AlphaBEST at River Oaks Elementary

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements.

“Child B, has an emergency medication on site. There was not a staff member with the required medication administration training on site.”

Rule 8VAC20-780-245-J-3.

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the center administers only those drugs that were dispensed from a pharmacy and maintained in the original labeled container.

“Child A had a prescription medication on site that did not have the pharmacy issued prescription label attached.”

Rule 8VAC20-780-510-I.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff A, employed for more than one year, did not have documentation of requesting a central registry check or sex offender check from the state the individual had resided in the preceding five years.”

Rule 22.1-289.035-B-4.

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.

“Three emergency medications for Child A were onsite, but the medication authorization forms had expired over 33 days ago. The authorizations had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

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.

“At approximately 3:40 p.m. on 10/28/2025, there were 32 children present in the program, but 31 children were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“The repeat TB screening for Staff A was due two months ago and had not yet been completed.”

Rule 8VAC20-780-160-C.

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.

“Child A has emergency medication as well as an allergy care plan for a food allergy that was not listed on the center’s allergy list.”

Rule 8VAC20-780-40-M.

8VAC20-780-245-L

“Based on interviews and review of three staff records it was determined that there was not at least one person on duty with current training of daily health observation training. Evidence: The three staff records reviewed for the staff on site did not have documentation that staff had obtained daily health observation training.”

Rule 8VAC20-780-245-L.

8VAC20-780-70

“Based on interviews and review of three staff records it was determined that not all staff had a record on file as required. Staff A who was a substitute at the facility did not have their staff record on site for review.”

Rule 8VAC20-780-70.

8VAC20-780-130-A

“Based on review of documentation, not all children’s records contained documentation of age appropriate immunizations as required. Child #2, enrollment paperwork signed 7/18/2022, did not have immunizations in the file.”

Rule 8VAC20-780-130-A.

8VAC20-780-350-B-5

Rule 8VAC20-780-350-B-5.

8VAC20-780-510-B

“Based on review of medication it was determined that the center failed to obtain authorization for prescription medication as required. Evidence: Child #10, had an epi pen on site and the authorization from the parent expired on November 2022 and from the physician on 1/18/2023.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-E

“Based on review of medications, it was determined that the center failed to ensure their medication policy regarding outdated medication was followed. Evidence: Child #10 had an epi pen on site that expired November 2022.”

Rule 8VAC20-780-510-E.

8VAC20-780-60-A

“Based on review of documentation, not all children’s records contained required information. Child #2, enrollment paperwork signed 7/18/22022, did not have father’s employment information or a second emergency contact. Child #3, enrollment paperwork signed 11/17/2022, did not have second parent information and employer name. Child #4, enrollment paperwork signed 12/12/2022, second parent information and employer name”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

“Based on review of documentation, not all records for children with a diagnosed food allergy had a written care plan from a physician. Evidence: Child #9 has a diagnosed food allergy to nuts and there was no written care plan for the diagnosed food allergy, that includes 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”

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