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Chesterbrook Academy - Stony Point

Inspection · 2024-04-19

Date
2024-04-19
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
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.
8VAC20-770 Background Checks

Inspector Notes

A monitoring inspection was conducted on April 19, 2024 from approximately 10:20 a.m. to 2:37 p.m. There were a total of 107 children present, ranging in ages from 7 months to 5 years with 19 staff supervising. A total of 11 children?s records and 5 staff records were reviewed.

The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, special care and emergencies, special services, and background checks.

During the inspection, children were observed in teacher-directed and self-directed activities. Staff were observed preparing lunch, reading stories, and having positive interactions with the children. The center is equipped with toys and supplies and items were available to the children.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it within 5 business days. Please specify how the deficient practice will be or has been corrected.

Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names, list staff by positions only.

If you have any questions about this inspection, please contact the licensing specialist.

Cindy Horne
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 804-297-4469
cindy.horne@doe.virginia.gov

Violations

4
Standard 22.1-289.035-B-4
Based on the review of one staff record (Staff #4), and an interview with a center representative (CR #1), the center failed to obtain a copy of the results of a search of the child abuse and neglect registry from any state where the individual has resided in the preceding five (5) years.

Evidence: The staff record contained no documentation of Out of State Child Abuse and Neglect results from Texas for Staff #4. Staff #4 began employment on 8/14/23. The sworn statement dated 8/14/23 documented that Staff #4 had resided in Texas within the last 5 years. There was documentation in the record that a request to search was submitted on 8/22/23.

In an exit interview on 4/19/24, CR #1 acknowledged that no results were received and that no follow up was completed after the initial request.
Plan of Correction: Reached out to follow up on background and received the completed copy for the file on 4/24/24.
Standard 8VAC20-780-270-A
(Repeat Violation) Based on observations and an interview with a Center Representative (CR #1), the center failed to maintain outside areas of the center in a safe and operable condition.

Evidence: In the children?s outdoor play area, a section of a gutter downspout approximately 3 feet long was detached from the rest of the downspout adhered to the gutter and the outer brick wall. It was observed laying on the ground. The downspout edges were sharp and screws were protruding from the downspout that remained attached to the outer brick wall which was within the reach of children.

In an exit interview on 4/19/24, CR #1 acknowledged that the downspout needed to be repaired.
Plan of Correction: Maintenance for this was previously scheduled for 4/22/24. This has been fixed.
Standard 8VAC20-780-60-A
(Repeat Violation) Based on the review of 1 child?s record (Child #7), and an interview with a center representative (CR #1), the agency failed to maintain information in the child?s record as required by 8VAC20-780-420.E.3 and 8VAC20-780-150.B.

Evidence:
Staff failed to request at least annually parent confirmation that the required information in the child?s file was up to date. Parent confirmation of the information in the file for Child #7 was dated in 2020.

The immunizations received for Child #4 dated 4/16/23 and 1/03/24 were not signed by a physician, the physician?s designee, or an official of a local health department.

The first day of attendance for Child #7 was 8/03/20.

In an exit interview on 4/19/24, CR #1 acknowledged that the parent?s did not confirm that the information in the child?s file was up to date annually and that the immunization records of the child were not signed by a physician.
Plan of Correction: Update has been completed by parent. Immunizations have been updated by parent.
Standard 8VAC20-780-70
Based on the review of two staff records (Staff #2 and Staff #4), and an interview with a center representative (CR #1), the agency failed to keep staff records as required.

Evidence:
The tuberculosis screening for Staff #2 was not dated. Documentation of the tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Staff #2 began employment on 12/18/23.

The staff record does not include documentation that Staff #4 completed the Virginia Department of Education-sponsored (VDOE) orientation course. Staff #4 began employment on 8/14/23. The VDOE orientation course shall be completed within 90 calendar days of employment.

In an exit interview on 4/19/24, CR #1 acknowledged that the tuberculosis screening for Staff #2 was not dated and that the record for Staff #4 did not contain documentation of a completed VDOE orientation course.
Plan of Correction: Staff received new copy of TB test with date of 12/05/23 completed before first day of employment. VDOE course will be completed by staff by 4/29/24. For future set calendar reminder to ensure this is complete within 90 days.