Chesterbrook Academy

Noncompliance Area: It was observed that van #1 was missing emergency contact forms for child #2, #3, and #4. These children are transported using this vehicle on a daily or weekly basis. I was observed that van #2 was missing emergency contact forms for child #5, #6, #7, #8, and #9. These children are transported using this vehicle on a daily or weekly basis.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: Medication was administered to child #1 on 9/8/2020, but this medication had expired on 8/2020, therefore medication was not stored in accordance with the manufacturer's recommendations and should not have been administered after the manufacturer's instructed expiration date.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: It was observed in the facility van, used to transport children, that a spray bottle labeled bleach water was accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed in the toddler outdoor play space that yellow jackets had made a hive in the side of the building along the hose of the outdoor AC unit creating a visible hazard. Actions taken on plan of correction from inspection dated 9/21/2020, did not correct the issue. It was observed that the front of the van used by children contained garbage and was not kept clean.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the one year old room that a staff person changed a child's diaper and did not take the child to the sink to wash their hands with soap and water after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: It was observed in the school age room that a lunch box contained potentially hazardous food that required refrigeration but was not being refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: It was observed in the toddler outdoor play space that yellow jackets had made a hive in the side of the building along the hose of the outdoor AC unit creating a visible hazard. Violation was not corrected as of 10/20/2020.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the young toddler room that staff person #1 diapered a child, carried that child from the changing table and placed them on their cot, walked back to the changing table, and began diapering another child. Staff person #1 did not wash their hands in between diapering and did not ensure that the child's hands were washed after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: It was observed that one of the refrigerators, located in the facility's kitchenette, was being used to store food for the children in care but did not contain an operable thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: It was observed that the window in the toddler room was open but did not contain a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: It was observed that the surface of the doors leading from the toddler/infant outdoor play space back into the facility had rusted sharp areas on the bottom edges of the doors which caused a visible hazard and are accessible to children in the outdoor play space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed that the shelves accessible to children in the school age and the preschool intermediate rooms were dusty and needed to be cleaned.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed that the negative sanction letter, notifying parents of the current status of the facility's certificate of compliance, was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: It was observed in the toddler Beginner B room that hand wipes indicating "keep out of reach of children", were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed in the school age room that the paint behind the garbage can was chipped.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: It was observed in the outdoor play space that a sand table was broken and not in good repair. Sand table was removed at the time of inspection.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed in the beginner room that staff person #1 was changing children's diapers and was not washing hands in between diaper changes.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: It was observed that two bottles in the infant room were not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: It was observed in the beginner room that extension cords and power strips were not being used in accordance with manufacturers recommendations causing a visible hazard. A microwave, with a three prong power cord, was plugged into a power strip which was plugged into an extra 4 outlet adapter which was plugged into the wall. Microwave and power strip were removed from outlet during inspection.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed that paint by the back doors on both sides of the infant rooms was chipped. Taped was placed on areas at the time of inspection.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: It was observed in the infant B room that the chair used by staff and children was dirty. It was observed in the intermediate room that two vinyl blue chairs used by children were ripped and contained holes.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed in the infant B room and the preschool room that the cots were not labeled for the use of a specific child and used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: It was observed that emergency contact forms for some of the children being transported in vehicle #1 were not updated from the master file within the last 6 months as required. It was observed that emergency contact forms were not present for children being transported in vehicle #2 and an emergency contact form was missing for a child in vehicle #1.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: It was observed that facility's emergency transportation plan was not accompanying staff persons on an excursion with children in vehicle #1 and #2.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: It was observed in the intermediate room that medication was left accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: It was observed that a bottle of water was not accompanying children on excursions in vehicle #1 used by facility.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: It was observed in the preschool bathroom, used by children, that the lower part of the wall, across from the toilet, contained a hole.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the preschool room that a bin used to store toys used by the children was cracked and broken.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed that the floor cabinet, accessible to children, contained plastic bags of diapers and wipes.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed in the Infant B room that a sleeping child was in a crib that did not have 2 feet of space on at least 3 sides of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: It was observed that an open bag of mini muffins, previously served, were being stored the child's cubby.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Noncompliance Area: It was observed in the bathroom used by the 3-year-olds in the Intermediate room, a container with diaper creams was accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed in the bathroom between toddler rooms that plastic bags containing diapers and a container of toy worms recommended for children ages 3 or older were accessible to mouthing children under the age of 3.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed in the preschool room that a quarter of an eaten bagel with cream cheese was setting on the shelf in the cubby area and a lunch box containing food previously served to the child was placed back in their book bag to go home.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded. Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: It was observed in the Prek Room that diaper cream was being stored in a book bag accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed that Pokeweed (Phytolacca Americana), which is toxic, and vining weeds with thorns were growing over the fenced area and were accessible to children in the outdoor play space.

Correction Required: Toxic plants are not permitted in a child care space. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the Beginner A room that paint was chipped on the wall.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: It was observed in the bathroom between Intermediate and Beginner B room that a gallon Zip Lock plastic bag was accessible to children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed that child #1 was removed from the classroom by an outside agency without facility staff being present to supervise. This extra service was not specified on the agreement.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: It was observed that Child #1 and Child #2 both had medications that were administered by facility without written parental consent.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: It was observed that the medication administered to Child #1 earlier that day was not recorded on the medication log; therefore the medication log was not being properly maintained.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: It was observed that the outdoor play space was unclean containing a tissue, a band aid, a cup, and plastic sheeting/bag pieces. It was observed in the bathroom between the Intermediate and Beginner B room that the equipment stored by the toilet contained visible wet spots and was unclean.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the outdoor play space that two large brown storage boxes were cracked causing a pinching hazard.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed in the 2-year-old room, Tod B, that the green cabinet in the classroom contained multiple plastic bags containing diapers and wipes and in the bathroom between the Tod B and Tod A classrooms the changing table contained multiple plastic bags containing diapers and wipes all accessible to mouthing children. It was observed in the Tod B room that cotton balls less than 1 inch in diameter were being used in the sensory table and in the Beg B room Unifix cubes less that 1 inch in diameter were left accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed in the bathroom between the 3-year-old Intermediate Room and the 2-year-old Beginner B room that Clorox Anywhere Spray was left on the counter accessible to children. It was observed in the Tod B room that diaper cream was being stored in the green cabinet accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed the infant room under the cribs to the rear of the childcare space that some type of dried liquid was left on the floor leaving the floor unclean. It was observed in the 1-year-old room, Tod A, that the cabinet door under the sink in the child care space was not in good repair due to water damage and the tiles in the rear corner of the room were chipped and not in good repair.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the 1-year-old room, Tod A, that the wall next to the cubbies and the back wall by the rear door both contained chipped paint and damaged plaster. It was observed in the rear side of the infant room that both the wall behind the changing table and the wall across from the changing table area both contained chipped paint.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: It was observed that a crib containing a sleeping infant did not have 2 feet of space on three sides of crib as required.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: It was observed that an infant was left to sleep in a bouncer.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: It was stated during investigation that multiple rooms in the center have been over ratio requirements anywhere from 2-4 times within the last 30 days. These ratio violations are occurring primarily in the Tod A and Intermediate rooms, and primarily in the morning hours while age groups are mixed in opener classrooms and minimal staff is present at facility.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Noncompliance Area: Child #1, age 3, was unsupervised between 2 to 3 minutes and staff person #1 did not know the whereabouts of the child. Child re-entered Intermediate classroom while staff person #1 remained outside on the outdoor play space with the other children in the group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: It was observed and stated that staff person #1 did not hold, rock, play with, and at times did not properly carry child #1 between the observed time of 10:30am until 12pm. Staff person #1 was observed restricting the infant by confining them only to crib to bouncer seat during the period of time between 10:30am - 12pm even though child was awake and moving.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: It was stated and observed that staff person #1 singled out and became frustrated with child #1 and threaten to harm the child by picking up child off a changing table and inappropriately carried the child across the room facing forward with their forearm across the child's body and neck area.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: It was observed and stated that staff person #1 was frustrated and did not offer child #1 any lunch due to child's demeanor that day.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Noncompliance Area: It was observed that a staff person #1 became frustrated and inappropriately carried and mishandled an infant by carrying the child across the room with one arm, front facing, with the staff person's forearm across the child's body and neck area while both of the child's arms were restricted in the air. This act was observed on video and was observed by other staff in the room, and although OCDEL was notified of the incident, no staff at the facility contacted ChildLine.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding in person mandated reporter training. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: It was observed that the following rooms did not have a posted daily schedule: school age, Tod A, and infant room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Emergency contact forms for child #3 and #5 did not contain address of designated release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: It was observed that an emergency contact form for child #8 was not present in child care space where child was receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: It was observed that the safe routes were not posted in conspicuous location at facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Emergency contact forms were all up-to-date for files of child #1, #2, #3, #4, #5, #6, and #7, however previously signed and dated emergency contact forms were not found on file for children at facility, therefore no verification was found that information was updated within a 6-month period. Up-to-dated agreement for child #6 was not on file and initial and subsequent agreements were missing from file for child #2, #5, and #7.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: File for staff person #1 did not contain acceptable verification of education level.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: It was observed that the instructions for contacting the appropriate regional day care office was not posted at conspicuous location in facility.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: It was observed that borax was under sink in school age classroom accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: It was observed that in the Tod B and school age classrooms there was a hole in the wall of each room under both cubby areas and the window blinds in the Prek room were dirty.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed that there was damaged, chipped, and peeling paint throughout the center.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: It was observed in Tod A and Tod B classrooms during rest time that children were sleeping on cots that did not have at least 2 feet of space on three sides of each cot.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: It was stated during interview that a child was left on outdoor play space unsupervised while teachers and children went back into classroom, and staff member #2 was unaware of location of all children in primary care group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: It was stated during investigation that staff person #1 left classroom to retrieve child on playground leaving staff person #2 alone with 9 children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: Teacher documented how many children were in classroom but then a child was asked to sit on carpet because he was misbehaving in line, the ipad was transferred to another staff who did not recount all of the children who were standing in line and only these children went outside. Child was left inside on the carpet. Video shows total of 45 seconds from when teacher handed ipad to staff and when other staff discovered child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Children must be supervised at all times. Staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.