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Chesterbrook Academy #816

Inspection · 2025-03-05

Date
2025-03-05
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
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 monitoring inspection was initiated and completed on March 5, 2025. The on-site inspection began at 8:45 a.m. and ended at 10:35 a.m. The inspector reviewed compliance in the areas listed above. There were 65 children present and 11 staff. The inspector reviewed 7 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, observations and interviews. 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 March 19, 2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit results of a follow-up tuberculosis (TB) screening.

Staff #4's follow-up TB screening is overdue by two weeks.

Staff #5's follow-up TB screening is overdue by 17 months.
Plan of Correction: Had staff members schedule for an updated TB test
Standard 8VAC20-780-270-A
Areas of the center, inside, shall be maintained in a safe condition.

There was chipped paint on walls in four classrooms. Two of the four classrooms also had peeling paint on walls within reach of children.
Plan of Correction: Put in for an update on painting ticket open in the fall. Covered areas until painted
Standard 8VAC20-780-40-M
The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions.

The allergy lists posted in each classroom were outdated. Child #4 is listed as having a food allergy, however Staff #4 confirmed that the child has outgrown the allergy. Child #7 is listed as having a food allergy, however Staff #4 confirmed that the child does not have an allergy. Child #8 is listed as having a food allergy, however Staff #4 confirmed that the child is no longer enrolled.
Plan of Correction: Allergy list is reformatted and updated
Standard 8VAC20-780-550-G
Documentation shall be maintained of emergency evacuation drills.

At the time of inspection, there was no documentation of evacuation drills for December 2024 or January 2025.
Plan of Correction: New form is in use and updated with dates
Standard 8VAC20-780-60-A-8
Each center shall maintain a record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy.

Child #'1's record indicates multiple food allergies. Child #1 has been enrolled for over two months and does not have a written care plan on file.

Child #9's record indicates multiple food allergies. Child #9 has been enrolled for over two years and does not have a written care plan on file.
Plan of Correction: Gave parents copies of the allergy care plan for completion
View original record on Virginia Department of Social Services