AlphaBEST at Round Elementary

(Repeat Violation) The center is required to 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.

“The allergy care plan on site for Child E, dated August 2026, contained documentation of a diagnosed allergy to shellfish. Two out of three allergy lists on site did not contain documentation of the shellfish allergy for Child E.”

Rule 8VAC20-780-40-M.

The center is required to 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 required.

“The allergy list posted onsite on 4/15/26 was dated 2/24/26 and did not include all of Child D’s diagnosed allergies from the allergy care plan that was obtained by the program in August 2025.”

Rule 8VAC20-780-40-M.

Staff who work directly with children are required to annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“There was no health and safety update course on record for Staff #3. The staff member was more than six months past due for completing the required training.”

Rule 8VAC20-790-600-F.

The program is required to 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 vent of a suspected or confirmed allergic reaction.

“The record for Child A contained documentation that the child has a diagnosed allergy to nuts but did not contain a written care plan from a physician that included instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.”

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

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“During the inspection, staff was heard and observed yelling at children as a form of behavioral guidance instead of redirecting them to appropriate behaviors/activities.”

Rule 8VAC20-780-400-B.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“The medication box was unlocked and located on a cart in the open area of the center accessible to children.”

Rule 8VAC20-780-510-L.

A child’s record shall contain certain information.

“Child A and B’s record were missing 1 parent’s work information.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on review of two staff records it was determined that not all records contained documentation of a determination letter based on a fingerprint criminal history check on file before the first day of employment. Evidence: The record for Staff A (start date: 01/18/2024) did not have documentation of a determination letter based on a fingerprint criminal history check on file.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on a review of 3 staff records, the facility failed to obtain documentation of a central registry finding within 30 days of employment for all staff. Evidence: Staff A (start date 2/9/23) and staff B (start date 9/6/22) were missing documentation of a central registry finding in their records.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-130-A

“Based on a review of documentation, the facility did not ensure that all children had documentation of immunization by first day of attendance. Evidence Child A, child B, and child C did not have documentation of immunizations in their records.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-B

“Based on a review of documentation, the facility did not ensure that all children had documentation of a physical within 30 days of attendance. Evidence Child A, child B, and child C did not have documentation of a physical in their records.”

Rule 8VAC20-780-140-B.

8VAC20-780-60-A

“Based on a review of five children’s records, the facility did not ensure that all of the children’s records contained the required information. Evidence: Child A’s record was missing emergency contact address. Child B’s record was missing a second emergency contact. Child C’s record was missing second emergency contact’s address. Child D’s record was missing emergency contact information.”

Rule 8VAC20-780-60-A.