AlphaBest at Rosa Parks 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 3 weeks ago.”

Rule 8VAC20-780-160-C.

Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member’s record, and shall include: name of staff; training topics; training delivery method; the entity or individual providing training; and the date of training.

“The file for Staff #2 did not contain documentation of an orientation.”

Rule 8VAC20-780-240-I.

(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.

“During inspection, there were 18 children present, but the written record reflected there were 10 children present.”

Rule 8VAC20-780-80-A.

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

“The allergy list did not contain two of Child #1`s diagnosed food allergies and one of Child #2?s diagnosed food allergies.”

Rule 8VAC20-780-40-M.

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

“For a medication for Child #2, there was no parent or physician authorization on file. For a medication for Child #5, there was no parent or physician authorization on file. For a medication for Child #6, there was no parent authorization on file.”

Rule 8VAC20-780-510-E.

(Repeat Violation) The Center is required to obtain documentation for child records that includes the name, home address, home phone number, work phone number and place of employment of each parent who has custody.

“The file for Child #3 and Child #4 was missing the name, address, phone number, work place and work number for a custodial parent.”

Rule 8VAC20-780-60-A.

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

“1)During inspection, there were 37 children present, but the written record reflected there were 10 children present. 2)Upon arrival to the Center, children were moving in and out of the classroom without permission and staff were not aware of the number of children in the classroom in their care or the number of children in the halls and bathroom areas in their care.”

Rule 8VAC20-780-80-A.

The Provider is required to obtain the results of a Sex Offender registry check from all states in which staff members have resided within the last five years prior to employment.

“There was no sex offender registry search on file for Staff #2 from all states where the staff member lived in the last 5 years.”

Rule 22.1-289.035-B-4.

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

“The list of allergies, sensitivities, and dietary restrictions did not contain all of Child #1 or Child #2?s food allergies.”

Rule 8VAC20-780-40-M.

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

“There were records posted at the center dated 3/18/25 that contained confidential information for staff and children.”

Rule 8VAC20-780-50-A.

8VAC20-780-510-E

Rule 8VAC20-780-510-E.

The Center is required to administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“Medications for Child #4 and Child #5 were not maintained in the original, labeled container from a pharmacy.”

Rule 8VAC20-780-510-I.

The Center is required to obtain documentation for child records that includes the name, home address, home phone number, work phone number and place of employment of each parent who has custody.

“1)The file for Child #1 was missing the name for both custodial parents and the address, phone number, work place and work number for one of the custodial parents. 2)The file for Child #3 was missing the name, address, phone number, work place and work number for one of the custodial parents.”

Rule 8VAC20-780-60-A.

The Center is required to have staff records for each staff member and 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.

“1)There was no file onsite for Staff #1. 2)The file for Staff #3 did not contain a reference that included a name of the person contacted or signature of the person making the call.”

Rule 8VAC20-780-70.

The Center is required to obtain documentation of a physical examination under the direction of a physician for a child prior to the first day of attendance or within 30 days after the first day of attendance.

“Evidence: The record for child #1 did not contain documentation of a physical prior to the first day of attendance or within 30 days after the first day of attendance.”

Rule 8VAC20-780-140-A.

(Repeat Violation) The Provider is required to have written medication authorization from the child’s parent for long term medication.

“1)Medication for Child #1 did not contain authorization from the child’s parent. 2)The authorization for medication for Child #2 expired 5 months ago.”

Rule 8VAC20-780-510-E.

(Repeat Violation) The Center is required to ensure they have a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

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

The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“During inspection in the gym, there were 12 children present, but the written record reflected there were 16 children present.”

Rule 8VAC20-780-80-A.

The Provider is required to have written medication authorization from the child’s parent for long term medication.

“Evidence: Medication for Child #1 did not contain authorization from the child’s parent.”

Rule 8VAC20-780-510-E.

The Center is required to ensure they have a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

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

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 34 children present, but the written record reflected there were 40 children present.”

Rule 8VAC20-780-80-A.

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 #2 has a diagnosed food allergy to shellfish and does not have an allergy care plan on file.”

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