AlphaBEST at Porter Traditional

Physical examination reports and immunizations shall be signed by a physician, designee, or an official of a local health department.

“The immunization records and physical examination on file for Child A and Child B were not signed and stamped by a physician, designee or local health department.”

Rule 8VAC20-780-150-B.

When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“During the inspection, from approximately 4:20 p.m. to 4:30 p.m., one staff member was observed supervising 22 children in a mixed age group in the hallway while the children were using the restrooms. The youngest child present was 6 years old, requiring a staff-to-child ratio of 1:18.”

Rule 8VAC20-780-350-C.

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

“There was one child who arrived with their own breakfast, the child did not wash their hands before eating.”

Rule 8VAC20-780-500-A.

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 and the center administers drugs only to the child identified on the prescription label.

“1. Child B had long-term medication on site. The medication authorization form on file for Child B does not give the center authorization to administer the child the medication. 2. The medication assigned to Child A did not have their name identified on the prescription label.”

Rule 8VAC20-780-510-I.

The center must complete repeat background searches for board members every five years.

“Board Member A’s most recent out-of-state central registry search was completed more than 5 years ago. The out of state central registry search on file was overdue by 7 days.”

Rule 22.1-289.036-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.

“The program did not have a written list of all children’s allergies, sensitivities and dietary restrictions accessible to all staff who work with the children. The list was also not in each room or area where children were present.”

Rule 8VAC20-780-40-M.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #2, was missing work phone number and place of employment of each parent.”

Rule 8VAC20-780-60-A.

A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance and the agreement shall be signed by the parent.

Rule 8VAC20-780-90-A.

8VAC20-780-60-A

“Based on a review of six children’s records, the facility failed to ensure that all the children’s records contained the required information. Evidence: Child A’s record was missing a written care plan for a child with a diagnosed food allergy.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-A

“Based on a review of documentation, not all of the facility staff had documentation of a negative tuberculosis screening. Evidence: Staff A did not have documentation of a negative tuberculosis screening in their record.”

Rule 8VAC20-780-160-A.