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Everbrook Academy

Inspection · 2024-03-14

Date
2024-03-14
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

The inspection findings have been updated as a result of a first step review completed on 6/13/24.

An unannounced monitoring inspection was conducted today with the Administrative staff from 8:00 am to 10:45 am. There were 41 children present with 10 staff providing supervision. The ages of the children ranged from 5 months to 10 years.
Medications for 7 children were reviewed as well as allergy care plans for 6 children. A sample of 8 injury/accident reports were reviewed as well. Seven staff and six children's files were reviewed during this inspection as well as a sample of injury/accident reports.
The fire inspection was dated 7/24/23 and the health inspection was dated 6/5/23.
The areas of non compliance are outlined on the violation notice.

Violations

4
Standard 22.1-289.035-A
Based on interview and a review of staff files, it was determined that a repeat background check was not obtained every five years from the original background check.
Evidence:
Staff B's Sworn Disclosure Statement was dated 1/11/19.
Plan of Correction: Staff B completed her sworn disclosure on March 14, 2024. We are now in compliance. A staff file
tracking spreadsheet has been created. Moving forward a member of management will monitor for
expiration dates on a monthly basis to ensure continued compliance.
Standard 22.1-289.035-B-2
Based on interview and a review of staff files, it was determined that fingerprint background checks for staff were not obtained prior to employment.
Evidence:
Staff A's Fingerprint background check was dated 9/5/23, Staff A was employed on 8/28/23.
Staff C's Fingerprint background check was dated 11/3/23. Staff C was employed on 10/23/23.
Plan of Correction: A new hiring process has been established. Moving forward all VA State required
documentation will be required on file prior to a new staff member 1st day of employment.
As of March 14, 2024, a paperwork appointment will be scheduled to ensure all paperwork is on 1and
prior to day 1.
Standard 8VAC20-780-270-A
Based on observation, it was determined that the center was not maintained in a clean and safe condition.
Evidence:
1. The Licensing Inspector (LI) observed the phone cords to the wall-mounted phones hanging in reach of the children in the toddler, two year old, early preschool, pre-k # 1 and pre-k #2 classrooms. The cords are a strangulation hazard.

2. The LI observed dried food and liquid stains and rust on the outside of the kitchen refrigerator and freezer.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Repeat Violation:
Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children.
Evidence:
1. Key's were stored in the Laundry room and Kitchen door locks. The keys were accessible to the children. There were hazardous substances stored in the laudry and kitchen to include sanitizing tablets, stainless steel cleaner, disinfectant solutions ad multipurpose sanitizer sprays.
2. The LI observed on a shelf in an unlocked closet in the Pre-K 2 classroom adhesive remover and foam soap- both had warnings and cations on the label.
3. The LI observed on a shelf in an unlocked closet in the Pre-K 1 classroom bottles of sanitizing and disinfectant agents with cautions and warnings listed on the label.
4. The LI observed above the sink in an unlocked cabinet in the Early Preschool room a soap foam, which had warnings on the label..
Plan of Correction: 1. All keys were removed from the door handles and hung out of the reach of children. We
communicated this expectation with each staff member on March 14, 2024 to ensure understanding that
keys must be hung out of reach and not left in the door lock. Management will conduct daily checks
to ensure keys are always hung up and out of reach.
View original record on Virginia Department of Social Services