AlphaBEST at King Elementary

At least every two years from the date of the initial screening or testing staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“The most recent tuberculosis screening in the record for Staff A expired approximately two months ago.”

Rule 8VAC20-780-160-C.

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. This list shall be dated and kept confidential in each room or area where children are present.

“The allergy list was displayed with no covering on a display board.”

Rule 8VAC20-780-40-M.

The center is required to maintain documentation of emergency evacuations and shelter-in-place drills.

“1. The emergency drill for the month of August was incomplete and missing the following components: date and time of the drill, number of staff participating, number of children participating, any special conditions simulated, the time it took to complete the drill and weather conditions. 2. The program had no documentation for the two required shelter-in-place drills conducted from August 2024-August 2025”

Rule 8VAC20-780-550-G.

Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

“Sanitizing spray was unlocked and accessible to children on a low shelf in the cafeteria where the program is located.”

Rule 8VAC20-780-280-B.

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

“Children were observed eating snack then proceeded to play with table toys, handwashing was not observed after eating snack.”

Rule 8VAC20-780-500-A.

A menu listing foods to be served for snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents.

“The program could not locate the menu during the inspection.”

Rule 8VAC20-780-560-F.

Tables shall be sanitized before and after each use for feeding.

“Tables were not observed being sanitized after children finished snack”

Rule 8VAC20-780-560-J.

(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.

“The written daily attendance had 24 children signed in and only 20 children were present.”

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.

“Evidence: (REPEAT VIOLATION) Child #1 had one allergy and several sensitivities documented on their allergy plan that were not listed on the written list of all children’s allergies/sensitivities/dietary restrictions.”

Rule 8VAC20-780-40-M.

The center is required to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: There were 18 children present but only 16 children were signed in on the electronic attendance.”

Rule 8VAC20-780-80-A.

8VAC20-780-40-M

“The center shall maintain a current written list of all children’s allergies, sensitivities and dietary restrictions. Child A’s allergy to soybeans were not listed. Child A’s sensitivities and dietary restrictions to legumes, lima beans alfalfa sprouts, licorice, tofu, miso, bean curd etc were not listed.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A-8

“Based on a review of the allergy list and interview, it was determined that one child with a diagnosed food allergy did not have a written allergy care plan on file with instructions from a physician to address steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child # 1 is allergic to fava beans, peas, and peanuts however there was no written allergy car plan on file.”

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

8VAC20-780-130-A

“Based on a review of six children’s files and interview with staff, it was determined that 3 children did not have immunization record on file at the time of enrollment. Evidence: Child B enrolled on 9/18/22, child C enrolled on 8/29/22 and child D enrolled on 8/22/22 and there were no immunization records on file for all 3 children.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on a review of six children’s files and interview with staff, it was determined that 2 children did not have physicals on file within 30 days of enrollment. Evidence: Child B enrolled on 9/18/22, child D enrolled on 8/22/22. Neither child had physicals on file.”

Rule 8VAC20-780-140-A.

8VAC20-780-40-L

“Based on observation and interview, it was determined that the center didn’t inform all staff of a child’s allergy. Evidence: Child A has a diagnosed food allergy to red dye, four staff were not aware that this child had this allergy.”

Rule 8VAC20-780-40-L.

8VAC20-780-40-M

“Based on observation and interview, it was determined that the center didn’t maintain a current written list of all children’s allergies. Evidence: Child A has a diagnosed food allergy to red dye. There was no written list identifying this allergy.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Based on interview it was determined that there were no children’s files on site for another program that joined this program on teachers workday. Children’s records shall be kept for each child on site.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

“Based on interview and a review of files, it was determined that there was no written care plan for a child with a diagnosed food allergy. Evidence: Child A has a diagnosed allergy to red food dye in food. There was no written allergy care plan on file.”

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

8VAC20-780-70

“Based on interview, it was determined that there were no staff files for 3 staff. Evidence: There were no staff files on site for staff A, B and C.”

Rule 8VAC20-780-70.

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were unlocked and accessible to the children. Evidence: The Licensing Inspector observed a bottle of sanitizing spray on the table at the front entrance, the spay was unlocked and in reach of children.”

Rule 8VAC20-780-280-B.