VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesterbrook Academy #802
13501 Braddock Road
Clifton, VA 20124
(703) 968-3696

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Nov. 22, 2022

Complaint Related: No

Areas Reviewed:

Areas of Standards 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. ? 8VAC20-770 Background Checks (8VAC20-770) ? 20 Access to minor?s records ? 22.1 Background Checks Code, Carbon Monoxide ? 63.2 Child Abuse & Neglect

Technical Assistance:

A discussion was held on moving the license inspection report to a location that is easily accessible for review by others.

Comments:

A renewal inspection was conducted on November 22, 2022. There were 61 children present, with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed washing hands getting ready for lunch, which was a Thanksgiving feast, and getting ready for naptime. A total of 5 child records and 11 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on review of 11 staff records, one record does not contain a current sworn statement . Evidence The sworn statement in the record for staff #1 is expired (9/11/22).
Plan of Correction:	We will have the staff member sign a new sworn statement and put it in her record.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of 11 staff records, the child day program did not obtain a central registry finding before the previous finding expired. Evidence The central registry finding in the record for staff #2 is expired (10/6/2022).
Plan of Correction:	The CPS was sent sometime in October, I will follow up with OBI and forward the results of the CPS when they are received.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, areas and equipment of the center, inside and outside are not being maintained in a clean, safe and operable condition. Evidence Peeling and chipped paint along the side wall was observed in the Beginners classroom. Peeling and chipped paint along the back wall was observed in the Pre K classroom. Two broken toy lawn mowers were observed on the playground.
Plan of Correction:	The building maintenance people are scheduled to be here on Friday, November 25 to paint and fix the walls.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence Diaper cream was located on a low shelf in an unlocked cabinet making it accessible to children i in the Toddler classroom. Diaper cream and air freshener were located on a low shelf in an unlocked cabinet making them accessible to children in the Beginners classroom.
Plan of Correction:	I will review standard procedures of keeping cabinets locked with all staff.
Standard #:	8VAC20-780-370-5
Description:	Based on review of infant daily information log, infants, who cannot turn themselves over and are awake, are not being placed on their stomachs a total of 30 minutes each day to facilitate upper body strength and to address misshapen head concerns. Evidence For an infant that could not turn themselves over and was awake, there was no information recorded regarding them being placed on their stomachs for a total of 30 minutes each day.
Plan of Correction:	I will review with the infant staff recording tummy time and make sure going forward it is recorded daily.
Standard #:	8VAC20-780-440-B
Description:	Based on observation, not all cots are identified for use by a specific child. Evidence Cots were not identified for individual use in the Beginners classroom.
Plan of Correction:	We will number the cots and make a cot chart like we have in the other rooms. We will make sure cots and cribs are identified for individual use.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and interview with staff, the diapering surface is not being cleaned and sanitized according to licensing standard 8VAC20-780 (7) 500 B after each diaper change. Evidence The diapering surface in the Infant 1 classroom is not being cleaned with a solution of soap and water before being sanitized with a solution of bleach and water.
Plan of Correction:	Following the standards is our policy for cleaning and sanitizing the diapering surface. I will review the standard again with staff.
Standard #:	8VAC20-780-550-B
Description:	Based on review of emergency procedures, the emergency preparedness plan is not being reviewed and updated. Evidence The last review and update to the emergency preparedness plan was July 2020.
Plan of Correction:	I will review and update the emergency preparedness plan and make any necessary changes and or additions to the plan. I will review, sign and date the plan annually.
Standard #:	8VAC20-780-550-P
Description:	Based on review of the 15 written records of children's serious and minor injuries, the center did not include all the information required in standard 8VAC20-780-550 P Evidence Eleven written record of children's serious and minor injuries did not include the date and time the parents were notified or documentation of how the parent was notified.
Plan of Correction:	We will review the procedure of completing incident/accident reports with staff. Before signing staff will ensure all required information is on the form.