AlphaBEST at Wilson Elementary

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

“The record for Child A did not contain documentation of the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

The center did not obtain all of the required documentation for staff records.

“The records for Staff #1 and Staff #2 did not contain documentation to demonstrate that the individual possesses the education required by the job position.”

Rule 8VAC20-780-70.

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.

“Staff #1was past due for completing the health and safety update training by more than one month. Staff #3 was past due for completing the health and safety update training by more than 13 months.”

Rule 8VAC20-790-600-F.

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.

“The record for Staff #1 did not include a Health and Safety Update training certificate. The staff was required to complete the training by 12/2/2025.”

Rule 8VAC20-790-600-F.

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

“On 7/14/25, staff stated they were not aware of a diagnosed food allergy for Child B that was documented on the child’s physical.”

Rule 8VAC20-780-40-L.

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 list on site on 7/14/25 did not include Child A or Child B, both of whom have diagnosed allergies.”

Rule 8VAC20-780-40-M.

The 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 B did not contain the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

A written care plan is required 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 event of a suspected or confirmed allergic reaction.

“The record for Child B did not contain a written care plan from the child’s physician regarding the child’s diagnosed food allergy.”

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

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

“On 1/28/25 Staff #1 reported that they were unsure but did not believe there were children with allergies or medication for allergies enrolled. There were four children enrolled with food allergies and three of them had emergency medication on-site for their allergies.”

Rule 8VAC20-780-40-L.

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 allergy list on-site did not include Child A who has a diagnosed allergy with emergency medication on-site.”

Rule 8VAC20-780-40-M.

The name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached are required for each child.

“Child A did not have a second designated person to call on file, or the address for the first emergency contact.”

Rule 8VAC20-780-60-A.

A written care plan in required 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 event of a suspected or confirmed allergic reaction.

“Child A, who has been enrolled for one week, has a diagnosed food allergy and did not have a written care plan on file.”

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

Written agreements between the parent and the center stating that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if requested by the center and that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease are required to be in each child’s record by the first day of attendance.

“Child B and Child C, who have been enrolled for four weeks, did not have the required signed policies on file.”

Rule 8VAC20-780-90-A.

8VAC20-780-510-E

“Based on review, the facility had expired emergency medication on site. Evidence: reviewed 6 children’s medications and found that Child 2 had emergency medication (epinephrine) that expired in April of 2021.”

Rule 8VAC20-780-510-E.

8VAC20-780-550-D

“Based on review, the facility did not ensure that they practiced and documented monthly evacuation drills. Evidence: the facility did not have documentation of drills practiced in November or December of 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-60-A

“Based on review, the facility did not ensure that children’s records were maintained with the required minimum items. Evidence: Reviewed 5 children’s records and found that Child 1 did not have documentation of parent #2’s work information”

Rule 8VAC20-780-60-A.

8VAC20-820-120-E-2

“Based on review, the facility did not ensure that the most recent inspection findings were posted in a conspicuous location. Evidence: the most recent posted inspection report was dated 2/17/21, but the most recent inspection occurred on 10/31/2022.”

Rule 8VAC20-820-120-E-2.

8VAC20-780-150-B

“Based on review, the facility did not ensure that physical examinations and immunizations were signed by a physician, their designee or an official of a local health department. Evidence: Reviewed 5 children’s records and found that Child 3 did not have documentation of a signed physical examination or immunization record.”

Rule 8VAC20-780-150-B.

8VAC20-780-60-A

“Based on review, the facility did not ensure that each child has a record maintained with the required minimum information. Evidence: Reviewed 5 children’s records and found that Child 3 did not have documentation of a second emergency contact.”

Rule 8VAC20-780-60-A.