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Everbrook Academy

Inspection · 2025-07-22

Date
2025-07-22
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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 HEARINGS PROCEDURES.
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 7/22/2025. The on-site inspection began at 10:30am and ended at 12:50pm. The inspector reviewed compliance in the areas listed above. There were 156 children present and 19 staff. The inspector reviewed 6 children?s records and 5 staff records on-site.

This inspection included document review, tour of the facility 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 8/13/2025 . A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #3, employed for one month, did not have documentation of requesting a central registry check , criminal history and sex offender for one state.
Plan of Correction: Management immediately submitted background check for out of state. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

Staff #3 employed for 1 month did not have results of a TB screening in their record.
Plan of Correction: taff files will be up to date upon starting. Staff TB test located in file after the visit. Management will continue to maintain file compliance.
Standard 8VAC20-780-160-C
At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

The tuberculosis screening on file for Staff #5 was not conducted two years from the previous testing. It was overdue by 11 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

1. Staff #1 employed for over 3 months, did not have documentation of a completed orientation training.
2. Staff #2 employed for over 2 months, did not have documentation of a completed orientation training.
3. Staff #3 employed for 1 month, did not have documentation of a completed orientation training.
Plan of Correction: Staff orientation has been completed. Moving forward staff will have orientation completed during the pt week of training.
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.
The allergy list in the school-age classroom was not current. Child #2, Child #3 and Child #4 all have either dietary restrictions and or allergies but they were not listed on the current allergy list in the classroom.
Plan of Correction: Allergy list was immediately updated to reflect the School Age allergies. Moving forward once a child starts, they will be added to the allergy list.
Standard 8VAC20-780-510-L
Medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

The emergency bookbag in the school-age room, accessible to children, had several children?s medications in Ziplock bags not kept in a locked place using a safe locking method.
Plan of Correction: Management took medication out of school age bag to transfer to medication safe bag. Moving forward all medication will be in the proper bag to transfer to the classroom.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

1. The parent signature on the written authorization for a long-term prescription medication for Child #1 expired on 6/27/2025. The medication remained on-site as of this date.
Plan of Correction: Management immediately took the expired medication to the office. Moving forward medication will be monitored regularly and sent home if needed.
Standard 8VAC20-780-70
For staff files, there shall be documentation that two or more references as to character and reputation as well as competency were checked before employment.
1. Staff #4 and employed for over 4 months at the center had no reference checks on file.
2. Staff #1 and employed for over 3 months at the center had no reference checks on file.
3. Staff #2 and employed for over 2 months at the center had no reference checks on file.
Plan of Correction: Management completed reference check. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.
View original record on Virginia Department of Social Services