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SACC at Chesterbrook

Inspection · 2024-10-03

Date
2024-10-03
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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
During the inspection, the inspector reviewed the areas listed above. 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.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 10/03/2024 , as a part of the licensure period. The on-site inspection began at 1:00pm and ended at 2:05pm. The inspector reviewed compliance in the areas listed above. There were 15 children present and 2 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included: document review, 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.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 10/17/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader.
Staff #1 and #2 who did not meet lead teacher qualifications was alone with a group of 15 children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill.

An evacuation drill was not completed in September 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a record for each child enrolled that contains all of the required information.
1. The record for Child # 3 who has been enrolled for 6 weeks was missing the following information: both parent's work addresses and addresses for 1 emergency contact .
2. The record for Child #3 and #5 was missing confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3.
3. The record for Child #5 did not contain documentation of health information as required by 8VAC20-780-130, 8VAC20-780- 140, and 8VAC20-780-150
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records are required to have documentation of the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

Emergency contact information for Staff #2 who was substituting on 10/03/2024 was not kept at the center.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
The center shall maintain a written record of daily attendance that documents the departure of each child in care as it occurs.
At approximately 1pm on 10/03/2024 there were a total of 15 children present in the room. 17 children were marked present on the written record of attendance.
Plan of Correction: Not available online. Contact Inspector for more information.