Everbrook Academy

8VAC20-780-140-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There was no physical examination in the record of child #13, who had been enrolled for over six months.

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8VAC20-780-510-E · The center's procedures for administering medication shall include methods to prevent use of outdated medication.

Medication for Child #13 was observed on site. This medication had expired in the past 2 months.

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8VAC20-780-130-E · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #16, who had been attending for two months, has documentation of an immunization record on file that expired four months ago.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The most recent immunization record on file for Child #12 (under 2 years of age) was from 7 months ago.

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8VAC20-780-160-A · Based on review, 1 of 14 staff files indicated that each staff member did not submit documentation of a negative tuberculosis screening (TB) at the time of employment (prior to coming into contact with children), and that this documentation (signed by a physician, physician's designee, or an official of the local health department) had been completed within the last 30 calendar days of their date of employment.

Evidence - 1. On the date of inspection (04/25/2024), it was determined that the start date for Staff #11 was listed as - 04/23/2024. 2. The TB documentation on file for Staff #11 was dated - 04/24/2024.

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8VAC20-780-130-E · Based on review, 1 of 5 children files indicated that the center did not obtain documentation of additional immunizations once every six months for a child under the age of two years.

Evidence - 1. On the date of inspection (10/26/2023), Child #20 had an immunization page dated - 04/19/2023. 2. Based on the information on file, Child #20 was under the age of two years on the date of inspection.

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8VAC20-780-240-A · Based on review, 1 of 4 staff files indicated that documentation of completion was not available for the Virginia Department of Education-sponsored orientation course (10 hours).

Evidence - 1. On the date of inspection (04/25/2023), a certificate of completion for the Virginia Preservice training (10 hour course) was not available for review for Staff #11. 2. The start date for Staff #11 was listed as 11/14/2022.

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8VAC20-780-70 · Based on review, 1 of 10 staff files indicated that not all of the required documentation was on file for each employee.

Evidence - 1. On the date of inspection (10/27/2022), 0 of 2 references were on file for Staff #8. 2. The start date for Staff #8 was listed as 10/03/2022.

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22.1-289.035-B-4 · Based on review, 1 of 20 staff files indicated that not all of the out-of-state background documentation was obtained prior to reporting to the Child Day Center.

Evidence - 1. An Out-of-State Child Protective Services check ( CPS

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22.1-289-036-B-4 · Based on review, 3 of 10 staff files indicated that the Child Day Center (CDC) did not obtain a copy of the results of a Criminal history Record information Check (

CRC

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22VAC40-185-500-B · Based on interview, a nonabsorbent surface (a changing table or countertop designated for changing) for diapering or changing was not used for children younger than three years.

Evidence - 1. The Center Director stated (during an interview conducted on the date of inspection - 10/05/2021) that children within the 2's room are changed using their standing up procedures. 2. Neither a changing table, nor a countertop designated as a changing surface was observed within the 2's room.

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