Everbrook Academy

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.”

Rule 8VAC20-780-140-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #13 TB was dated six months prior to date of employment and has been employed for 1 month; and Staff #14 TB was dated five days after the date of employment and has been employed for two months.”

Rule 8VAC20-780-160-A.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.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.”

Rule 8VAC20-780-510-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.”

Rule 8VAC20-780-130-E.

Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff #13, who started 4 weeks ago, did not have documentation of their orientation training on file. This training is separate from the required Preservice Training.”

Rule 8VAC20-780-240-B.

Shelter in place procedures shall be practiced a minimum of twice per year.

“Shelter-in-place (2) drills were not conducted in 2024.”

Rule 8VAC20-780-550-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.”

Rule 8VAC20-780-130-E.

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 #9, who had been enrolled for eleven months.”

Rule 8VAC20-780-140-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #3 updated screening was due 3 months ago and Staff #7 updated screening was due 1 month ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #13 has yet to complete the course. It has been 7 months outside the original 90 day period. This same standard for Staff #13 was previously cited during the last inspection.”

Rule 8VAC20-780-240-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“There was a climbing mat within the Toddler Room that has split open along its seam, exposing the padding underneath.”

Rule 8VAC20-780-270-A.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Such sharing of information shall be documented.

“The last documented review of the emergency information on file for Child #10 was from 19 months ago.”

Rule 8VAC20-780-420-E-3.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #12, enrolled for seven months, was missing the following required component: the complete information for 2 emergency contacts.”

Rule 8VAC20-780-60-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.”

Rule 8VAC20-780-160-A.

Based on review, 2 of 14 staff files indicated that the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of employment.

“Evidence - On the date of inspection (04/25/2024), the following staff did not have a certificate of completion available for this 10-hour training: 1. Staff #10 (start date - 12/11/2023) 2. Staff #13 (start date - 12/27/2023)”

Rule 8VAC20-780-240-A.

Based on review, there was not at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation (DHO) of children.

“Evidence - 1. On the date of inspection (04/25/2024), the most recent DHO certificate on file at the center was dated - 01/30/2020. 2. This DHO certificate was held by Staff # 2.”

Rule 8VAC20-780-245-L.

Based on interview, the center was unable to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence - 1. The Center Director stated (during an interview conducted on the date of inspection - 04/25/2024) that the last know fire inspection conducted by the Loudoun County Fire Marshal’s office was from November 2022. 2. Center Director stated that she did not realize that an annual fire inspection must now be scheduled through the Fire Marshal’s office in advance. She also stated that a fire company had recently come by to review where the safety key was kept in case of an emergency when the center was closed.”

Rule 8VAC20-780-260-A.

Based on observation, a non-absorbent surface for diapering or changing was not in use for children younger than three years.

“Evidence - 1. On the date of inspection - 04/25/2024, within both the Early Preschool Room and Toddler Room, the changing pad had its surface worn away displaying the padding underneath. 2. The pads in both rooms were removed.”

Rule 8VAC20-780-500-B.

Based on review, 1 of 5 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (04/25/2024), the documentation of viewing proof of Child #5’s identity and age was not available. 2. The start date for Child #5 was listed as - 07/10/2023.”

Rule 8VAC20-780-60-A.

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.”

Rule 8VAC20-780-130-E.

Based on review, 2 of 12 staff files indicated that it has been more than two years from the date of the most current tuberculosis (TB) screening or testing documentation on file (or more frequently as if recommended by a licensed physician or the local health department).

“Evidence - 1. On the date of inspection (10/26/2023), the following TB documentation was observed on site - Staff #1 (dated - 06/23/2021), and Staff #7 (dated - 08/31/2021). 2. This was confirmed by the center director on the date of inspection.”

Rule 8VAC20-780-160-C.

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.”

Rule 8VAC20-780-240-A.

Based on review, 1 of 4 staff files indicated that a staff person did not complete an orientation training prior to the staff member working alone with children no later than seven days of the date of assuming job responsibilities.

“Evidence - 1. On the date of inspection (04/25/2023), documentation of orientation training for Staff #11 was not available for review. 2. The start date for Staff #11 was listed as 11/14/2022.”

Rule 8VAC20-780-240-B.

Based on observation, an area inside the center was maintained in an unsafe condition.

“Evidence - 1. On the date of inspection (04/25/2023), a wall in the Pre-K Room showed signs of peeling paint. The surface of the drywall appeared torn in one area in the shape of a large triangle, and another smaller circular area higher up the wall. 2. The damaged area was being blocked by a large white cube at the time of inspection.”

Rule 8VAC20-780-270-A.

Based on observation, cleaning materials were not kept in a locked place to prevent access by children.

“Evidence - 1. On the date of inspection (04/25/2023), two spray bottles of cleaning fluid was observed out on the counter, near the diapering surface within the Toddler Room. 2. These two bottles were not in use and children were not in the room at the time of observation.”

Rule 8VAC20-780-280-B.

Based on review, 1 of 10 staff files indicated that the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of their start date.

“Evidence - 1. On the date of inspection (10/27/2022), a certification of completion of the Virginia Pre-service training (10 hours) was not available for review for Staff #6. 2. The start date for Staff #6 was listed as 03/14/2022.”

Rule 8VAC20-780-240-A.

Based on observation, cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence - 1. On the date of inspection (10/27/2022), cleaning supplies (a spray bottle containing sanitizing fluid) was found in an unlocked cabinet within the preschool room. 2. This bottle was not in use at the time of observation.”

Rule 8VAC20-780-280-B.

Based on observation, hand washing procedures were not followed.

“Evidence - 1. On the date of inspection (10/27/2022), within the Toddler/2’s room, after a staff person completed a diaper change of a child, neither the staff nor the child had their hands washed. 2. This observation was confirmed by the Center Director.”

Rule 8VAC20-780-500-A.

Based on review and observation, at least one staff in each classroom or area where children were present did not have a certification in CPR and First Aid.

“Evidence - 1. On the date of inspection (10/27/2022), certification in CPR/First Adi was not available for review for Staff 10. The start date for Staff #10 was listed as 06/20/2022. 2. On the date of inspection, Staff #10 was observed providing care in the Infant Room for one child.”

Rule 8VAC20-780-530-A.

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.”

Rule 8VAC20-780-70.

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 ), and an Out-of-State Sex Offenders Registry check (SOR) for Staff #6 was not available for review. 2. The start date for Staff #6 was listed as 04/12/2022.”

Rule 22.1-289.035-B-4.

Based on review, not all of the required information was documented on the medication authorization form.

“Evidence - 1. On the date of inspection (04/28/2022), the authorization for medication for Child #11 did not include the effective dates; the duration dates to be administered. 2. This written authorization from the doctor of Child #11 only listed the name of medication, and dosage to be given.”

Rule 8VAC20-780-510-E.

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 ), a Sex Offender Registry check (SOR), and a search of the child abuse and neglect registry or equivalent registry ( CPS ) from any state in which the individual has resided in the preceding five years.

“Evidence - 1. On the date of inspection (02/23/2022), the following staff did not have the following documentation available for review: Staff #2 (State of Florida - SOR) start date - 10/15/2020; Staff #7 (State of California - CRC , SOR, CPS ) start date - 09/07/2021 Staff #8 (State of Ohio - SOR) start date - 01/24/2022 2. This finding was confirmed on the date of inspection by the Center Director.”

Rule 22.1-289-036-B-4.

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 (02/23/2022), documentation of an immunization page for Child #2 was dated - 07/22/2021. 2. Based on the information on file for Child #2, on the date of inspection, Child #2 was under the age of two years.”

Rule 8VAC20-780-130-E.