Celebree School of Ashburn Farm
43800 Clemens Terrace
Ashburn, VA 20147
(703) 879-2452
Current Inspector: Sarah Marbert (703) 479-4678
Inspection Date: Oct. 11, 2023
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
- Technical Assistance:
-
Discussed with Owner and Director:
*MAT certification must be issued by the Virginia Board of Nursing, Out of state certifications are not acceptable.
*Allergy list is date 9/23. Review for any changes and update as needed.
*Multiple medications are present that have not been returned when no longer being administered and/or have no authorizations available.
*Education/experience documentation for lead teachers.
- Comments:
-
An unannounced monitoring inspection was conducted today. All rooms were in ratio during the inspection. Children were observed playing in rooms, during diapering, eating lunch and transitioning to the outdoor play area.
Emergency evacuation drills, medications, the playground, allergy lists were all inspected today.
3 staff and 4 child records were reviewed.
See violation notice for non-compliances cited. Please submit your plan of correction within 5 business days in order for it to be included on the website.
If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present from 10:17 AM - 2:20PM.
- Violations:
-
Standard #: 8VAC20-780-160-A Description: Repeat Violation
Based on a review of records, one staff record did not contain documentation of a negative tuberculosis screening submitted at the time of employment and conducted within the previous 30 calendar days.
Evidence:
Staff A's record contain a TB result dated 11/03/22. (DOH: 11/1/22)Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-E Description: Repeat Violation
Based on a review of medications, the center failed to follow their policy for and procedure required by the standards..
Evidence:
The center did not follow the policy for prevention of use of outdated medications.
An Avi-Q present at the center was expired. (10/10/23).Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: Repeat Violation
Based on a review of records, child records do not contain all required information.
Evidence:
4 child records were reviewed.
*1 of 4 records did not contain an allergy action plan for a diagnosed food allergy. (Child 2)
*2 of 4 records did not contain updated information in the child's record. Allergy action plans are date 9/29/22. (Children # 3, 4)Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Repeat Violation
Based on a review of records, staff records did not contain all required information.
Evidence:
3 staff records were reviewed.
*Staff A's record included one reference that was provided by a relative (Not acceptable).
*Staff C's record did not contain documentation of an emergency contact.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-B Description: Repeat Violation
Based on a review of orientation, one staff record did not contain documentation of orientation prior to working alone with children or within seven days of assuming job responsibilities.
Evidence:
Staff B's record did not contain documentation of orientation. (Date of Hire (DOH): 1/17/22)Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-C Description: Repeat Violation
Based on a review of orientation documentation, documentation did not contain all required information.
Evidence:
2 of 3 staff records reviewed did not contain documentation of the required Child Abuse and Neglect training. (Staff B.C).Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-245-J-3 Description: Based on a review of documentation and staff statement, children with emergency medications were not always in the care of a staff member who meets the requirements for medication administration.
Evidence:
There is one staff person currently certified in Medication Administration Training (MAT). The staff stated they are present at the center from approximately 10:00 am - 2:25 PM daily. There are multiple emergency medications on site. On 10/11/23 the staff member left the center at approximately 2:25PM. Children with emergency medications were present at the center at that time.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-340-A Description: Based on observation, a staff person did not ensure care, protection and guidance of a child in care.
Evidence:
A staff member was observed picking up at pacifier off the floor and placing it in the mouth of an infant. The staff member had just completed a diaper change and had not washed their hands before picking up the pacifier.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-510-L Description: Based on observation, one child's medication was not stored locked.
Evidence:
One medication in the infant room was stored in the medication notebook, not locked in the Infant A room. (Child 1)Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-510-P Description: Based on a review of medications, parents were not notified that medication needed to be picked up after the medication authorization expired. After 14 days the medication was not disposed of.
Evidence:
Child #3's medication authorization for Motrin expired in January 2023. the medication was present in the center today.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-530-A Description: Based on a review of records, one staff record did not contain documentation of first aid and cardiopulmonary resuscitation certification.
Evidence:
Staff B, working alone with children, did not have current first aid/CPR certifications.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-G Description: Based on a review of documentation, documentation of monthly emergency evacuation drills has not been maintained.
Evidence:
There was no documentation of a monthly emergency evacuation drill having been conducted in September 2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-560-M Description: Based on observation a child was allowed to drink while walking around.
Evidence:
One infant in the Infant B room was observed walking around while drinking from a bottle.Plan of Correction: Not available online. Contact Inspector for more information.
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
