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Chesterbrook Academy #816

Inspection · 2023-07-05

Date
2023-07-05
Complaint Related
No
Licensing Inspector
Tameika King
(804) 629-7486
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced Monitoring Inspection took place on 07/05/2023 between the hours of approximately 10:15 a.m. and 12:20 p.m. There were 6 classrooms observed with a total of 66 children with 12 staff within the supervision guidelines. The children were observed preparing to go outside, painting with cotton swabs, playing with manipulatives, and other organized activities. Positive interactions between the staff and children were observed. A complete inspection of the physical plant, children and staff records, playground, fire drill log, and medication was conducted during this inspection. 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. If you have any questions, please e-mail me at tameika.king@doe.virginia.gov. Thank you for your cooperation during the inspection.

Violations

8
Standard 22.1-289.035-A
Based on record review, the center failed to obtain updated background checks every five years for 2 out of 5 staff members.

Evidence:
1. Staff #4?s most recent fingerprint results were dated 06/05/2018.
2. Staff #5?s most recent fingerprint results were dated 04/11/2018.
3. Staff #5?s most recent sworn disclosure statement was dated 03/16/2018.
Plan of Correction: Staff #4 will have fingerprinting 7/8. Staff #5 completed disclosure and did fingerprints.
Standard 22.1-289.035-B-4
Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years, prior to employment.

Evidence:
1. Staff #2?s (hire date: 06/13/2023) sworn disclosure statement indicates that the staff member has resided out of state in the preceding five years.
2. Staff #2?s record did not contain results of out-of-state criminal history record checks.
Plan of Correction: Staff #2 has followed up with both states. Admin to follow up in writing on 07/10/2023.
Standard 8VAC20-770-60-C-2
Based on record review, the center did not have a central registry finding within 30 days of employment for 1 out of 5 staff members.

Evidence: Staff #1?s (hire date: 03/27/2023) record did not contain a central registry finding.
Plan of Correction: VA contacted for follow up on missing report.
Standard 8VAC20-780-130-E
Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: Child #3?s (age: 17 months) most recent immunization record was dated 05/09/2022.
Plan of Correction: Parent provided up to date record.
Standard 8VAC20-780-520-A
Based on observation, over-the-counter skin products were kept beyond the expiration date of the product.

Evidence:
1. A sunscreen belonging to Child #7 expired June 2023.
2. A sunscreen belonging to Child #8 expired December 2022.
3. A healing ointment belonging to Child #9 expired August 2022.
4. A diaper cream belonging to Child #9 expired June 2023.
5. A healing ointment belonging to Child #10 expired May 2023.
Plan of Correction: All products returned. Admin checked all classes. Teachers review procedure.
Standard 8VAC20-780-520-B
Based on record review, not all requirements for sunscreen were met.

Evidence: The center did not have written parent authorization for sunscreens belonging to Child #11 and Child #12.
Plan of Correction: Paperwork collected.
Standard 8VAC20-780-520-C
Based on record review, not all requirements for diaper ointment or cream were met.

Evidence: The center did not have written parent authorization for a diaper cream belonging to Child #7.
Plan of Correction: Paperwork collected.
Standard 8VAC20-780-550-P
Based on record review, the center did not ensure that all information was included on 5 out of 5 injury reports reviewed.

Evidence:
1. An injury report completed on February 10, 2023 did not include the time when parents were notified.
2. An injury report completed on April 5, 2023 did not include the time when parents were notified or documentation on how parent was notified.
3. An injury report completed on April 6, 2023 did not include the date and time when parents were notified or documentation on how parent was notified.
4. An injury report completed on June 7, 2023 did not include the time when parents were notified.
5. An injury report completed on June 20, 2023 did not include the time when parents were notified.
Plan of Correction: Staff will be retrained on completing forms.
View original record on Virginia Department of Social Services