Chesterbrook Academy #807

8VAC20-780-340-F · Based on staff interviews, a review of classroom video footage, and staff written statements it was determined that on 8/18/2022 Child A (age 3) was left in the Intermediates classroom beyond the sight and sound supervision of staff members for approximately 2 minutes.

Evidence: At the time of this incident, there were 22 children in care with three staff members. Staff 1 was conducting head counts to transition children to the playground, Staff 2 was on the playground, and Staff 3 was assisting with the classroom transition process. At approximately 10:54 Staff 1 is seen on video completing a name-to-face roll call. As each child's name is announced, the child is seen walking to the playground door then exiting the classroom. At approximately 10:56 Staff 1 appears to call the name of Child A, however the child did not proceed to the playground. Instead, Child A went to the sink in the corner of the classroom. At the same time, Staff 1 is seen completing the name-to-face roll call process, closing the classroom door, and proceeding outside with the children. At this time, the video shows Child A walking around the classroom alone and beyond sight and sound supervision of staff members. Roughly 2 minutes later, at approximately 10:58, Child A is viewed opening the playground door and exiting the classroom. Through staff interviews and written statements, it was determined that of the three staff present at the time, none were aware that Child A remained in the classroom beyond sight and sound supervision. They were not aware that the child was alone in the classroom until the child opened the playground door and proceeded outside.

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8VAC20-780-350-B-4 · Based on staff interviews and a review of attendance records, it was determined that one classroom of children between the ages of 3 and 5, was operated beyond the allowable staff:child ratio of 1:10 on two occasions.

Evidence: 1 - On 11/8/2022 there was one staff with 16 children in the Pre-K A classroom between approximately 8:35-8:45AM. 2 - On 11/9/2022 there was one staff with 18 children in the Pre-K A classroom between approximately 8:20-8:45AM.

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63.2-1509-A · Based on staff interviews and photographic evidence, it was determined that a person employed in a child day program who had reason to suspect that a child was an abused child, did not report the matter immediately to the local department of the county wherein the abuse is believed to have occurred or to the Department's toll-free child abuse and neglect hotline.

Evidence: 1 - On 12/31/2021 Staff A received email notification that while in care on 12/30/2021, Child 1 (age 2) obtained injuries to the left arm including a scratch that broke the skin and a dark mark next to the scratch. The email included two pictures of the child's injuries showing the broken skin and the dark mark. The email also included statements noting that the child indicated the marks were the result of a physical interaction with Staff B. As a mandated reporter, Staff A was required to immediately report this information to Child Protective Services. 2 - During interviews with Staff A, it was determined that they failed to report the incident of suspected child abuse to Child Protective Services.

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22.1-289.011-F · The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The findings from the most recent inspection, dated 12/10/2025, were not posted in a conspicuous place on the premises.

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22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Staff #1, who is currently working, was dated four weeks after their first day of employment.

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8VAC20-780-60-A · Centers must keep a separate record for each child enrolled that contains all of the required information.

Evidence: Child #2's record (enrolled two weeks) was missing second designated persont to call in an emergency if a parent cannot be reached.

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8VAC20-770-60-C-2 · 8VAC20-770-(BC)-60-

C-2

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8VAC20-780-160-C · Based on staff records review, a staff failed to obtain and submit the results of a follow-up tuberculosis screening every two years, at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members should obtain and.

Evidence: 1. Staff #2?s Tuberculosis screening expired on 11/13/2023. (date of employment 8/16/2021).

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8VAC20-780-200-A · Based on staff records review, 1 out 9 records, the center did have documentation for centers, the qualified program director or qualified back-up program director would be on site at least 75% of the center's hours of operation.

Evidence: 1. Staff #1 (date of employment 7/2023) did not have documentation in record available for review as a qualified back-up program director would be on site at least 75% of the center's hours of operation.

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8VAC20-780-350-B-2 · Based on staff interviews, review of attendance records and video recordings, it was determined that one classroom of children between the ages of 16 months to 2 years old, was operated beyond the allowable staff-to-child ratio of 1:5 on one occasion.

Evidence: 1.On April 10, 2023, there were two staff with 13 children in the Infant B classroom between approximately 9:10 am to 9:20 am.

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8VAC20-780-40-E · Based on review of records and video camera footage, the center did not ensure that the center?s activities and services and facilities were maintained in compliance with required by standards.

Evidence: 1. Staff #1 and Staff #2 did not follow the center?s policies and procedures on forbidden actions. Staff #1 grabbed Child #1 by the upper arm after the Child #1 had a wetting accident. Staff #1 took Child #1 to a corner of the classroom located by the bathroom and Child #1 was in the corner area of the classroom for approximately 10 minutes, isolated from other children. 2. Staff #3 and #4 were in the classroom with staff who rough handled children and did not report the concerns to administration per policy.

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8VAC20-780-40-E · Based on staff interviews and documents, the staff did not follow the operational responsibilities of the licensee by ensuring 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. On April 24, 2023, Staff #1 did not follow center?s infant safe sleep policy. 2. The center?s safe sleep policy requires that staff use infants will always be placed on their backs to sleep, unless medial documentation is present in the file sating otherwise. 3. The center?s safe sleep policy requires that infants will be moved to their beds if they fall asleep in a swing or bouncy seat, or any other area besides an infant crib. 4. Child A (3-month-old) was observed asleep on a bobby pillow face down.

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8VAC20-780-350-B-4 · Based on staff interviews and a review of attendance records, it was determined that one class of 4 year old's operated beyond the allowable staff:child ratio of 1:10.

Evidence: On 4/24/2023 the PK2 class operated beyond the allowable ratio of 1 staff:10 children. Between 8:30am and 10:00am, there were 2 staff providing care to 32 children.

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22.1-289.035-B-4 · Based on staff records review, 3 out of 5 records, the staff did not authorize the center to obtain a copy of the results of a central registry check from any state in which the applicant has staff has resided in the preceding five years.

Evidence: 1. Staff #2 (date of employment 4/11/2022) lived in Maryland (MD) and Virginia (VA) within the last 5 years. The results of a central registry check were not obtained from MD and VA. 2. Staff #4 (date of employment 12/08/2022) lived in Virginia (VA) within the last five years. The results of a central registry check were not obtained from VA. 3. Staff # 5 (date of employment 10/12/2022) lived in Virginia (VA) within the last five years. The results of a central registry check were not obtained from VA.

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8VAC20-780-350-B-4 · Based on staff statements and a review of the attendance record for 10/27/2022, staff to child ratios were not maintained in one class.

Evidence: 1.The ratio requirement for the Intermediate Class is 1 staff to 10 children. 2.On 10/27/2022, Staff #1 left the Intermediate Class which left Staff #3 alone with a total of 15 children.

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