AlphaBEST at Gravely Elementary

The Center is required during the stated hours of operation, to always have on the premises and on field trips when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.

“Upon arrival for the inspection, there was only 1 staff member present at the center after 2 children arrived for a period of approximately 8 minutes.”

Rule 8VAC20-780-340-C.

The Center is required to have written medication authorization from the child’s physician and parent for a long term medication.

“There was no documented permission from the child’s parent on file for Child #1?s medication.”

Rule 8VAC20-780-510-E.

The Center is required to have a first aid kit that includes scissors; tweezers; gauze pads; adhesive tape; band-aids, assorted types; an antiseptic cleansing solution/pads; thermometer; triangular bandages; single use gloves such as surgical or examination gloves; the first aid instructional manual; and an ice pack or cooling agent.

“At the time of inspection, the first aid kit did not include gauze pads and an ice pack.”

Rule 8VAC20-780-540-C.

The Center is required to maintain documentation for staff records including two or more references as to character and reputation as well as competency were checked before employment. Documentation should include dates of contact, names of persons contacted, the firms contacted, results and the signature of the person making the call.

“The center did not have two or more signed references for Staff #1.”

Rule 8VAC20-780-70.

(Repeat Violation) The Center is required to maintain and keep at the center a separate record for each child enrolled which shall contain any chronic physical problems and pertinent developmental information.

“The center did not keep at the center a record of Child #1?s pertinent developmental information and chronic physical problems though the center had been notified by the child’s parent that these exist.”

Rule 8VAC20-780-60-A.

The Center is required to treat staff and child records confidentially.

“There were records posted at the center dated 9/8/25 that contained confidential information for staff and children.”

Rule 8VAC20-780-50-A.

When staff are supervising children, they are required to always ensure their care, protection and guidance.

Rule 8VAC20-780-340-A.

Children under ten years of age always shall be within actual sight and sound supervision of staff.

“On 1/9/2026, Staff #1 failed to maintain sight and sound supervision of Child #1 for over an hour before being located.”

Rule 8VAC20-780-340-F.

Staff shall not allow a child to leave the center unsupervised.

“On 1/9/2026, Staff #1 was on their cell phone and did not see the child leave the center.”

Rule 8VAC20-780-340-J.

The operational responsibilities of the licensee shall include ensuring that the center’s services are maintained in compliance with the center’s own policies and procedures that are required by these standards.

“The center did not follow its policies for a lost or missing child which requires staff to immediately notify the local police department that a child could not be located. The police were notified 26 minutes after Child #1 was missing rather than immediately.”

Rule 8VAC20-780-40-E.

The Center is required to ensure they obtain for each child, any chronic physical problems and pertinent developmental information and any special accommodations needed.

“The Center did not have written documentation of a child’s pertinent developmental information and chronic physical problems.”

Rule 8VAC20-780-60-A.

For staff hired after 7/1/24, the Provider is required to request a Central Registry check prior to employment.

“The record for Staff #1 did not contain documentation that a Central Registry check had been requested prior to employment.”

Rule 22.1-289.035-B-3.

The Center is required to implement a monthly practice evacuation drill.

“Evidence: There was no documentation of an evacuation drill for August 2025.”

Rule 8VAC20-780-550-D.

(Repeat Violation) The Center is required to ensure they maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present.

“Evidence: The allergy list did not contain all of Child #1`s diagnosed food allergies.”

Rule 8VAC20-780-40-M.

(Repeat Violation) The Center is required to ensure they maintain a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection there were 34 children present, but the written record reflected there were 33 children present. Child #2 was not recorded as present but was in attendance.”

Rule 8VAC20-780-80-A.

Based on review of 3 staff records and staff interview, the center did not have staff on duty who have satisfactorily completed a training program for the purpose of administration of emergency medication.

“Evidence: There were no staff on site that were certified to administer Child #2?s emergency medication while they were present at the center.”

Rule 8VAC20-780-245-J.

Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present.

“Evidence: The allergy list did not contain Child #1`s name or diagnosed food allergies so the list was not current.”

Rule 8VAC20-780-40-M.

8VAC20-780-420-E-3

“Based on review of 3 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The file for Child #2 did not have documentation that the parent had confirmed the updated record annually. The last parent signature on file for the updated record was dated 8/17/23.”

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

Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection there were 14 children present, but the written record reflected there were 13 children present.”

Rule 8VAC20-780-80-A.

8VAC20-780-90-A

Rule 8VAC20-780-90-A.

(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection, there were 39 children present, but the written record reflected there were 29 children present.”

Rule 8VAC20-780-80-A.

Based on review of 7 staff records, the Center did not obtain a criminal history background check every five years from the date of the last criminal history background check.

“Evidence: The records for Staff #5, Staff #6 and Staff #7 did not contain a criminal history background check every five years from the last criminal history background check. The previous criminal history check was dated 9/20/18.”

Rule 22.1-289.036-A.

Based on review of 2 medications, the center did not ensure that nonprescription medication be in the original container with the direction label attached.

“Evidence: The medication for Child #5 was not in the original container with the direction label attached, instead it was stored in a plastic baggie.”

Rule 8VAC20-780-510-H.

Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection, there were 16 children present, but the written record reflected there were 5 children present.”

Rule 8VAC20-780-80-A.