staff shall obtain this documentation and submit it to the center.

Standard #: 22VAC40-185-60-A
Description: Based on review, 1 of 5 children's files reviewed indicated that the center did not have all of the required information contained within each child's record. Evidence - 1. On the date of inspection (10/26/2016), the addresses of the two emergency contacts listed for both Child #2, and Child #5 was not available for review. 2. This section of the document where the addresses were to be listed was left blank.

Plan of Correction: This information shall be obtained and placed on file.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas inside the center were not maintained in a safe condition. Evidence - 1. On the date of inspection (10/26/2016), a blind cord chain has come loose of its security clamp for a window located within the Toddler room. This window faces the parking lot with the blind cord chain on the right side of window. 2. Within the Infant 2 room, 4 of 4 mats observed have worn corners that have become frayed. One mat that is part of the stacked climbing mats has several worn areas upon its surface. 3. Within the bathroom used by those children in the Beginners room, a piece of floor tile is missing. It appears that where the floor is heavily cracked, a piece of tile has broken away; exposing the concrete surface underneath. This missing area is directly in front of the first toilet used by the children. 4. Within the Pre-K2 room, the corner of the wall, where the cots are stored when not in use, has been damaged to the extent that the plaster on the corner is missing; exposing the metal angle iron underneath. It appears that the chipping plastic has spread up and around this corner of wall.

Plan of Correction: All areas will be addressed. Maintenance shall be notified in order to fix these areas.

Standard #: 22VAC40-185-510-G
Description: Based on review, 1 of 4 medications reviewed indicated that written authorization from the child's parent was not obtained. Evidence - 1. On the date of inspection (10/26/2016), the medication authorization form for medication that is to be administered to Child #3 on an as needed basis, did not have a signature from the child's parent authorizes the medication's use. 2. This was confirmed on the date of inspection by Staff #4.

Plan of Correction: The form shall be returned and then signed by the Parent of Child #3.

Standard #: 22VAC40-185-550-D
Description: Based on review, a minimum of two shelter-in-place practice drills per year (for the most likely to occur scenarios) were not conducted. Evidence - 1. On the date of inspection (10/26/2016), based on the log, there was no documentation of shelter-in-place drills practiced during 2015, and thus far in 2016. 2. This observation was based on how previous shelter-in-place drills were documented in previous years within the center's log.

Plan of Correction: A minimum of two shelter-in-place drills shall be conducted per year.

Standard #: 22VAC40-185-550-E
Description: Based on review and interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence - 1. On the date of inspection (10/26/2016), based on the information observed within the center's log, it appears that drills for the months of August, September, and October. Have not been conducted. 2. Staff #4 stated (during an interview conducted on the date of inspection) that drills were conducted for those months listed above. However, those drills were never documented within the center's log.

Plan of Correction: All drills shall be documented.

Standard #: 22VAC40-185-550-M
Description: Based on review, an accident/incident report did not have the signatures of both staff and the child's parent, or the signature of two staff. Evidence - 1. On the date of inspection (10/26/2016), an accident/incidenct report dated 04/11/2016, where a child who was non responsive due to a seizure, did not contain the signatures of staff and parent, or the signatures of two staff. 2. Only the signature of one staff person was listed on this report.

Plan of Correction: The report will be retroactively signed by another staff person who would be applicable to this event. If needed, the signature of the parent will also be obtained.

Standard #: 22VAC40-191-60-D-1
Description: Based on review, 1 of 3 new staff files reviewed indicated that there was no documentation that the center made contact with the Central Criminal Records Exchange of the Department of State Police within four working days past the 30 day period for a requested report. Evidence - 1. On the date of inspection (10/26/2016), it was determined that a requested criminal history record report (CRC) was sent within seven calendar days (05/11/2016) of a staff person's employment date (05/09/2016), but was not returned within 30 calendar days. 2. The facility has documentation of a dated copy of the request indicating the date it was sent. 3. The Central Criminal Records Exchange was contacted on the date of inspection and a message was left.

Plan of Correction: A new request shall be sent if the older request can not be located. In the meantime, Staff #1 shall be with another staff member that has a CRC on file.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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