Chesterbrook Academy #802

8VAC20-780-350-B-2 Complaint related: Yes

“Based on observation, the staff-to-children ratio of 1:5 for children 16 months-24 months was not followed when children were in care. Evidence: At approximately 9:12am, there were 6 children observed with 1 staff in the toddler classroom.”

8VAC20-780-350-B-4 Complaint related: Yes

“Based on observation, the staff-to-children ratio of 1:10 for children 3 years up to school age was not followed when children were in care. Evidence: 1. At approximately 8:55am, 16 children were observed with 1 staff in the Pre-K classroom. 2. At approximately 9:00am, 19 children were observed with 1 staff in the Pre-K2 classroom.”

8VAC20-780-350-B-1 Complaint related: Yes

“Based on observation, the staff-to-children ratio of 1:4 for children birth-16 months was not followed when children were in care. Evidence: At approximately 9:10amthere were 5 children observed with 1 staff in the older infant classroom. Staff confirmed that the youngest child in the classroom was approximately 15 months old.”

8VAC20-820-120-E-6 Complaint related: No

“Repeat Violation Based on observation, a copy of a special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: A special order was issued to the licensee on 6/8/2023. The special order was not posted anywhere in the facility.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on observation, the staff-to-children ratio of 1:8 for children 2 years old was not followed when children were in care. Evidence: From approximately 8:50am-9:00am, there were 14 children observed with 1 staff.”

22.1-289.011-F Complaint related: No

“Based on observation, the most recently issued violation notice is not posted at the facility. Evidence: The violation notice posted is dated 12/16/2022. The most recent inspection of the facility was 8/11/2023.”

8VAC20-780-510-P

“Based on a review of medications, when an authorization for medication expired, the medication was not returned to the family or disposed within 14 days. Evidence: Child #8's authorization to administer emergency medication expired on 1/19/2023. The emergency medication was observed on-site during the inspection.”

8VAC20-780-560-L

“Based on observation, staff did not sit with children during meal times. Evidence: The staff in the Pre-K classroom were observed standing in the classroom while the children ate lunch.”

8VAC20-820-120-E-6

“Based on observation, a copy of a special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: A special order was issued to the licensee on 6/8/2023. The special order was not posted anywhere in the facility.”

8VAC20-780-40-E

“Repeat violation. Based on interview and a review of the center’s policies and procedures, the operational responsibilities of the licensee did not ensure that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards. Evidence: 1. The centers bottle labeling policy states that each bottle must be assigned colored tape, as required for each child. 2. During the inspection child #6 and child #7's bottles were not labeled with assigned colored tape.”

8VAC20-780-500-A

“Based on observation, hand washing requirements were not met. Evidence: Staff in the Beginners classroom was observed changing a child's diaper. The child's hands were not washed after the diaper change and the staff did not wash their hands after the diaper change.”

8VAC20-780-140-A

“Based on record review, the center did not obtained a physical exam for each child within the first 30 days of attendance. Evidence: Child #4 (date of enrollment: 2/7/2021) record did not contain a physical exam.”

8VAC20-780-40-M

“Based on observation, the center did not maintain a current written list of all children's allergies. Evidence: Allergy lists in classrooms were dated 1/2/2023. Center management confirmed that two out of four children's names listed were no longer enrolled.”

8VAC20-780-80-B-2

“Based on record review and interview, the center did not inform the department's representative as soon as practicable, but not to exceed two business days, of an injury to a child that occurred while the child was under the supervision of the center and required outside medical attention. Evidence: 1. The guardians of Child #1 (12 months) stated that their child had been exposed to a food allergen on 11/10/2022 after picking up and drinking from another child’s bottle that had been dropped on the classroom floor. 2. An ?unusual event? document that was completed by Staff #2 on 11/11/2022 confirmed that Child #1 had consumed an allergen at the center, was administered an EpiPen on-site and taken to the emergency room in an ambulance. 3. The center did not notify the department’s representative of the incident that occurred 11/10/2022.”

8VAC20-780-40-E

“Based on interview and a review of the center’s policies and procedures, the operational responsibilities of the licensee did not ensure that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. The center’s bottle-feeding policies include a verification process that requires a second staff person to verify that the bottle being served belongs to the appropriate child prior to a bottle being served. 2. Staff #1 confirmed that the bottle verification policy is not being practiced at the center. 3. The center’s bottle labeling policy states that ?each bottle must be assigned colored tape, as required for each child.? 4. Staff #1 confirmed that the center does not use assigned colored tape for each child’s bottle. 5. On 12/15/2022, Child #1 (12 months old) was served a bottle that did not belong to them by Staff #1 because the bottle verification policy and colored tape policy were not practiced.”

8VAC20-780-550-P

“Based on record review and interview, written records of a child’s serious injury did not contain all requirements. Evidence: 1. An ?unusual incident report? was completed on 11/11/2022 and 12/16/2022 when Child #1 ingested an allergen on 11/10/2022 and 12/15/2022, respectively. The incident reports do not contain any future action to prevent recurrence of the injury or staff and parent signature or two staff signatures. 2. Staff #2 stated that they completed an ?unusual incident report? in place of their typical ?incident report? because it seemed repetitive.”

8VAC20-780-340-A

“Based on interview, when supervising children, staff did not always ensure care, protection, and guidance. Evidence: 1. Staff #1 and Staff #2 confirmed that on 11/10/2022, Child #1 (12 months) located a dropped bottle on the classroom floor and drank from it, exposing the child to an allergen. The child was administered an EpiPen and taken to the hospital by ambulance. 2. Staff #1 and Staff #2 confirmed that on 12/15/2022, Child #1 was served approximately one ounce of formula from a bottle that belonged to a different child, exposing Child #1 to an allergen. Child #1 was administered three EpiPen's and was taken to the hospital by ambulance and was kept at the hospital overnight.”

8VAC20-780-560-P

“Based on interview, a child diagnosed with a food allergy was served a food identified on their written allergy care plan. Evidence: Staff #1 and Staff #2 stated that on 12/15/2022, Child #1 (12 months) was served approximately one ounce of formula from a bottle that belonged to another child in the infant classroom. Child #1 has a diagnosed food allergy, and the center was provided with an allergy action plan for Child #1. Child #1 had a severe allergic reaction to the contents in the incorrect bottle that was served.”

8VAC20-770-60-B

“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).”

8VAC20-770-60-C-2

“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).”

8VAC20-780-270-A

“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.”

8VAC20-780-280-B

“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.”

8VAC20-780-370-5

“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.”

8VAC20-780-440-B

“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.”

8VAC20-780-500-B

“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.”

8VAC20-780-550-B

“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.”

8VAC20-780-550-P

“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.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection posted at the facility is dated 4/22/2022. The facilities most recent inspection was 3/17/2022.”

8VAC20-780-130-E

“Based on record review, the center has not obtained documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #1 (13 months) most recent documented immunizations are from when the child was 2 months old.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: 1. There is a large area of peeling paint under the window in the Beginner classroom. 2. There are small areas of peeling paint in the reading nook area of the Pre-K classroom. 3. There is a large area of exposed plaster near the cubby storage in the Pre-K classroom. 4. The laminate flooring is lifting up around the drain in the Pre-K and Pre-K2 classrooms.”

8VAC20-780-50-B

“Based on record review and interview, children's records were not kept maintained and updated annually. Evidence: The most recent documented review of Child #4's record is dated 1/21/2021”

8VAC20-780-60-A-8

“Based on record review and interview, the center has not obtained a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #5, Child #6, Child #9 and Child #10 have diagnosed food allergies. The center director confirmed that they do not have allergy action plans for these children.”

8VAC20-780-550-D

“Based on record review and interview, the center did not practice two shelter-in-place drills annually. Evidence: The centers 2021 drill log contained documentation of one shelter-in-place drill practiced in 2021. The center director confirmed that only one shelter-in-place drill was practiced in 2021.”