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SACC at Chesterbrook

Inspection · 2025-09-23

Date
2025-09-23
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
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.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on , as a part of the licensure period. The on-site inspection began at 1p.m. and ended at 3p.m. The inspector reviewed compliance in the areas listed above. There were 41 children present and 3 staff with an additional staff returning at 2:10p.m.. The inspector reviewed 5 children?s records and 4 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 business days from today, which will be the close of business on 10/02/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place.
Cleaning materials were found in an unlocked cabinet in class 2. Cleaning materials were found in a cabinet with the key left in the keyhole in class 1. Both areas were accessible to children in care.
Plan of Correction: All storage spaces containing hazardous materials or substances are closed and locked when not actively in use. Keys for cabinets are located out of reach of children.
Standard 8VAC20-780-350-B-5
The required ratio for children school age eligible up to 9 years is one staff per 18 children.
1. Staff #4 was observed outside on the playground with 33 children for approximately 2 minutes.
2. Staff #2 was the only staff in class 1 when a total of 23 children transitioned from the playground to class 1 for approximately 1 minute.
Plan of Correction: The HDM will conduct unannounced site visits to ensure procedures are followed and to provide additional support and guidance.
1. While bringing children inside for bathroom breaks or other needs, staff will communicate and make necessary adjustments to ensure that each maintains proper ratio.
2.Staff will ensure they conduct transitions in a manner that allows all staff to maintain proper ratios throughout the process.
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's own policies and procedures are maintained in compliance.
1. The center's transition/accountability policy requires staff to know the total number of children and the names of the children.
2. The children were observed transitioning from outside to inside and were observed going into two classrooms randomly. The accountability procedures were not conducted as required to determine the number and names of each child in each classroom as they transitioned inside.
3. Staff were unable to determine which children were in which class.
4. The center's accountability policy requires staff to position themselves where they can see all children at all times. Staff #3 and #4 were observed sitting on benches talking with 34 children were observed playing in areas that were obstructed from staff.
Plan of Correction: 1-3 When transitioning into the rooms, each child reports to their assigned room. The center has updated transition procedures to ensure the children transition into classrooms in an organized manner. Staff will utilize ?name-to-face? accountability procedures along with checklists to maintain an accurate record of which children and the number of children that are in each space.
4. The center?s Playground Safety Plan has been updated and reviewed by each staff member. Staff will be sure to be spread out in the outdoor play space. During the Daily Accountability Meeting, center staff will receive an assigned area (playground, blacktop, field, etc.) to supervise. Staff will communicate any need for adjustments via walkie-talkies. All children will remain in sight of staff at all times.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions.

The list of children's allergies was not accessible to Staff # 2. Staff #2 was not able to locate the written list of allergies.
Plan of Correction: An updated Special Considerations List has been placed on the Staff Board (out of sight of children and non-staff in order to maintain confidentiality) as well as on each clipboard under Accountability Sheets.
Standard 8VAC20-780-50-B
Records and reports on children and staff required by this chapter shall be maintained and made accessible.
Injury reports for the 2024-2025 school year were not accessible.
Plan of Correction: A receipt for each submitted eIncident Report will be printed and maintained in a binder in the center.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain two emergency contacts.
The record for child #3 did not contain two emergency contacts.
Plan of Correction: The record for child #3 will be updated to include two emergency contacts.
View original record on Virginia Department of Social Services