AlphaBEST at Leesylvania Elementary

Repeat violation: The center must obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“There was no out of state sex offender name search available for staff A. This background check has been overdue for 7 months.”

Rule 22.1-289.035-B-4.

Each report shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“Immunization records for child B and C were not signed by the physician/designee. This was overdue by approximately a week for child B and for 6 months for child C.”

Rule 8VAC20-780-150-B.

Repeat violation: The center’s procedures for administering medication shall include duration of the parent’s authorization for medication provided that it shall expire or be renewed after 10 work days. Long term prescription medication use may be allowed with written authorization fromthte children’s parent and physician.

“The parent’s duration of medication authorization for an emergency medication for child A expired on 2/20/26 and had not been renewed. The physician’s authorization for the emergency medication had an effective date that expired on 2/21/26.”

Rule 8VAC20-780-510-E.

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent or guardian.

“There was no parental authorization for an emergency medication for child B, who enrolled approximately a week earlier.”

Rule 8VAC20-780-510-I.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain date of enrollment. There was no specific date of enrollment on file for child B. Interviews revealed that the child has been at the center for approximately one week.”

Rule 8VAC20-780-60-A.

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.

“There was no allergy care plan on file for child B who has a peanut allergy. The allergy care plan is overdue by approximately one week.”

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

A child day center must obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years prior to employment.

“There was no documentation of an out of state sex offender name search for staff A. This background check was overdue by one month.”

Rule 22.1-289.035-B-4.

The center shall obtain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center.

“There was no documentation of immunization record on file for child D. This information was overdue by 6 weeks.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician within 30 days of enrollment.

“There was no documentation of a physical on file for child D. The documentation was overdue by 2 weeks.”

Rule 8VAC20-780-140-A.

The center’s procedures for administering medication shall include duration of the parents authorization for medication, provided that it shall expire or be renewed after 10 work days. Long term prescription drug use and over the counter medication may be allowed with written authorization from the child’s physician and parent.

“Child A’s parental authorization for an emergency medication expired five weeks prior. . Child B’s parental authorization for a medication had not been renewed every 10 work days nor was their a physician authorization. The parent authorization had expired a month earlier. Child C’s parental authorization for a medication had not been renewed every 10 work days nor was their a physician authorization. The parent authorization had expired a month earlier.”

Rule 8VAC20-780-510-E.

Hazardous substances shall be kept locked to prevent access by children.

“Cleaning agents were stored in the office on shelves accessible to the children, children were observed in and out of the office space. Cleaning agents were stored in the storage room, the agents were unlocked and accessible to the children.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-P

“The center shall maintain a written record of children’s injuries to include ways to prevent recurrence of the injury. The injury/accident forms do not have a place to document ways to prevent recurrence of the injuries.”

Rule 8VAC20-780-550-P.