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Chesterbrook Academy #816

Inspection · 2025-09-18

Date
2025-09-18
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 Staffing and Supervision
8VAC20-780 Special Care Provisions and Emergencies
22.1 Early Childhood Care and Education

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 monitoring inspection was initiated and completed on September 18, 2025 in response to a self-report received by the licensing office on September 17, 2025 relating to supervision. The inspector reviewed 1 child?s record and 3 staff records on-site. This inspection included document review, 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. Though not a part of the original self report, violations that were not reported were found related to background checks, lead qualifications, and CPR/First Aid and 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 September 26, 2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-3
REPEAT VIOLATION/ SYSTEMIC DEFICIENCY

The child day center must request a copy of the results of a search of the child abuse and neglect registry prior to employment and staff must be supervised at all times by an individual with all required background checks until they have received all required results.

On September 15, 2025, Staff #2 worked with a group of children and was not supervised at all times by an individual with all background checks.

Staff #2 has been employed for over 5 months.
Plan of Correction: Resubmitting background checks and rearranging staff placement and schedules
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care, protection and guidance.

On September 15, 2025, Staff #3 found Child #1 (age: 13 months) alone in the hallway, unsupervised. Staff #1 and Staff #2 were not aware that Child #1 was missing until the children got seated for lunch. At that time, Staff #5 was already returning Child #1 to the classroom.
Plan of Correction: Retrain staff on Face to Name and supervision policies and observe transitions
Standard 8VAC20-780-340-D
REPEAT VIOLATION

In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present.

On September 15, 2025, starting at 9:16 a.m., Classroom #1 was staffed with teachers who do not meet lead teacher qualifications. Staff #1, Staff #2 and Staff #4 worked at various times in the classroom together and alone throughout the remainder of the day.
Plan of Correction: Rearranging teacher placement and schedules ongoing until background checks are returned
Standard 8VAC20-780-340-F
Children under 10 years of age always shall be within actual sight and sound supervision of staff.

On September 15, 2025, Staff #3 found Child #1 (age: 13 months) alone in the hallway, unsupervised.
Plan of Correction: Retrain staff on Face to name and supervision. Observe transitions
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures.

The center's supervision policy states that Face to Name should be completed when "transitioning from one location to another", when "returning from playground" and "anytime a child goes through a door". The policy also states that "anyone who takes a child through any doorway should complete" Face to Name and "all staff should be trained and know the process."

On September 15, 2025, Staff #2 transitioned a group of four children (from ages 13 months to 15 months) to the classroom from the playground. Staff #2 did not conduct a Face-to-Name check prior to transitioning the children. Staff #1 removed the children from the stroller and placed them in the classroom. Staff #1 and Staff #2 did not conduct a Face-to-Name check when the children returned to the classroom and went through the door. Prior to this incident, Staff #1 had not been trained on the Face-to-Name process.
Plan of Correction: Retrained all staff on Face to Name policies. Conduct a school wide training on Face to Name and proper supervision. Monitor transitions to ensure done.
Standard 8VAC20-780-530-A
REPEAT VIOLATION

At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid.

On September 15, 2025, Staff #1, Staff #2 and Staff #4 worked in Classroom #1 at various times during the day and do not have current certification in CPR and first aid.
Plan of Correction: Have all current staff members up to date on CPR