VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesterbrook Academy #822
4750 Rippling Pond Drive
Fairfax, VA 22033
(703) 818-9002

Current Inspector: Tameika King (804) 629-7486

Inspection Date: May 16, 2024

Complaint Related: 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Discussed with the regional director and assistant principal: playground maintenance and TB screening requirements Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Comments:

An unannounced 60 day Inspection took place on May 20, 2024 between the hours of approximately 9:30 a.m. and 11:40 a.m. to ensure compliance with a recently issued provisional license. There were 6 classrooms observed with a total of 46 children with 11 staff within the supervision guidelines. The children were observed playing on the playground, participating in a dance class, engaging in circle time and other organized activities. Positive interaction between staff and children were observed. A complete inspection of the physical plant, children and staff records, and fire drill log was conducted during this inspection. There were 5 staff records and 3 children's records 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. If you have any questions, please e-mail me at tameika.king@doe.virginia.gov. Thank you for your cooperation during the inspection.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review, 2 out of 5 staff did not complete a sworn statement prior to the first day of employment. Evidence: 1. Staff #2 (start date: 03/25/2024) had a sworn statement that was dated 03/29/2024. 2. Staff #5 (start date: 03/25/2024) had a sworn statement that was dated 03/29/2024.
Plan of Correction:	Sworn Statements will be completed the day of their first day and added to their files. Both the Principal and AP will double check paperwork prior to working their first day.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center did not obtain results of a central registry search for 3 out of 5 staff by the end of the 30th day of employment. Evidence: Staff #2 (start date 03/25/2024), Staff #3 (start date: 03/18/2024), and Staff #5 (start date: 03/25/2024) did not have results of a central registry search on file.
Plan of Correction:	Central Registry search will be completed before the staff's first day to prevent any repeat violations. Ty will assure all searches are complete and in their file by their first day of work.
Standard #:	8VAC20-780-160-A
Description:	REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Based on record review, the center did not obtain documentation of a negative tuberculosis (TB) screening, that was submitted at the time of employment and completed within the last 30 days of the date of employment for 4 out of 5 staff. Evidence: 1. Staff #1 (date of employment: 05/15/2024) did not have documentation of a TB screening on file. 2. Staff #2?s (date of employment: 03/25/2024) TB screening was dated 04/01/2024. 3. Staff #4?s (date of employment: 05/13/2024) TB screening was dated 09/08/2023. 4. Staff #5?s (date of employment: 03/25/2024) TB screening was dated 04/29/2024.
Plan of Correction:	Ty will have a plan of action to make sure all TB screenings are submitted at the time of employment within the first 15 days of employment and not a day after. All TB screenings will be done within the first 30 days
Standard #:	8VAC20-780-40-M
Description:	REPEAT VIOLATION Based on observation, the center did not maintain a list of children?s allergies, sensitivities and dietary restrictions that was dated in each room or area where children are present. Evidence: The allergy lists in 6 out 6 classrooms where children were present were not dated.
Plan of Correction:	Vicky has/will updated all allergy list in all 6 classrooms with a date at the top of the paper; on the day she made changes/edits to.
Standard #:	8VAC20-780-60-A-8
Description:	REPEAT VIOLATION Based on record review, the center did not obtain a written care plan for 1 out of 3 children with a diagnosed food allergy. Evidence: 1. Child #6?s (start date: 08/28/2023) record indicates a food allergy. 2. The center did not have a written care plan for Child #6.
Plan of Correction:	A care plan will be written up and added to indicate child's food allergy for each child with allergy. Parents say he no longer has allergy; have requested a Dr's note stating the fact.
Standard #:	8VAC20-780-70
Description:	REPEAT VIOLATION Based on record review, the center did not obtain all information for 3 out of 5 staff records. Evidence: There was no documentation that two or more references were checked before employment for Staff #2 (date of employment: 03/25/2024), Staff #4 (date of employment: 05/13/2024) and Staff #5 (date of employment: 03/25/2024).
Plan of Correction:	References were located and added to staff file. Tysean will make sure each new hire has their references listed and, in their file to prevent any repeat violations.
Standard #:	8VAC20-780-240-I
Description:	Based on record review, documentation of orientation training was not kept at the center for 2 out of 5 staff. Evidence: There was no documentation of orientation on file for Staff #2 (date of employment: 03/25/2024) and Staff #5 (date of employment: 03/25/2024).
Plan of Correction:	Ty will assure all paperwork for staff files are completed prior to their first day of work to prevent any repeat violations from occurring.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, areas and equipment of the center, inside and outside, were not maintained in a safe and operable condition. Evidence: 1. There were wires sticking out from the gates surrounding the outdoor air conditioning units located on both playgrounds and in the gardening/art station. 2. The plastic pipe by the gate door on the big playground was cracked and had an exposed screw. 3. There were exposed tree roots on the toddler playground and in the gardening/art station, creating a tripping hazard. 4. The fence on the playground used by the older children was leaning and had rotting wood at the bottom. 5. A plastic pipe on the toddler playground was cracked and exposed, creating a tripping hazard. 6. The red and blue couches and chairs in the Beginners and Toddlers classrooms were fraying and tearing.
Plan of Correction:	Ty and Adrienne have placed workorders for evidence found during check. Will work hand in hand with supporting hires up to assure safety is number one priority. We have purchased new couches and chairs for the Beginners and Toddler classroom.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation, in areas used by children of preschool age or younger, not all electrical outlets had protective covers. Evidence: An electrical outlet in the Beginners (two year olds) classroom did not have a cover.
Plan of Correction:	Ty has a daily walk through checklist to assure all outlets are covered throughout the school. Management will do daily checks to prevent this from happening again.
Standard #:	8VAC20-780-330-C
Description:	Based on observation, ground supports were not covered with materials that protect children from injury. Evidence: A cement base around the swing set pole was exposed.
Plan of Correction:	Ty has placed a workorder for this to have cement poured to cover exposed pole on swing set.
Standard #:	8VAC20-780-520-B
Description:	Based on observation, not all requirements were met when sunscreen is used. Evidence: 1. In the PreK-1 classroom there was sunscreen in a cubby, accessible to children. 2. In the Toddlers classroom there were four sunscreens in a cubby, accessible to children. 3. A sunscreen belonging to Child #4 was not labeled with the child?s name.
Plan of Correction:	Ty has removed all sunscreen from cubbies and has made each parent fill our proper documents for the files. Each child has their own and labeled with their First and Last name on it. They are stored in a locked cabinet.
Standard #:	8VAC20-780-520-C
Description:	REPEAT VIOLATION Based on observation, not all requirements were met when diaper ointment or cream is used. Evidence: In the Toddlers classroom there was a diaper cream belonging to Child #5 that was not labeled with the child?s name.
Plan of Correction:	Ty and Vicky have updated all sunscreen forms with proper documentation and correct child's names. Reminders for parents to bring it to the desk and not to the classroom to prevent any repeat violations.
Standard #:	8VAC20-780-520-D
Description:	Based on observation, not all requirements were met when insect repellent is used. Evidence: In the PreK-1 classroom there was insect repellent belonging to Child #4 in a cubby, accessible to children and not labeled with the child?s name.
Plan of Correction:	All insect repellent will be moved to a locked cabinet with correct child first/last name on it. Documents have been signed by families .