AlphaBEST at Coles Elementary

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

“Evidence: The tuberculosis screening for Staff #4 was expired for 10 weeks before a subsequent tuberculosis screening had been obtained.”

Rule 8VAC20-780-160-C.

Staff who work directly with children shall complete the department’s health and safety update course annually.

“Evidence: The record for Staff #2 did not contain an annual Health and Safety update, the annual update was overdue by two months.”

Rule 8VAC20-790-600-F.

Repeat Violation

“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. Evidence: The allergy list only identified one food allergy for child #1, according to documentation the child had three additional diagnosed food allergies that were not on the list.”

Rule 8VAC20-780-40-M.

Each center shall maintain and keep a separate record for each child enrolled which shall contain a written care plan for each child with 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: The record for Child #5 contained documentation of a diagnosed food allergy to eggs. There was no written allergy care plan from a physician on record. Child #5 had been enrolled in the program for two months.”

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

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. Evidence: There were 41 children present, the written record reflected there were 39.”

Rule 8VAC20-780-80-A.

The center shall inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“Evidence: When asked staff were unaware of all diagnosed food allergies for Child #6.”

Rule 8VAC20-780-40-L.

The center shall maintain, a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence: The most recent allergy list did not include all diagnosed food allergies for Child #6. Only one food allergy was identified on the list. Child #6 had three food allergies, all requiring emergency medication. The child had been attending the program for nine months.”

Rule 8VAC20-780-40-M.

Prescription and nonprescription medication shall be given to a child only with written authorization from the parent.

“Evidence: There was no written parent authorization for Child #6, that had three diagnosed food allergies, all required emergency medication.”

Rule 8VAC20-780-510-B.

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.

“Evidence: There were 22 children present, the written record reflected there were 18.”

Rule 8VAC20-780-80-A.

22.1-289.036-A

“Based on review of three Board Officer records and interview, the program did not obtain the results of a fingerprint-based criminal history record check for Board Officers every five years as required. Evidence: The most recent fingerprint results on record for Board Officer #1, Board Officer #2, and Board Officer #3 were dated 9/20/18.”

Rule 22.1-289.036-A.

8VAC20-780-130-A

“Based on review, the facility did not ensure that they obtained documentation of an immunization record before the child attends the center. Evidence: reviewed 5 children’s records and found that Child 3 did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that there was disinfectant spray, and Elixir spray accessible to children on a cart used by the cafeteria staff.”

Rule 8VAC20-780-280-B.

8VAC20-780-130-A

“Based on review, the facility did not ensure that documentation of immunizations were obtained before the children attend the center. Evidence: Reviewed 4 children’s files and found that Child 1 did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.