AlphaBEST at River Oaks Elementary

8VAC20-780-245-L

“Based on interviews and review of three staff records it was determined that there was not at least one person on duty with current training of daily health observation training. Evidence: The three staff records reviewed for the staff on site did not have documentation that staff had obtained daily health observation training.”

8VAC20-780-70

“Based on interviews and review of three staff records it was determined that not all staff had a record on file as required. Staff A who was a substitute at the facility did not have their staff record on site for review.”

8VAC20-780-350-B-5

“Based on observation and staff interview, the required ratio for children ages 5 to 9 years old of 1 staff for every 18 children was not always followed. Evidence: On March 30, 2023, there were 25 children ages 5 years through 11 years of age under the supervision of two staff. During hand washing and bathroom break, staff was observed leaving one staff alone with 25 children to answer the door for a parent pick up in the main childcare area in the gym that was out of sight and sound supervision of the hallway area where the children and other staff were lined up for approximately three minutes. Once hand washing was completed, Staff #2 was observed leaving the group in the main childcare area in the gym to use the rest room, leaving the 24 children with one staff for approximately five minutes. Staff interview confirmed that for the last week the program has operated this way.”

8VAC20-780-510-B

“Based on review of medication it was determined that the center failed to obtain authorization for prescription medication as required. Evidence: Child #10, had an epi pen on site and the authorization from the parent expired on November 2022 and from the physician on 1/18/2023.”

8VAC20-780-510-E

“Based on review of medications, it was determined that the center failed to ensure their medication policy regarding outdated medication was followed. Evidence: Child #10 had an epi pen on site that expired November 2022.”

8VAC20-780-130-A

“Based on review of documentation, not all children’s records contained documentation of age appropriate immunizations as required. Child #2, enrollment paperwork signed 7/18/2022, did not have immunizations in the file.”

8VAC20-780-60-A

“Based on review of documentation, not all children’s records contained required information. Child #2, enrollment paperwork signed 7/18/22022, did not have father’s employment information or a second emergency contact. Child #3, enrollment paperwork signed 11/17/2022, did not have second parent information and employer name. Child #4, enrollment paperwork signed 12/12/2022, second parent information and employer name”

8VAC20-780-60-A-8

“Based on review of documentation, not all records for children with a diagnosed food allergy had a written care plan from a physician. Evidence: Child #9 has a diagnosed food allergy to nuts and there was no written care plan for the diagnosed food allergy, that includes 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”

8VAC20-780-350-B-5

“Based on observation and staff interview, the required ratio for children ages 5 to 9 years old of 1 staff for every 18 children was not always followed. Evidence: On March 30, 2023, there were 25 children ages 5 years through 11 years of age under the supervision of two staff. During hand washing and bathroom break, staff was observed leaving one staff alone with 25 children to answer the door for a parent pick up in the main childcare area in the gym that was out of sight and sound supervision of the hallway area where the children and other staff were lined up for approximately three minutes. Once hand washing was completed, Staff #2 was observed leaving the group in the main childcare area in the gym to use the rest room, leaving the 24 children with one staff for approximately five minutes. Staff interview confirmed that for the last week the program has operated this way.”

8VAC20-780-510-B

“Based on review of medication it was determined that the center failed to obtain authorization for prescription medication as required. Evidence: Child #10, had an epi pen on site and the authorization from the parent expired on November 2022 and from the physician on 1/18/2023.”

8VAC20-780-510-E

“Based on review of medications, it was determined that the center failed to ensure their medication policy regarding outdated medication was followed. Evidence: Child #10 had an epi pen on site that expired November 2022.”

8VAC20-780-130-A

“Based on review of documentation, not all children’s records contained documentation of age appropriate immunizations as required. Child #2, enrollment paperwork signed 7/18/2022, did not have immunizations in the file.”

8VAC20-780-60-A

“Based on review of documentation, not all children’s records contained required information. Child #2, enrollment paperwork signed 7/18/22022, did not have father’s employment information or a second emergency contact. Child #3, enrollment paperwork signed 11/17/2022, did not have second parent information and employer name. Child #4, enrollment paperwork signed 12/12/2022, second parent information and employer name”

8VAC20-780-60-A-8

“Based on review of documentation, not all records for children with a diagnosed food allergy had a written care plan from a physician. Evidence: Child #9 has a diagnosed food allergy to nuts and there was no written care plan for the diagnosed food allergy, that includes 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”