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Chesterbrook Academy #802

Inspection · 2024-08-02

Date
2024-08-02
Complaint Related
No
Licensing Inspector
Whitney Mcgrath
(571) 835-4717
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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 (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and concluded on 8/2/2024. The on-site inspection began at 11:30am and ended at 1:35pm. The inspector reviewed compliance
in the areas listed above. There were 53 children present and 10 staff. The inspector reviewed 5 children?s records and 4 staff records on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs), a 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

6
Standard 8VAC20-780-130-A
Based on record review and interview, the center did not obtain documentation that each child has received immunizations before the child can attend the center.
Evidence: Child #3s record does not contain immunizations. The center confirmed that they have not obtained an immunization record from the family.
Plan of Correction: I will have our front desk reach out to the parents to obtain that information.
Standard 8VAC20-780-270-A
REPEAT VIOLATION
Based on observation, areas and equipment of the center were not maintained in a clean, safe and operable condition.
Evidence: There was a child-sized blue couch observed in the intermediates classroom with large teams across the seat exposing the inside cushioning.
Plan of Correction: I will remove the couch from the classroom today. I have recently placed an order for classroom supplies so I will make sure the couch is replaced.
Standard 8VAC20-780-350-B-1
REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on observation, the staff-to-children ratio of 1:4 for children birth-16 months was not followed when children were in care.
Evidence: There were five children observed in the older infant classroom during the inspection. The youngest child in the group was 15 months old.
Plan of Correction: The child moved to the older classroom this week. I will remind the front desk staff to confirm birth dates prior to moving children to a new classroom.
Standard 8VAC20-780-550-G
Based on record review and interview, documentation of emergency evacuation drills was not maintained.
Evidence: There was no evacuation drill documented for the month of March 2024. The center director stated that they were unsure if a drill was practiced.
Plan of Correction: That drill would have been practiced prior to when I started at the center. I will make sure that all future drills get documented on our log as required.
Standard 8VAC20-780-60-A
Based on record review, childrens records did not contain all required information.
Evidence:
1. Child #3s record does not contain two emergency contacts.
2. Child #5s record does not contain addresses for both emergency contacts.
Plan of Correction: I will make sure that our front desk reaches out to the parents today to obtain the missing information.
Standard 8VAC20-780-70
Based on record review, staff records did not contain all required information.
Evidence: Staff #3s record did not contain documentation of two reference checks.
Plan of Correction: I will reach out to HR by email today and request that information.
View original record on Virginia Department of Social Services