AlphaBEST Education, Inc.-Northern Shores Elementary

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for eight months.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #5 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff with the exception of while using the restroom at which time staff should be able to at least hear the child(ren). During the inspection, a nine year old child left the cafeteria unsupervised on two occasions for two minutes each time. Two children were observed in a bathroom and there were no staff close enough to at least hear the children.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-M

“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. There was not a list in the cafeteria where children with an allergy were present.”

Rule 8VAC20-780-40-M.

8VAC20-780-500-A

“Children’s hands shall be washed before and after eating meals or snacks. Children did not wash their hands after eating their afternoon snack.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medication was stored in an unlocked storage closet.”

Rule 8VAC20-780-510-L.

8VAC20-780-245-J-3

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who is medication administration trained (MAT). There was not a staff member MAT certified and emergency medications were stored to be administered if needed.”

Rule 8VAC20-780-245-J-3. From a complaint.

8VAC20-780-350-B-5

“The required ratio for school age children is one staff per eighteen children. Staff #2 and Staff #3 were observed supervising fifty-six children for approximately twenty-five minutes before Staff #1 arrived.”

Rule 8VAC20-780-350-B-5. From a complaint.

8VAC20-780-150-B

“The required immunizations documentation for enrolled children must include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record for child #1 contained immunizations and physical documentation which were not signed or stamped by the child’s physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-510-I

“Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian. There was no written parent/guardian or physician authorization to administer prescription medication to Child #1. Medication was administered to Child #1 in November 2024.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice emergency drills for one year. Emergency drill log was not available for prior to July 2024.”

Rule 8VAC20-780-550-H.

8VAC20-780-60-A

“(Repeat violation) Each 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 #1 was missing start date and a second emergency contact. The record for Child #2, enrolled for two months was missing one parent home address, one parent place of employment, emergency contact addresses and a physical examination. The records for Child #3 and Child #4 was missing start date.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 1 of 5 child records has immunization and physical examination forms that are signed by a physician, designee or official of the health department.

“Evidence: The record for Child #1 (start date 9/5/2023) has a physical and immunization record that is not signed by the physician, designee or health department official.”

Rule 8VAC20-780-150-B.

Repeat Violation Based on review, facility did not ensure 5 of 5 child records have documentation of required information.

“Evidence: The following was found during review of child records: 1. The records for Child #1 - Child #5 did not have documentation of parents’ employment information. 2. The record for Child #5 (start date 9/6/2023) did not have information for a second emergency contact.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 1 of 5 child records has documentation of required information.

“Evidence: The record for child #1 (start date 9/5/2023) did not have a second emergency contact (other than parent), physical examination and immunization record.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 5 of 5 children’s records has documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #1 (start date 9/6/2022) did not have a second emergency contact that is not a parent. 2. The records for child #2 (start date 9/6/2022), child #3 (start date 9/6/2022), child #4 (start date 9/6/2022) and child #5 (start date 9/6/2022) did not have employment phone number for both parents. 3. The records for child #4 (start date 9/6/ 2022) and child #5 (start date 9/6/2022) did not have a physical examination.”

Rule 8VAC20-780-60-A.

Based on interview and observation, facility did not ensure required documentation for staff is maintained at the center.

“Evidence: There was not documentation of emergency contacts for the 3 staff present. Staff member-in-charge confirmed the information could not be located.”

Rule 8VAC20-780-70.

Based on review, facility did not ensure 1 of 3 staff have documentation of a negative tuberculosis screening prior to beginning employment.

“Evidence: The record for staff #3 (start date 3/18/2022) did not have a TB test or screening.”

Rule 8VAC20-780-160-A.

Based on review and interview, facility did not ensure 2 of 3 staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment.

“Evidence: The records for staff #2 (start date 10/14/2022) and staff #3 (start date 3/18/2022) did not have documentation of completing the VDOE sponsored orientation course. Staff confirmed it has not been completed.”

Rule 8VAC20-780-240-A.

Based on observation and interview, facility did not ensure there is at least 1 staff per 18 children when the youngest in the group is ages 5 - 9 years.

“Evidence: According to review of head count sheets, on February 13, 2023 at 4:00 PM, 2 staff were present with 39 school age children ranging in age from 5 - 10 years old. Staff confirmed the ratio and stated the third staff member was late arriving to the program. A third staff arrived during inspection.”

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

Based on review, facility did not ensure shelter-in-place procedures are practiced at least twice per year.

“Evidence: Facility did not have documentation of any shelter-in-place drills conducted in 2022.”

Rule 8VAC20-780-550-E.

Based on review, facility did not ensure lockdown procedures are practiced at least annually.

“Evidence: There was not documentation of a lockdown drill in 2022.”

Rule 8VAC20-780-550-F.

Based on review, facility did not ensure 3 of 5 children’s records have documentation of required information.

“Evidence: The records for child #2 (start date 9/8/22), child #3 (start date 9/6/22) and child #5 (start date 9/12/22) did not have complete documentation for parents’ employment information. The record for child #2 (start date 9/8/22) did not have documentation of emergency contact addresses.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 1 of 2 children’s records has documentation of all required information.

“Evidence: The record for child #2 (start date January 3, 2022) did not have documentation of emergency contact addresses and a physician’s allergy action plan for a diagnosed food allergy noted on the child’s physical examination.”

Rule 8VAC20-780-60-A.