AlphaBest at Bristow Run Elementary

At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

“A TB test for Staff #1 was due over 7 weeks ago.”

Rule 8VAC20-780-160-C.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“During inspection on 9-24-26, there were no staff members present at approximately 6:00am-6:15am who had obtained the daily health observation of children training”

Rule 8VAC20-780-245-L.

At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care and current certification in first aid.

“During inspection on 9-24-26, there were no staff onsite with CPR certification or First Aid certification at approximately 6:00am-6:15am.”

Rule 8VAC20-780-530-A.

Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1 did not have the Health and Safety update course completed within the last year. The training was due approximately 1 month ago.”

Rule 8VAC20-790-600-F.

The Center is required to implement an annual practice lockdown drill.

“There was no documentation for a lockdown drill within the last year.”

Rule 8VAC20-780-550-F.

(Repeat Violation) The center is required to 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.

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

Rule 8VAC20-780-40-M.

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 or Child #2?s 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 #1 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 6/24/23.”

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

Based on review of 3 child files, the center did not obtain by the first day of the child’s attendance, the written agreement between the parent and the center as required.

Rule 8VAC20-780-90-A.

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 28 children present, but the written record reflected there were 31 children present.”

Rule 8VAC20-780-80-A.

Based on review of 12 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

“Evidence: A medication for Child #3 did not contain authorization from the child’s parent or the child’s physician.”

Rule 8VAC20-780-510-E.