AlphaBest at Springwoods Elementary

Repeat Violation For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“After transitioning from outside nine children were present, the written record reflected there were 20.”

Rule 8VAC20-780-80-A.

Each center shall maintain and keep a separate record for each child enrolled which shall contain a written care plan for each child with diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: The record for Child #6 contained documentation of a diagnosed food allergy requiring emergency medication. There was no written allergy care plan from a physician on record. Child #6 had been enrolled in the program for 10 days.”

Rule 8VAC20-780-60-A-8.

Repeat Violation

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: At 7:00 a.m. there were 10 children in attendance, the written record reflected that all 10 were signed out at 8:30 a.m. An interview with staff confirmed that they had signed the children out one hour and 30 minutes ahead of time.”

Rule 8VAC20-780-80-A.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 32 children present, the written record reflected there were 30.”

Rule 8VAC20-780-80-A.

Based on review of three Board Officer records and interview, the program did not obtain the results of a fingerprint-based criminal history record check for Board Officers every five years as required.

“Evidence: The most recent fingerprint results on record for Board Officer #1, Board Officer #2, and Board Officer #3 were dated 9/20/18.”

Rule 22.1-289.036-A.

Based on review of four staff records, the center did not obtain subsequent tuberculosis (TB) screening or testing at least every two years from the date of the initial screening or testing for staff members.

“Evidence: The tuberculosis test on file for Staff #4 was dated 5/8/21.”

Rule 8VAC20-780-160-C.

Based on review of six child records and interview with the Group Leader, the center did not obtain a written care plan for each child with a diagnosed allergy, to include instructions from a physician regarding the allergy to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: Child#6 had several medications on site, a rescue inhaler, liquid allergy medication and an epinephrine auto-injector. The allergy list reflected the allergy to be ?other allergies (cold)?. An interview with the Group Leader revealed that they did not know the allergy the emergency medications were used for and they did not know when and in what order to use the emergency medication.”

Rule 8VAC20-780-60-A-8.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: Child #3 and Child #5 were both present at the time of inspection and did not have documentation of immunizations on site.”

Rule 8VAC20-780-130-A.

Based on medication and documentation review, the center did not ensure that they obtained written authorization from the parent for all medications on site.

“Evidence: Two emergency medications were on site for Child #8 on 4/3/2023. There was no written authorization from the parent on site.”

Rule 8VAC20-780-510-B.

Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: Child #7 has a diagnosed food allergy and didn’t have a written allergy care plan on file signed by a physician.”

Rule 8VAC20-780-60-A-8.

Based on record review, the center did not obtain repeat Virginia Central Registry of Child Abuse and Neglect searches at least every five years for all staff.

“Evidence: Staff #4 (Date of Hire: 2/13/17)’s most recent Virginia Central Registry of Child Abuse and Neglect search results on file were completed 3/7/17.”

Rule 22.1-289.035-A.

Based on review of 3 medications, the center did not obtain written parental authorization to administer medications for all medications on site.

“Evidence: Child #6 had 2 emergency medications and Child #7 had 1 emergency medication on site and the center did not obtain written parental authorization granting the center permission to administer the medication.”

Rule 8VAC20-780-510-B.