AlphaBEST at Penn Elementary

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 14 children present and 16 children on the virtual attendance.”

Rule 8VAC20-780-80-A.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan.

“Child A with a diagnosed food allergy was not on the current allergy list.”

Rule 8VAC20-780-40-M.

Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“There was no written parent/guardian or physician authorization to administer prescription medications to Child A.”

Rule 8VAC20-780-510-I.

When centers choose to provide meals or snacks, the menu listing foods to be served shall be current.

“The menu posted was not current, it was dated for the second week of January 2026.”

Rule 8VAC20-780-560-F.

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.

“The electronic attendance had 45 children signed-in but there were only 33 present.”

Rule 8VAC20-780-80-A.

All staff who work directly with children shall have within 90 days of the date of Employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, to include an in-person competency.

“The CPR certification for Staff #A did not include an in-person competency.”

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

Each child shall have a physical examination by or under the direction of a physician: Before the child’s attendance or within 30 days after the first day of attendance.

“Child A (enrolled 2 months) did not have a physical in their file.”

Rule 8VAC20-780-140-A.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Two children were observed eating snack and did not wash hands after finishing their snack.”

Rule 8VAC20-780-500-A.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child B was onsite, but the medication authorization expired over 4 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

The center shall post the findings of the most recent inspection in a conspicuous place on the licensed premises.

“The most recent licensing inspection of the facility was not posted.”

Rule 22.1-289.011-F.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor that is MAT certified.

“From approximately 7:20am to 7:36am there was a child on site with emergency medication and there was not a staff member onsite that was MAT certified.”

Rule 8VAC20-780-245-J.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The allergy list was not dated or kept confidential; the list was facing upward on the desk in the office.”

Rule 8VAC20-780-40-M.

The center must ensure they follow the policy for administration of medication that requires written authorization to be given from the child’s physician and parent for a long-term medication.

“For Child #2 there was no written authorization with parent and doctor signature for the long-term medication on-site.”

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.

“The medication authorization on file for Child #1 did not give the program permission to administer the medication on-site.”

Rule 8VAC20-780-510-I.

The center must have 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.

“Child #3 did not have an allergy care plan for their diagnosed food allergy from their physician.”

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

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 13 children present but only 9 were marked present on the written attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was sent home within 14 days when the medication authorization form expires. Evidence: The medication authorization form for child B expired August 2023. The medication for child B was still in the center’s medication box.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A-7

“Based on interviews and review of six children’s records it was determined that not all children with diagnosed food allergies had an allergy care plan on file as required. Evidence: Child A is identified on the center’s allergy list as having a diagnosed food allergy. Child A does not have a written allergy care plan on file as required.”

Rule 8VAC20-780-60-A-7.

8VAC20-780-130-A

“Based on review of eight children’s records it was determined that not all records contained documentation of an immunization record before the first day of enrollment. Evidence: The records for child C and child E (start dates: 05/16/22) did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of eight children’s records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The records for Child C and Child E (start dates: 05/16/2022) did not contain documentation of a physical within the first 30 days of enrollment.”

Rule 8VAC20-780-140-A.

8VAC20-780-510-E

“Based on review of medication it was determined that the center failed to follow their procedures for administering outdated medication. 1.) The emergency medication for child C had an expiration date of 11/2022. 2.) The emergency medications for child D had an expiration date of 11/2022 and 03/2023. 3.) The emergency medications for child E had an expiration date of 11/2022.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-I

“Based on review of medication it was determined that not all procedures regarding prescription medication were followed. Evidence: The emergency medication for child A did not have a prescription label to identify the owner of the medication and instructions pertaining to dosage, frequency, and manner of administration.”

Rule 8VAC20-780-510-I.

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was picked up within 14 days of the authorization form being expired. Evidence: The 10 day authorization form for the emergency medication for child B expired on 10/02/2022.”

Rule 8VAC20-780-510-P.

8VAC20-780-550-E

“Based on observation and interviews it was determined that shelter in place drills were not practiced at least twice per year. Evidence: There have been no shelter in place drills conducted from August 2022 - May 24, 2023. The drill log from the previous school year was not available for review.”

Rule 8VAC20-780-550-E.

8VAC20-780-60-A-8

“Based on review of eight children’s records and review of the allergy list it was determined that not all records contained a written allergy care plan for children with diagnosed food allergies. Evidence: The record for child B did not contain a written allergy care plan in regards to their diagnosed food allergy.”

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

8VAC20-780-130-A

“Based on review of three children’s records it was determined that not all records contained documentation of an immunization record by the first day of enrollment. Evidence: Child A (start date: 05/16/22) did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of three children’s records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: Child A (start date: 05/16/2022) did not have documentation of a physical on file.”

Rule 8VAC20-780-140-A.

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was picked up by a parent within 14 days when a medication authorization expires. Evidence: The authorization form for the emergency medication for child A expired on 10/03/2022.”

Rule 8VAC20-780-510-P.