Chesterbrook Academy - Stony Point

8VAC20-780-350-B-1 · 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.

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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.

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8VAC20-780-350-I · During the designated rest period, the staff-to-children ratio for children 2 years of age is one staff per 16 children. The staff-to-children ratio for children of preschool age is one staff per 20 children. During the rest period there was a classroom with 24 children, ages 2 and 3 years with 1 staff supervising. There was also a classroom with 25 children, ages 3 and 4 years with 1 staff supervising.

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8VAC20-780-140-B · If a child aged seven months to 18 months has a physical examination prior to attendance, it must be dated within three months prior to the first day attendance. Child #3, aged 13 months, had a physical examination that was dated more than 10 months prior to the first day of attendance.

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22.1-289.035-B-4 · Based on the review of one staff record (Staff #4), and an interview with a center representative (CR #1), the center failed to obtain a copy of the results of a search of the child abuse and neglect registry from any state where the individual has resided in the preceding five (5) years.

Evidence: The staff record contained no documentation of Out of State Child Abuse and Neglect results from Texas for Staff #4. Staff #4 began employment on 8/14/23. The sworn statement dated 8/14/23 documented that Staff #4 had resided in Texas within the last 5 years. There was documentation in the record that a request to search was submitted on 8/22/23. In an exit interview on 4/19/24, CR #1 acknowledged that no results were received and that no follow up was completed after the initial request.

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8VAC20-780-410-1 · Based on review of classroom video provided by the center and staff interviews, it was determined that staff used the forbidden action of rough handling of children.

Evidence: On September 26, 2023, S1 roughly handled two children. S1 used her hand on a child?s forehead to redirect him. She moved another child by his arm to redirect him to a carpeted area; when the child did not follow her directions, she picked him up under his arms and sat him forcefully on the classroom stairs.

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8VAC20-780-280-A · Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children.

Evidence: The kitchen and laundry room that were open and accessible to children contained bleach and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.

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8VAC20-780-500-A · Based on observation, the provider failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after meals or snacks.

Evidence: Licensing inspector observed children in the Toddler?s classroom move from activity time to eating their morning snack without washing their hands.

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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.

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8VAC20-780-410-1 · 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.

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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.

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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.

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