Everbrook Academy

2.219.B.1 · Correction due January 14, 2026

Reviewed seven child files and found one child to be missing a Certificate of Immunization in their file.

Required correction: Prior to enrollment, all children must have a Certificate of Immunization maintained in their file. Correct immediately and respond with written statement of compliance. Correct by 01/14/2026

Reviewed seven child files and found 1 child to be missing a current health statement in their file.

2.220.A · Correction due January 21, 2026

An emergency medication that was prescribed on the written physicians order was not on-site.

Required correction: All medication prescribed on written orders for emergency medication must be on-site at the program. Correct immediately and respond with written statement of compliance. Correct by 01/21/2026

2.220.A · Correction due February 24, 2025

Reviewed prescription medications kept on site, and found one child to be missing a medication prescribed in the orders.

Required correction: All medications kept on site must have current written orders from a health care provider and all prescribed medications must be provided. Correct immediately and respond with statement of compliance. Correct by 02/24/2025

2.213.B · Correction due February 24, 2025

Reviewed 12 staff and found that A.B. and C.C. had expired Standard Precautions trainings.

Required correction: All staff must complete Standard Precautions training prior to working with children, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 02/24/2025

2.213.G · Correction due February 24, 2025

Reviewed 12 staff files and found A.B. and C.C. to have expired Mandatory Reporter training.

Required correction: All staff must complete Mandatory Reporter training within 30 days of hire, and renew the training annually. Correct immediately, and provide documentation of completion with written response. Correct by 02/24/2025

2.121.J.1 · Correction due February 24, 2025

Reviewed 12 staff files and found S.L. and E. I to be missing documentation of an Out of State clearance letter. Both S.L. and E. I have lived out of state in the last 5 years.

Required correction: All staff who have lived out of state in the last 5 years must have an Out of State Clearance letter on file. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that S.L. and E. I have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for S.L. and E. I with written response to the Specialist. Correct by 02/24/2025

2.219.B.2

Reviewed 6 child files and found one child to have an expired health statement.

2.217.A.9 · Correction due April 5, 2024

There were no staff at the program with current medication administration training and delegation.

Required correction: There needs to be at least one staff member with current medication administration training and delegation must be on duty at all times. Correct immediately and respond with documentation of medication training and delegation with written response. Correct by 04/05/2024

2.216.B.1.a.1 · Correction due April 5, 2024

The Program did not have an Infant Program Supervisor.

Required correction: The Infant classrooms must have an Infant Program Supervisor who meets one of the qualification pathways. Correct immediately and provide documentation of qualifications with written response. Correct by 04/05/2024

The Program did not have an ECT assigned to the Toddlers, Two's Room 1, Two's Room 2, Early Preschool, Preschool 1, Preschool 2, Pre-k or School Age classrooms.

2.211.B · Correction due April 5, 2024

Staff files were not available for review.

Required correction: Staff files must be available for review. Correct immediately and provide documentation of completed staff files with written response. Correct by 04/05/2024

2.213.E · Correction due April 5, 2024

Reviewed the Director and Assistant Directors file and neither one had full CPR/First Aid training.

Required correction: There must be at least one staff member with full CPR/First Aid training on duty. Correct immediately and respond with documentation of completion with written response. Correct by 04/05/2024