AlphaBEST Education, Inc. - Kilby 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 #4, who had been enrolled for six months.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1 and Child #3, who had been enrolled for six months, did not have documentation of an immunization record on file.”

8VAC20-780-60-A

“The center shall maintain a separate record for each child that has required information. The record for Child #1, enrolled for six months, did not have a second emergency contact other than parents.”

8VAC20-790-600-D-2

“Staff are to have current first aid certification appropriate to the ages of children in care. The first aid certification for Staff #3 is expired by two months.”

8VAC20-790-600-D-1

“Staff are to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The CPR certification for Staff #3 is expired by two months.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #5 was onsite, but the medication authorization expired six months prior. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-245-A

“Based on a review of records and interview, all staff did not complete a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Five staff records were reviewed. The record for staff #2 whose date of employment is11/1/2022 had a total of 12.5 of the required 16 hours of annual training during the previous 12 month period. Additional training documentation was not located for review.”

8VAC20-780-150-B

“Based on a review of records and interview, the licensee did not obtain a physical examination and immunization records which were signed by a physician, his designee, or an official of a local health department. Evidence: Five children's records were reviewed. The record for child #1, whose enrollment date was documented as 1/22/2024, contained the results of a physical examination and shot records which were not signed or stamped by the physician, his designee, or an official of a local health department. Staff were unable to locate a signed or stamped copy of the physical examination and shot records for child #1.”

8VAC20-780-60-A-8

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain a written care plan for each enrolled 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. Evidence: Six children's records were reviewed. The record for child #1 contained documentation of a food allergy to Tree Nuts, Shellfish, peanuts and Fish Mix. The record for child #6 contained documentation of a food allergy to Butternut Squash. The records for child #1 and Child #6 did not contain a care plan to follow in the event of a suspected or confirmed allergic reaction. Staff acknowledged that this documentation had nor been obtained for child #1 or child #6.”

8VAC20-780-245-A

“Based on a review of records and interview, all staff did not complete a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Five staff records were reviewed. The record for staff #2 whose date of employment is11/1/2022 had a total of 12.5 of the required 16 hours of annual training during the previous 12 month period. Additional training documentation was not located for review.”

8VAC20-780-150-B

“Based on a review of records and interview, the licensee did not obtain a physical examination and immunization records which were signed by a physician, his designee, or an official of a local health department. Evidence: Five children's records were reviewed. The record for child #1, whose enrollment date was documented as 1/22/2024, contained the results of a physical examination and shot records which were not signed or stamped by the physician, his designee, or an official of a local health department. Staff were unable to locate a signed or stamped copy of the physical examination and shot records for child #1.”

8VAC20-780-60-A-8

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain a written care plan for each enrolled 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. Evidence: Six children's records were reviewed. The record for child #1 contained documentation of a food allergy to Tree Nuts, Shellfish, peanuts and Fish Mix. The record for child #6 contained documentation of a food allergy to Butternut Squash. The records for child #1 and Child #6 did not contain a care plan to follow in the event of a suspected or confirmed allergic reaction. Staff acknowledged that this documentation had nor been obtained for child #1 or child #6.”

8VAC20-780-60-A

“*** REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not ensure that a record containing all of the required information is kept for each enrolled child. Evidence: Five children's records were reviewed. The record for chilld #1 did not contain an address for either of the two required emergency contacts in case the child's parent cannot be reached in an emergency. Staff verified that this information was not documented for child #1.”

8VAC20-780-130-A

“Based on a review of records and interview, the licensee di not obtain documentation that they have received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Five children's records were reviewed. The records for child #1 and child #2, who both enrolled 9/5/2023, did not contain documentation of immunizations. Staff confirmed that this documentation had not been obtained for child #1 and child #2.”

8VAC20-780-60-A-8

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain a written care plan for each enrolled 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. Evidence: Five children's records were reviewed. The record for child #1contained documentation of a food allergy to butternut squash. The record for child #5 contained documentation of a food allergy to mustard. The records for child #1 and Child #5 did not contain a care plan to follow in the event of a suspected or confirmed allergic reaction. Staff acknowledged that this documentation had nor been obtained for child #1 or child #5.”