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Everbrook Academy

Inspection · 2025-03-04

Date
2025-03-04
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
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
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. Technical Assistance

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 3/4/25. The on-site inspection began at 11:40 am and ended at 1:50 pm. The inspector reviewed compliance in the areas listed above. There were 58 children present and 9 staff. The inspector reviewed 7 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, 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. Please complete the plan of correction (POC) and dates to be corrected for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 3/28/25. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 8VAC20-780-150-B
Each report shall include the date that the immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

The immunization records for child A, B and C did not include a physician/ designees signature.
Plan of Correction: We will be reaching out to all families to let them know that the immunization records provided must be signed by the doctor and we cannot accept them downloaded from the online portals
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

1. The allergy/sensitivity/dietary restriction list in the Jr-K and Pre-K classrooms were dated 1/17/25 and not the most recent listed of 2/3/25.
2. Child C has 2 allergies that were not on the 2/3/25 allergy list.
Plan of Correction: 1. Dietary restriction and allergy list dates have now been changed and updated as of 3/4/25 to be consistent with each other.
2. All allergies lists have been updated to include all allergies as of 3/4/25.To ensure that all allergy and dietary restrictions are reviewed and updated monthly, we've set up recurring alerts on Microsoft Teams for the entire management team to see.