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Chesterbrook Academy #826
22695 Cotton Grass Way
Ashburn, VA 20148
(571) 223-3233

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: July 12, 2017

Complaint Related: No

Areas Reviewed:
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:
A great deal of consultation provided to the new assistant director with regards to compliance and methods of record audits. Please refer to the public website for a copy of the regulations, technical assistance manual and model forms. Discussion held regarding the recent other licensing inspection that was conducted. You are reminded to begin using the new sworn disclosure forms and review the new barrier crimes for all staff.

An uannounced Renewal inspection was conducted this date. A total of 90 children with 16 staff present. All 9 classrooms were observed. The school age class was observed leaving and returning from a field trip. Observation of playground and all areas for programming was made. Handwashing, diapering, arts and crafts and outdoor play was also observed. Children were observed making aluminum foil handprints and homemade chalk. Positive interaction was observed. Staff demonstrated knowledge of emergency procedures, food allergies and medication needs of the children in their classes. All new staff hired this past year had verified background checks on file. A total of 7 staff records and 6 children's records were reviewed along with all medications/authorizations and health exams for an additional 4 children were reviewed. Two repeated issues were found regarding physical plant and expired medications. This inspection began at 9:45am and ended at 3:15pm. Thank you for your cooperation today. Please email me at:

Standard #: 22VAC40-185-110-A
Description: Based on child record review, health assessments were not completed as required. Evidence: Child #1 began care in December 2016, a health assessment was not completed and maintained in the record. Child #3 began care in March 2017, a health assessment was not completed and maintained in the record.

Plan of Correction: A full audit of records will be completed. Health exams will be obtained within 30 days of enrollment and administration will complete ongoing audits to ensure the exams are obtained.

Standard #: 22VAC40-185-150-B
Description: Based on child record review, immunizations on file were not completed as required. Evidence: Immunizations for Child #1 and Child #3 were not signed or stamped by a physician.

Plan of Correction: We will complete a full audit of children's files and will require all immunizations to be signed by the physician prior to accepting children into care.

Standard #: 22VAC40-185-60-A
Description: Based on child record review, children's records were not complete. Evidence: Child #1's record did not have the required two emergency contacts which includes name, address and phone numbers.

Plan of Correction: We will obtain the emergency contacts for this child today.

Standard #: 22VAC40-185-70-A
Description: Based on staff record review, written information to demonstrate that staff possess the education, certification, and experience required by the job position was not found. Evidence: Staff #2, 6 and 7 work in the capacity of an Assistant Director and lead teachers. No documentation found in their records of their educational qualifications for these positions.

Plan of Correction: All staff qualify for these positions, center will obtain their credentials and educational transcripts and maintain them in their records.

Standard #: 22VAC40-185-270-A
Description: Based on observation of physical plant, some areas are not maintained in a safe and operable condition. Evidence: The cabinet located under the sink in the Beginner classroom has a hinge that is broken. The blinds located in the Toddler classroom is frayed and ripped. This was a repeated issue from a prior inspection. The top fencing are in the school age playground has warped wood planks that expose rusted nails.

Plan of Correction: We will repair or replace these areas.

Standard #: 22VAC40-185-510-A
Description: Based on review of medications, two medications is no longer authorized for administration. Evidence: The authorization for Bendadryl and an Epi Pen for Child # 9 expired on 3/11/2017. Both medications were on site.

Plan of Correction: We will obtain a new authorization for both these medications.

Standard #: 22VAC40-185-510-C
Description: Based on review of medications and topical ointments, the center's procedures for administering medication was not followed. Evidence: Benadryl for Child #8 expired in 5/2017. Topical ointment for Child #10 expired in 5/2017. Topical ointment for Child #11 expired in 5/2017. This is a repeated issue from the last monitoring inspection.

Plan of Correction: We will conduct an audit of all topicals, sunscreens and medications for expired medications.

Standard #: 22VAC40-185-570-A
Description: Based on observation of the Infant A room, a high chair was not equipped with a safety belt while in use. Evidence: One infant observed being fed in a high chair without safety straps. The majority of high chairs in Infant room A and were not equipped with all parts of the safety straps.

Plan of Correction: The straps were being washed, we will ensure that all straps are replaced prior to using the high chairs.

Standard #: 22VAC40-185-570-E
Description: Based on observation of the toddler classroom, two baby bottles was not labeled correctly. Evidence: One bottle found in the refrigerator in the toddler classroom was not dated. One bottle found in the refrigerator dated 3/21/2017 and was not labeled with a child's name.

Plan of Correction: Assistant Director removed the bottle dated 3/21/2017 and the other bottle in the refrigerator was dated during the inspection.

Standard #: 22VAC40-191(BC)-70-A-2-b
Description: Based on staff record review, sworn disclosures were not maintained. Evidence: No sworn disclosures for Staff #1, 2 and 3 were on file.

Plan of Correction: We will begin using the new sworn disclosure form and will complete a staff record audit to ensure records are complete.


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. To find programs participating in Virginia Quality, click here.

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