Everbrook Academy of Ridgefield

Staff are required to undergo a background check every five years.

“The most recent criminal history check based on fingerprint determination for staff A was overdue by 29 days.”

Rule 22.1-289.035-A.

The center shall ensure that a nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing.

“1.) In the two year old bathroom diapers and wipes were observed in a basket on the floor. There was not a changing table located in the bathroom. It was revealed through interviews that staff are diapering children in the restroom and not on a changing table. 2.) The changing table in the two and three year old room designated for diapering had miscellaneous items such as a chair and a book on the surface preventing it from being utilized for its intended purpose.”

Rule 8VAC20-780-500-B.

The centers procedures for administering long term prescription and over-the-counter medication require written authorization from the child’s parent and physician.

“There was not written parent authorization to administer a long term medication to Child A. The medication has been onsite for 1 month.”

Rule 8VAC20-780-510-E.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff A, employed for eight weeks, did not have documentation of requesting a central registry check from the state Staff A has resided in the last five years.”

Rule 22.1-289.035-B-4.

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.

“Child B and Child C, who had been attending for eight months, did not have documentation of a physical exam on file.”

Rule 8VAC20-780-140-A.

Prescription medication may be administered provided the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“The prescription medication on site for child A did not have a prescription label.”

Rule 8VAC20-780-510-I.

Areas and equipment of the center, inside and outside, shall be maintained in safe and operable condition.

“Three trikes with cracked seats, which had sharp edges exposed were observed on the large playground.”

Rule 8VAC20-780-270-A.

Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Soiled disposable diapers were observed in a trash bag on the floor of the two year old bathroom.”

Rule 8VAC20-780-500-B.

Sunscreen does not need to be kept locked but shall be inaccessible to children under five years of age.

“Two bottles of sunscreen were observed on a chair in the two year old bathroom that was accessible to children.”

Rule 8VAC20-780-520-B.

Repeat violation

“Based on observation of the three year old classroom it was determined that not all hazardous substances were kept locked to prevent access by children. Evidence: Two spray bottles of disinfectant were observed in an unlocked cabinet above the handwashing sink.”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-3

“Based on observation and interview it was determined that a ratio of one staff for every eight children was not always maintained for two year old children. Evidence: There were ten children observed in the older two year old classroom being supervised by one staff.”

Rule 8VAC20-780-350-B-3.

8VAC20-780-550-E

“Based on observation and interview it was determined that shelter in place procedures were not practiced a minimum of twice per year. Evidence: 1.) It was reported that shelter in place drills had not been conducted for 2023 or this year. 2.) There was no documentation that a shelter in place drill had occurred for 2023 or this year.”

Rule 8VAC20-780-550-E.

8VAC20-780-60-A

“Based on review of ten children’s records it was determined that not all records were complete. Evidence: The record for child A did not show documentation that proof of the child’s age and identity were viewed by administration.”

Rule 8VAC20-780-60-A.

8VAC20-780-280-B

“Based on observation of a classroom known as “The Brooke” it was determined that all hazardous substances were not kept in a locked place preventing access by children as required. Evidence: A spray bottle of disinfectant was observed on top a low refrigerator and not locked as required. The children being cared for in “The Brooke” ranged in age from infants - toddlers.”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-1

Rule 8VAC20-780-350-B-1.

8VAC20-780-510-E

“Based on review of medication it was determined that not all of the center’s procedures were followed in regards to administering medication, ensuring methods to prevent the use of outdated medication. Evidence: The emergency medication on site for child A had an expiration date of November 2023.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-P

“Based on review of two medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The authorization forms for two emergency medications for Child A expired on September 30, 2023. The authorization was not renewed and the medication was not destroyed after 14 days as required.”

Rule 8VAC20-780-510-P.

8VAC20-780-500-B

Rule 8VAC20-780-500-B. From a complaint.

8VAC20-770-60-C-2

“Based on review of six staff records it was determined that not all records contained documentation of a central registry check within the first 30 days of employment. Evidence: The record for staff A (start date: 04/10/2023) did not have documentation of a central registry check.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-290-A-3

“Based on classroom observations it was determined that not all electrical outlets had protective covers. Evidence: The electrical outlets next to the door in the two year old classroom were not capped with protective covers.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-500-B

“Based on observation it was determined that not all diapering procedures were followed regarding only allowing items used for diapering on the changing surface. Evidence: A bucket of toys was observed on the changing table in the early preschool classroom.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

“Based on review of documentation it was determined that the record of daily attendance did not accurately document the arrival and departure of each child in care as it occurs. Evidence: The attendance record in the infant two room stated there were 13 children in care however there were 7 children physically in the classroom.”

Rule 8VAC20-780-80-A.

8VAC20-780-350-B-1

“Based on interviews and review of attendance records it was determined that the staff-to-children ratio of one staff for every four children was not always followed. Evidence: On August 28, 2023 three staff were caring for more than 12 infants from 9:11 am - 9:45 am. At 9:45 am a fourth staff person arrived bringing the classroom back into the appropriate 1:4 staff-to-child ratio.”

Rule 8VAC20-780-350-B-1. From a complaint.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-510-L

“Based on observation, not all medication was kept in a locked place. Evidence: In the two’s classroom, there was a Benadryl and prescription epi pen stored in a plastic zip top bag inside the red emergency bag on a high hook in the classroom. In the PreK classroom, there was a prescription albuterol stored in a plastic zip top bag inside the red emergency bag on a high hook in the classroom.”

Rule 8VAC20-780-510-L.

22.1-289.035-B-4

“Based on review of documentation, it was determined that the center failed to obtain out of state criminal history background check results by the first day of employment for staff that resided outside of Virginia in the preceding five years”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Based on review of documentation, it was determined the center failed to obtain documentation of a negative tuberculosis (TB) screening prior to staff coming into contact with children and conducted within the last 30 days preceding employment. Evidence: Staff #2, start date 10/24/2022, TB results were dated 10/29/2022. Staff #3, start date 10/10/2022, TB results were dated 10/13/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on review of documentation, orientation training was not documented as required. Evidence: Staff#2, start date 10/24/2022, did not have documentation of orientation training in the record.”

Rule 8VAC20-780-240-B.

8VAC20-780-500-B

“Based on observation and interview with staff, not all diapering requirements were followed. Evidence: In the infant room, a pack of wipes and disposable gloves were observed stored on top of the diapering pad. Staff interview revealed that a changing table or diapering counter top was not always utilized for children under the age of three.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based on observation, review of documentation and staff interview, it was determined that the center failed to follow their own medication procedures. Evidence: In the infant room, there was a long term prescription ointment that did not have a long term authorization signed by a physician.”

Rule 8VAC20-780-510-E.

8VAC20-780-550-O

“Based on staff interview and review of documentation, it was determined that the center failed to notify parents of any known minor injuries by the end of the day. Evidence: On October 12, 2022 Child A, age 2 years old, got her finger stuck in a toy tambourine. As a result, Child A sustained a small cut on her finger that bled. Staff did not notify the parents of the minor injury. The parents of Child A contacted management regarding the injury.”

Rule 8VAC20-780-550-O. From a complaint.