Chesterbrook Academy - Stony Point

8VAC20-780-560-F

“Based on observation, the provider failed to ensure the menu listing foods to be served for meals and snacks during the current one-week period shall be dated. Evidence: The menu posted in the center documented the month of March but not specific for the week and day.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that one of five staff shall submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S4 were dated 01/06/2020 and 03/21/2022.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that four of eight records contained the required information for each child enrolled. Evidence: 1. The records for C2, enrolled 01/25/2021 and C5, enrolled 11/18/2019 did not contain documentation of parents being provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs as required by 8VAC20-780-420.3. 2. The record for C6, enrolled 02/06/2023 did not contain a physical examination report within the required time frame. The child was 18 months at enrollment and the physical examination dated 11/01/2022 is outside the required 3 months period as required by 8VAC20-780-140-B.2. 3. The record for C8, enrolled 06/13/2022 did not document the health information required by 8VAC-780-130-E. The documentation for immunizations was not within the required 6 months for a child under the age of two. The documentation was due 11/18/2022 and it was received 12/07/2022.”

8VAC20-780-270-A

“Based on observation, the provider failed to maintain the outside lower playground in a safe and operable condition. Evidence: On 03/14/2023, the inspector observed a bottom section of the chain link fence around the lower playground was loose and could entangle clothing or snag skin.”

8VAC20-780-340-D

“Based on interview, the provider failed to assure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: During an observation in the 3-year-old intermediate classroom, the licensing inspector asked the program director to identify the program leader in the classroom. The program director reported that the classroom had not had a program leader for approximately one month.”

8VAC20-780-580-B Complaint related: No

“Based on observation, the provider failed to assure that the vehicle used to transport children meet the safety standards set by the Department of Motor Vehicles. Evidence: The bus used by the provider to transport school age children failed have current registration stickers. The plates expired in June 2020. The Director reported they had used the bus for two days while their regular bus was unavailable.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and documentation, the facility failed ensure that forbidden actions were not taken by staff. Evidence: The licensing office received an anonymous complaint reporting a staff member was handling a child in a rough manner and restricting the child’s movement on 09/27/2022. The Licensing Inspector interviewed facility staff including the teacher and reviewed records including a summary completed by facility leadership on 10/04/2022. Records documented the staff member ??forcefully sit the child down on the ground and place her legs on either side of him keeping him from getting up. When he would try to get up, she would make him sit back down.? Facility Leadership sent her home for the day based on their observations in the classroom, their review of video tape, and supervisory meeting. Licensing Inspector received notification the teacher was no longer with the center effective 10/07/2022.”

8VAC20-780-350-B-1 Complaint related: No

“Based on observation and interview, the facility failed to maintain staff-to-children ratios as specified. Evidence: On 09/19/2022 during the classroom observations with the Program Director and Licensing Inspector, the Licensing Inspector observed 17 children and 4 staff in the toddler classroom. It was determined that the youngest child in the room at the time was 14 months which requires a 1:4 staff-to-child ratio based on the youngest child in the group. Evidence: On 09/19/2022 during the classroom observations with the Program Director and Licensing Inspector, the Licensing Inspector observed 21 children and 3 staff in the Beginner Room(two year old room). The classroom was 5 children over ratio. The required ratio based on the age of the youngest child who was not yet 2 is 1:5.”

8VAC20-780-550-D Complaint related: No

“Based on interviews, the center failed to implement a monthly practice evacuation drills. Evidence: The Licensing Office received an anonymous complaint that evacuation drills at the center were not being conducted and drill documentation was being completed as though the drills were implemented. Staff interviews supported the drills were not being completed and the Program Director acknowledged that drills had not been conducted as documented.”

8VAC20-780-550-G

“Based on review of emergency evacuation drills documentation, the provider failed to ensure the documentation contained all of the required information. Evidence: The emergency drill documentation dated April 2022 ? September 2022 did not document the method of notification of drill; number of staff participating; any special conditions simulated; and problems encountered and weather conditions.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 5 of 5 records contained required information. Evidence: Record for S1, employed 05/17/22 did not contain: emergency contacts; information about any health problems that may interfere with filling the job responsibilities; and completion of the 10 hour Pre-Service training. Record for S2, employed 04/20/22 did not contain documentation of the completion of the 10 hour Pre-Service training. Record for S3, employed 09/7/22 did not contain information about any health problems and documentation demonstrating the individual possessing an educational degree. Record for S4, employed 08/31/21 documented 13 hours of 16 of annul training. Record for S5, employed 08/23/2022 did not contain information about any health problems that may interfere with filling the job responsibilities.”

8VAC20-780-140-B

“Based on child record review, the provider failed to assure that one of ten physical exams were completed within the required time frame. Evidence: C6 was enrolled on 01/10/2022 at the age of 16 months. The exam dated 09/27/2021 was not completed within three months prior to enrollment.”

8VAC20-780-270-A

“Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: 1. There was a large patch of peeling paint within reach of children in the intermediate 3 year old classroom. 2. Multiple rest mats in the pre-K classroom the plastic covering were ripped exposing the foam mat. 3. The concrete base ground support of the basketball goal in the age 3 and age 4 playground was exposed 4. The fence surrounding the air conditioner unit in the age 3 and age 4 playground had a gap that could cause a head entrapment. 5. Timbers used for steps in the age 3/age 4 playground are rotting presenting a trip hazard. 6. The stairs going into the building from the age 3/age 4 playground had exposed nail tips that could snag children’s skin.”

8VAC20-780-350-B-1 Complaint related: No

“Based on observation and interview, the facility failed to maintain staff-to-children ratios as specified. Evidence: On 09/19/2022 during the classroom observations with the Program Director and Licensing Inspector, the Licensing Inspector observed 17 children and 4 staff in the toddler classroom. It was determined that the youngest child in the room at the time was 14 months which requires a 1:4 staff-to-child ratio based on the youngest child in the group. Evidence: On 09/19/2022 during the classroom observations with the Program Director and Licensing Inspector, the Licensing Inspector observed 21 children and 3 staff in the Beginner Room(two year old room). The classroom was 5 children over ratio. The required ratio based on the age of the youngest child who was not yet 2 is 1:5.”

8VAC20-780-550-D Complaint related: No

“Based on interviews, the center failed to implement a monthly practice evacuation drills. Evidence: The Licensing Office received an anonymous complaint that evacuation drills at the center were not being conducted and drill documentation was being completed as though the drills were implemented. Staff interviews supported the drills were not being completed and the Program Director acknowledged that drills had not been conducted as documented.”

8VAC20-780-550-G

“Based on review of emergency evacuation drills documentation, the provider failed to ensure the documentation contained all of the required information. Evidence: The emergency drill documentation dated April 2022 ? September 2022 did not document the method of notification of drill; number of staff participating; any special conditions simulated; and problems encountered and weather conditions.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 5 of 5 records contained required information. Evidence: Record for S1, employed 05/17/22 did not contain: emergency contacts; information about any health problems that may interfere with filling the job responsibilities; and completion of the 10 hour Pre-Service training. Record for S2, employed 04/20/22 did not contain documentation of the completion of the 10 hour Pre-Service training. Record for S3, employed 09/7/22 did not contain information about any health problems and documentation demonstrating the individual possessing an educational degree. Record for S4, employed 08/31/21 documented 13 hours of 16 of annul training. Record for S5, employed 08/23/2022 did not contain information about any health problems that may interfere with filling the job responsibilities.”

8VAC20-780-140-B

“Based on child record review, the provider failed to assure that one of ten physical exams were completed within the required time frame. Evidence: C6 was enrolled on 01/10/2022 at the age of 16 months. The exam dated 09/27/2021 was not completed within three months prior to enrollment.”

8VAC20-780-270-A

“Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: 1. There was a large patch of peeling paint within reach of children in the intermediate 3 year old classroom. 2. Multiple rest mats in the pre-K classroom the plastic covering were ripped exposing the foam mat. 3. The concrete base ground support of the basketball goal in the age 3 and age 4 playground was exposed 4. The fence surrounding the air conditioner unit in the age 3 and age 4 playground had a gap that could cause a head entrapment. 5. Timbers used for steps in the age 3/age 4 playground are rotting presenting a trip hazard. 6. The stairs going into the building from the age 3/age 4 playground had exposed nail tips that could snag children’s skin.”

8VAC20-780-160-A-1

“Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 12/16/21) contained documentation of a tuberculosis screening dated 12/17/21. The record of staff #3 (hired 12/16/21) contained documentation of a tuberculosis screening dated 12/18/21. Administration confirmed the tuberculosis screenings were late.”

22.1-289.035-B-4

“Based on a review of staff records and interview, the center did not obtain results of a check of the out-of-state criminal name search and sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #4 (hired 2/15/22) did not contain documentation that an out-of-state sex offender registry and central abuse and neglect registry search was completed. Staff #4 indicated living in another state in the past 5 years on the staff's sworn disclosure statement. Administration acknowledged the searches were not done. 2. The record of staff #5 (hired 9/13/21) did not contain documentation that an of an out-of-state sex offender, criminal name, and central abuse and neglect registry search was completed.Staff #5 indicated living in another state in the past 5 years on the staff's sworn disclosure statement. Administration acknowledged the searches were not done.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The records of staff #2 (hired 12/16/21) and staff #3 (hired 12/16/21) contained documentation of central registry results dated 1/21/22. Administration acknowledged they were late.”

22VAC40-185-560-F

“Based on a review of records and interview on October 7, 2021, the provider did not ensure to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. Documentation of the center's menu contains four components of the USDA's five component requirement for lunch. 2. Administration acknowledged lunch was missing a component.”

63.2(17)-1720.1-B-4

“Based on a review of records and interview on October 7, 2021, the center did not ensure to obtain a copy of the results of a criminal history record check and sex offender registry check prior to the first day of employment from any state in which the applicant has resided in the preceding five years. Evidence: 1. The record of Staff #1 (DOH 9/13/21) did not contain the results of an out-of-state criminal history record check or a sex offender registry check. Staff #1 identified as living in another state in the past 5 years on the staff's sworn disclosure statement. 2. Administration stated she was unaware that Staff #1 lived in another state.”