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Sunnybrook Day School

Inspection · 2024-08-29

Date
2024-08-29
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 renewal inspection was initiated and completed on August 29, 2024 as part of the conditional licensure period. The on-site inspection began at 9:55am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 148 children present and 24 staff. The inspector reviewed five children?s records and five 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 date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/17/24. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-A
Based on record review the center did not ensure that all background checks are completed every five years.
Evidence:
1.The record for Staff #3 (employed over five years) contained an expired criminal history check and an expired central registry search.
Plan of Correction: Center director will check files quarterly for upcoming renewals.
Standard 8VAC20-780-160-C
Based on record review the center did not ensure that at least every two years from the date of the initial screening or testing, staff members obtain and submit the results of a follow-up tuberculosis (TB) screening.
Evidence:
1.The record for Staff #1 contained TB results dated for August 9, 2022, with no follow up screening within the required timeframe of two years.
2.The records for Staff #2 and Staff #4 contained TB results dated for August 2, 2022, with no follow up screening within the required timeframe of two years.
Plan of Correction: Center director will check files quarterly for upcoming renewals.
Standard 8VAC20-780-260-A
Based on record review and interview the center did not ensure to provide to the licensing representative an annual fire inspection report.
Evidence:
1. The documentation of the center?s annual fire inspection was dated 8/15/23, which was expired.
a. The program director confirmed that this was the last fire inspection on file and the fire inspection needed to be scheduled.
Plan of Correction: Center director will ensure annual fire inspections are scheduled to be completed at least 30 days to expiration.
Standard 8VAC20-780-280-B
Repeat Violation:
Based on observation and interview the center did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1.In a Pre-k classroom, there was a container of disinfectant wipes stored in an unlocked cabinet.
a. The manufacturer?s label stated, ?Keep Out of Reach of Children.?
2.Classroom staff confirmed that the cabinet was unlocked at the time of the inspection.
Plan of Correction: Staff will be retrained on proper storage of hazardous materials.
Standard 8VAC20-780-40-M
Based on observation the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions that is kept confidential in each room or area where children are present.
Evidence:
1.The allergy list posted in room six was not posted in a way that was kept confidential.
a. The list was hanging on a wall and visible to anyone entering the classroom.
Plan of Correction: Admin will post the allergy alert lists in a designated location in each classroom with proper confidentiality cover in place. Staff will be retrained on confidentiality policies and correct procedures for maintaining confidential information.
View original record on Virginia Department of Social Services