Miss Alyson’s, LLC

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“An annual fire inspection was not completed in 2026 and was overdue by one month.”

Rule 8VAC20-780-260-A.

After the first license, annual approval from the health department shall be provided.

“An annual environmental sanitation inspection was not completed in 2026 and was overdue by 10 days.”

Rule 8VAC20-780-260-B.

Staff shall annually complete the department’s health and safety update course.

“Staff #2 did not complete the health and safety update training for 2024.”

Rule 8VAC20-790-600-F.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #1, has not yet completed this course which is overdue by 10 months.”

Rule 8VAC20-780-240-A.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #2 did not complete any of the required 16 hours of annual training in 2024.”

Rule 8VAC20-780-245-A.

Repeat violation

“The center shall implement a monthly practice evacuation drill. The evacuation drill log did not contain documentation of an evacuation drill for the month of July 2024. The director acknowledged a drill had not been documented for July 2024.”

Rule 8VAC20-780-550-D.

Based on review of five staff records and interview, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record of staff #2, employed 11/08/2023, contained documentation of a negative tuberculosis screening dated 11/10/2023, exceeding the first day of employment. 2. The director acknowledged the TB results for staff #2 were documented after the first day of employment.”

Rule 8VAC20-780-160-A.

Based on review of five staff records, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: The record of staff #5, employed 12/28/2011, contained documentation of a tuberculosis screening dated 06/01/2022, exceeding two years. The administrator stated a follow-up tuberculosis had not been obtained.”

Rule 8VAC20-780-160-C.

Based on review of medication logs and medication authorizations, the center did not obtain written authorization from a parent or guardian before administering prescription medications.

“Evidence: 1. The medication log documented that child #9 was administered a prescription medication from 06/05/2024 through 06/21/2024. 2. The medication authorization on file for child #9 contained only the first page with the physician’s authorization. The second page was missing and there was no authorization from the parent or guarding to administer. 3. The director acknowledged the medication authorization form was incomplete and did not contain the parent authorization.”

Rule 8VAC20-780-510-I.

8VAC20-780-40-M

“Based on review of children’s records and review of the allergy, sensitivities, and dietary restriction list, the center did not ensure all dietary restrictions were included on the current written list. Evidence: The written allergy, sensitivities, and dietary restriction list did not include the dietary restriction for child #5 as listed in the record of child #5.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-D

“Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill. Evidence: The evacuation drill log did not contain documentation of an evacuation drill for the month of October 2023. The director acknowledged a drill had not been documented for October 2023.”

Rule 8VAC20-780-550-D.

Based on review of seven staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of CPR certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of CPR certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in CPR.”

Rule 8VAC20-790-600-D-1.

Based on review of seven staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of first aid certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of first aid certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in first aid.”

Rule 8VAC20-790-600-D-2.

Based on review of seven staff records and interview, the center did not ensure one staff obtained background checks every five years.

“Evidence: 1. The record for staff #2 (employed 04/30/2018) contained the results of a fingerprint national criminal record check dated 04/27/2018, exceeding five years. 2. The director confirmed a request to update the fingerprint national criminal record check had not yet been obtained.”

Rule 22.1-289.035-A.

Based on review of 13 written children’s incident/ accident reports, the center did not ensure all required information was documented for four of the incident/ accident reports. Evidence:

“Four incident reports dated 03/21/2023, 04/05/2023, 04/11/2023 and 05/12/2023 did not contain the following required information; date and time parent was notified of the injury, and documentation on how the parent was notified.”

Rule 8VAC20-780-550-P.

Based on review of seven staff records, the center did not obtain documentation that two or more references as to the character and reputation were checked before employment for one staff member.

“Evidence: 1. The record of staff #1, employed 05/09/2023, contained documentation of only one reference when at least two references are required. 2. The director acknowledged only one reference was documented in the record.”

Rule 8VAC20-780-70.

Based on review of three staff records, the center did not obtain the central registry finding for one staff within 30 days of employment or volunteer service.

“Evidence: 1. The record of staff #3, hired 01/10/2022, had a completed central registry dated 03/08/2022, exceeding the 30 days from hire. 2. Administration reported they did not have documentation of following up on the status of the central registry after 30 days from hire.”

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

Based on review of documentation and interview, the center did not obtain an annual approval from the health department.

“Evidence: 1. The most recent health inspection report was dated 07/30/2019, exceeding the annual requirement. 2. Administration reported they had reached out to the health department requesting a current inspection however it was not documented.”

Rule 8VAC20-780-260-B.

Based on observation, the center did not ensure all areas, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: The metal weather striping at the bottom of the preschool classroom door leading outside has separated from the bottom of the door. The stripe bows out and has a Sharpe edge that could snap the skin of a child.”

Rule 8VAC20-780-270-A.

Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

“Evidence: The medication authorization for child #5 expired 09/28/2021, The medication had not been returned to the parent nor had the parent renewed the medication authorization form.”

Rule 8VAC20-780-510-P.