AlphaBEST @ Simonsdale Elementary

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The record for staff #2 (hire date 9/20/23) did not contain documentation of CPR certification.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in first aid appropriate to the ages of children in care. The record for staff #2 (date of hire 9/20/23) did not contain documentation of first aid certification.”

8VAC20-790-570-2

“Based on record review and interviews it was determined the vendor did not inform the departments representative s soon as practical, but not more that two business days, of an injury to a child while under the vendors supervision when a referral is made for treatment from a medical professional. Evidence 1. On 10/19.2023 a child was injured while in care of the center. The child required outside medical care. 2 On 10/24/2023 a licensing inspector directed, and provided the link to complete, the required "Child Requiring Medical Treatment" form on the departments website. 3.The regional manager agreed to complete the form immediately, however the "Child Requiring Outside Medical Treatment" form was not completed.”

8VAC20-780-160-A

“Based on a review of 4 staff records, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1.The record for staff #3, staff #4 and staff #5 did not contain documentation of TB screenings. 2.Staff #6 confirmed the documentation was not in the record.”

8VAC20-780-60-A

“Repeat Violation Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The records for child #1, child #2, child #3 and child #5 did not include emergency addresses. 2.The record for child #1 did not include documentation that proof of identification and age was viewed. Staff #1 confirmed the information was not in the record.”

8VAC20-780-70

“Repeat Violation Based on a review of 5 staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information. Evidence: 1.The records for staff #2, #3, #4 did not include documentations of qualifications, date of hire, employee address, proof of ID, 2.The record for staff #3, staff #4 and staff #5 did not include documentation that 2 references were checked before hire. 3. Staff #6 confirmed the information was not in the records.”

8VAC20-780-80-A

“Repeat Violation Based on record review and interviews, it was determined the facility did not ensure a that a written daily record of children’s daily attendance, including arrival and departure times, was maintained. Evidence: 1. The written attendance maintained by staff, did not include children’s arrival and departure times. 2. Staff #1 confirmed written arrival and departure times were not available.”

8VAC20-780-530-C

“Repeat Violation Based on record review and interviews, it was determined that the center failed to ensure that there shall always be at least two staff members with current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: 1.On 10/19/2023 the facility did not have two staff members with current CPR and first aid certification. There were 8 children in care. 2. On 1/26/2024 from 1:40pm to 2:00pm there was only one staff member with current CPR and first aid certification. There were 15 children in care. 3.Staff #6 confirmed the facility did not have the required number of staff with certification.”

8VAC20-770-60-C-2

“Based on record review and interview, it was determined the facility did not ensure that an employee of a licensed child day program was denied continued employment if the program does not have a central registry finding within 30 days of employment or volunteer service. Evidence: 1.The record for staff #2 did not include documentation of the central registry finding. 2.Staff #1 confirmed documentation of the central registry finding was not in the record.”

8VAC20-780-240-A

“Based on the review of records and interview, it was determined the center did not ensure that the Virginia Department of Education sponsored orientation course is completed within 90 calendar days of employment. Evidence: The record for staff #2 (hire date 9/20/23) did not contain documentation that the 10 hour Virginia Department of Education sponsored orientation training was completed.”

8VAC20-780-240-B

“Based on records review and interview the center did not ensure that staff complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. 1.There was no documentation of orientation training for staff #3, staff #4.or staff #5. 2. Staff #6 confirmed this documentation was not in the record.”

8VAC20-780-340-C

“Based on record review, observation and interviews, it was determined the facility did not ensure that during the stated hours of operation, when one or more children are present there always shall be on the premises one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1.On 10/19/2023 at 5:30pm staff #5 was the only staff member onsite supervising 8 children. 2.On 1/26/2024 from 1:40pm-2:00pm staff #1 was the only staff onsite supervising 15 children. 3.Staff #6 confirmed there had been only one staff member in the facility on 10/19/2023 and from 1:40pm to 2:00pm on 1/26/2024.”

8VAC20-770-60-B

“Based on record review and interview, it was determined the facility did not ensure that a sworn statement or affirmation is obtained prior to the first day of employment or beginning to serve as a volunteer. 1. The records for staff #2, staff #3, and staff #4 did not contain documentation that sworn statements had been obtained. 2.Staff #6 confirmed the documentation was not in the records.”

22.1-289.035-B-2

“Repeat Violation Based on record review and interview, it was determined the facility did not ensure that fingerprint background checks are obtained prior to the first day of employment. 1.The records for staff #2, staff #3, and staff #4 did not contain documentation that fingerprint background checks had been obtained prior to employment. 2.Staff #5 confirmed the background checks were not in the records.”

8VAC20-780-530-A-1

“Based on record review and interviews, it was determined that the center failed to ensure that at least one staff in each classroom or area have current cardiopulmonary resuscitation (CPR) 1.Staff #5, the only staff member at the facility on 10/19/2023, did not have current CPR. 2.Staff #6 confirmed there was no documentation of CPR certification.”

8VAC20-780-530-A-2

“Based on record review and interviews, it was determined that the center failed to ensure that at least one staff in each classroom or area have current first aid certification. 3.On 10/19/2023 a child was injured while in the care of staff #5. 4.Staff #5 was the only staff member at the facility on 10/19/2023 and did not have current first aid certification. 5.Staff #6 confirmed there was no documentation of first aid certification for staff #5.”

8VAC20-780-80-A

“Based observations the center failed to maintain attendance as required. Evidence: The hard copy attendance documentation did not capture the actual arrival and departure of children as it occurred.”

8VAC20-780-540-B

“Based on observation the center failed to ensure that each first aid kit is easily accessible to staff but not to children. Evidence: The first aid kit is sitting on the floor of the child care room within reach of children.”

8VAC20-780-350-C

“Based on observations and interview the center failed to ensure that required ratios are maintained. Evidence: 1 ? At approximately 4:47pm there were 13 children ages four to 11 years old in care alone with Staff #1. 2 ? Staff #1 stated that she was alone with the children because Staff #2 had not arrived at the scheduled time. a. Staff #1 was alone with the entire group of children until Staff #2 arrived at approximately 5:20pm.”

8VAC20-780-340-F

“Based on observations the center failed to ensure that children under 10 years of age always are always within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that: 1. There is a system to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children; and 2. Staff check on a child who has not returned from the restroom after five minutes. Depending on the location and layout of the restroom, staff may need to provide intermittent sight supervision of the children in the restroom area during this five-minute period to a Evidence: 1 ? An 11-year-old child in care was sent to bathroom with younger children. 2 ? No staff checked the bathroom to ensure there was not anyone in the bathroom before the children entered. 3 ? As the only staff present, Staff #1 was unable to hear children that were sent to the bathroom. 4 ? Staff #1, who was caring for children alone at the time, left children totally unattended no less than four times to open the door for arriving parents.”

8VAC20-780-60-A

“Based on record review and interview the center failed to obtain all required information for children’s records. Evidence: 1 ? The record for Child #1 does not contain documentation of first date of attendance. 2 ? The records for Child #1 and #2 do not contain any documentation of emergency contact addresses. 3 ? Staff #1 confirmed that there was not a documented first date of attendance on file for Child #1 or emergency contact address for Child #1 and #2.”

8VAC20-780-40-D

“Based on observation and interview the center failed to ensure that the current is posted in the center. Evidence: 1 ? The current license was not posted or visible anywhere in the center during the inspection. 2 ? Staff #1 confirmed that the license was not posted. She further stated that she did not know where the current license was located.”

8VAC20-780-140-A

“Based on record review and interview the center failed to obtain physical examinations as required. Evidence: 1 ? The records for Child #1 and #2 do not contain any documentation of physical examinations. 2 ? Staff #1 confirmed that the physical examinations were not present in the records of Child #1 or #2.”

8VAC20-780-130-A

“Based on record review and interview the center failed to obtain child immunizations as required. Evidence: 1 ? The record for Child #1 did not contain documentation of an immunization. a. Child #1 does not have a documented first date of attendance. b. Child #1 was present, in care during the inspection. 2 ? Staff #1 confirmed that there was not any documentation of immunizations on file for Child #1.”

8VAC20-770-70-A

“Based on record review the center failed to maintain staff records as required. Evidence: 1 ? There is not any staff record information onsite for Staff #1 or #2. a. Both Staff #1 and #2 were present and providing care to children during the inspection. 2 ? Staff #1 stated that there were not any records onsite for Staff #1 or #2.”

8VAC20-780-270-F

“Based on observation and interview the center failed to maintain a working non pay telephone for the center. Evidence: 1 ? The telephone number listed on the department website was not operational during the inspection. 2 ? Staff #1 stated that she used her personal cell phone and not the center phone to make phone calls.”

8VAC20-780-80-A

“Based observations the center failed to maintain attendance as required. Evidence: The hard copy attendance documentation did not capture the actual arrival and departure of children as it occurred.”

8VAC20-780-540-B

“Based on observation the center failed to ensure that each first aid kit is easily accessible to staff but not to children. Evidence: The first aid kit is sitting on the floor of the child care room within reach of children.”

8VAC20-780-350-C

“Based on observations and interview the center failed to ensure that required ratios are maintained. Evidence: 1 ? At approximately 4:47pm there were 13 children ages four to 11 years old in care alone with Staff #1. 2 ? Staff #1 stated that she was alone with the children because Staff #2 had not arrived at the scheduled time. a. Staff #1 was alone with the entire group of children until Staff #2 arrived at approximately 5:20pm.”

8VAC20-780-340-F

“Based on observations the center failed to ensure that children under 10 years of age always are always within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that: 1. There is a system to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children; and 2. Staff check on a child who has not returned from the restroom after five minutes. Depending on the location and layout of the restroom, staff may need to provide intermittent sight supervision of the children in the restroom area during this five-minute period to a Evidence: 1 ? An 11-year-old child in care was sent to bathroom with younger children. 2 ? No staff checked the bathroom to ensure there was not anyone in the bathroom before the children entered. 3 ? As the only staff present, Staff #1 was unable to hear children that were sent to the bathroom. 4 ? Staff #1, who was caring for children alone at the time, left children totally unattended no less than four times to open the door for arriving parents.”

8VAC20-780-60-A

“Based on record review and interview the center failed to obtain all required information for children’s records. Evidence: 1 ? The record for Child #1 does not contain documentation of first date of attendance. 2 ? The records for Child #1 and #2 do not contain any documentation of emergency contact addresses. 3 ? Staff #1 confirmed that there was not a documented first date of attendance on file for Child #1 or emergency contact address for Child #1 and #2.”

8VAC20-780-40-D

“Based on observation and interview the center failed to ensure that the current is posted in the center. Evidence: 1 ? The current license was not posted or visible anywhere in the center during the inspection. 2 ? Staff #1 confirmed that the license was not posted. She further stated that she did not know where the current license was located.”

8VAC20-780-140-A

“Based on record review and interview the center failed to obtain physical examinations as required. Evidence: 1 ? The records for Child #1 and #2 do not contain any documentation of physical examinations. 2 ? Staff #1 confirmed that the physical examinations were not present in the records of Child #1 or #2.”

8VAC20-780-130-A

“Based on record review and interview the center failed to obtain child immunizations as required. Evidence: 1 ? The record for Child #1 did not contain documentation of an immunization. a. Child #1 does not have a documented first date of attendance. b. Child #1 was present, in care during the inspection. 2 ? Staff #1 confirmed that there was not any documentation of immunizations on file for Child #1.”

8VAC20-770-70-A

“Based on record review the center failed to maintain staff records as required. Evidence: 1 ? There is not any staff record information onsite for Staff #1 or #2. a. Both Staff #1 and #2 were present and providing care to children during the inspection. 2 ? Staff #1 stated that there were not any records onsite for Staff #1 or #2.”

8VAC20-780-270-F

“Based on observation and interview the center failed to maintain a working non pay telephone for the center. Evidence: 1 ? The telephone number listed on the department website was not operational during the inspection. 2 ? Staff #1 stated that she used her personal cell phone and not the center phone to make phone calls.”

22.1-289.035-B-4

“Based on a review of 3 staff records, it was determined that the facility did not ensure that they obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #2 (date of hire 8/25/21) did not contain documentation of a completed search of the central registry finding and sex offender registry check from Georgia. The sworn statement indicated staff #2 had previously lived in Georgia within the last 5 years. 2. Staff #2 reviewed her record, and confirmed that the search of the central registry finding and sex offender registry check from Georgia has not been received.”

8VAC20-780-530-C

“Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least two staff members trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #2 and staff #3 were working at the facility during the inspection. 2. The records for staff #2 and staff #3 did not contain a current certification in CPR and First Aid. 3. Staff #2 confirmed that no staff working during the inspection had a current certification in CPR and First Aid.”

8VAC20-780-550-A

“Based on observation and interviews, it was determined that the facility did not ensure that the center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. Evidence: 1. The Licensing Inspector was not able to view the facility's emergency preparedness plan during the inspection. 2. Staff #2 confirmed that the facility's emergency preparedness plan was not available for viewing during the inspection.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (12/14/21) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #2 confirmed that the results were not posted.”

22.1-289.035-B-2

“Based on a review of 3 staff records, it was determined that the provider did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #3 working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. Staff #2 reviewed the record for the staff #3, and confirmed that all of the results of the finger print background check (finger printing) were not available for viewing during the inspection.”

22.1-289.035-B-4

“Based on a review of 3 staff records, it was determined that the facility did not ensure that they obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #2 (date of hire 8/25/21) did not contain documentation of a completed search of the central registry finding and sex offender registry check from Georgia. The sworn statement indicated staff #2 had previously lived in Georgia within the last 5 years. 2. Staff #2 reviewed her record, and confirmed that the search of the central registry finding and sex offender registry check from Georgia has not been received.”

8VAC20-780-530-C

“Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least two staff members trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #2 and staff #3 were working at the facility during the inspection. 2. The records for staff #2 and staff #3 did not contain a current certification in CPR and First Aid. 3. Staff #2 confirmed that no staff working during the inspection had a current certification in CPR and First Aid.”

8VAC20-780-550-A

“Based on observation and interviews, it was determined that the facility did not ensure that the center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. Evidence: 1. The Licensing Inspector was not able to view the facility's emergency preparedness plan during the inspection. 2. Staff #2 confirmed that the facility's emergency preparedness plan was not available for viewing during the inspection.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (12/14/21) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #2 confirmed that the results were not posted.”

22.1-289.035-B-2

“Based on a review of 3 staff records, it was determined that the provider did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #3 working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. Staff #2 reviewed the record for the staff #3, and confirmed that all of the results of the finger print background check (finger printing) were not available for viewing during the inspection.”

8VAC20-780-530-A-1

“Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #1, staff #2 and staff #3 were working at the facility during the inspection. 2. The records for staff #1, staff #2 and staff #3 did not contain a current certification in cardiopulmonary resuscitation (CPR) 3. The Site Director confirmed that no staff working during the inspection had a current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-780-530-A-2

“Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in first aid as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #1, staff #2 and staff #3 were working at the facility during the inspection. 2. The records for staff #1, staff #2 and staff #3 did not contain a current certification in First Aid. 3. The Site Director confirmed that no staff working during the inspection had a current certification in First Aid.”

22.1-289.035-B-2

“Based on a review of 3 staff records, it was determined that the provider did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #3 working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. The Site Director reviewed the record for the staff #3, and confirmed that all of the results of the finger print background check (finger printing) were not available for viewing during the inspection.”

8VAC20-770-60-B

“Based on a review of three staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed. Evidence: 1. The record for staff #3 (date of hire 7/30/19) did not contain a sworn statement or affirmation. 2. The Site Director reviewed the record for staff #3 and confirmed there was no sworn statement or affirmation available for viewing during the inspection.”

8VAC20-780-160-A-1

“Based on a review of 3 staff records, it was determined that the facility did not ensure that all staff provide documentation of a negative TB screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2 (date of hire 9/17/21) did not contain documentation of a negative TB screening. 2. The record for staff #3 (date of hire 7/30/19) did not contain documentation of a negative TB screening. 3. The Site Director confirmed that staff #2 and staff #3 did not have a negative TB screening available for viewing during the inspection.”

8VAC20-780-70

“Based on a review of three staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. The record for staff #2 did not include documentation of orientation training. 2. The Site Director confirmed that there was no for staff #2 available for viewing during the inspection.”

8VAC20-780-530-A-1

“Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #1, staff #2 and staff #3 were working at the facility during the inspection. 2. The records for staff #1, staff #2 and staff #3 did not contain a current certification in cardiopulmonary resuscitation (CPR) 3. The Site Director confirmed that no staff working during the inspection had a current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-780-530-A-2

“Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in first aid as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Staff #1, staff #2 and staff #3 were working at the facility during the inspection. 2. The records for staff #1, staff #2 and staff #3 did not contain a current certification in First Aid. 3. The Site Director confirmed that no staff working during the inspection had a current certification in First Aid.”

22.1-289.035-B-2

“Based on a review of 3 staff records, it was determined that the provider did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #3 working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. The Site Director reviewed the record for the staff #3, and confirmed that all of the results of the finger print background check (finger printing) were not available for viewing during the inspection.”

8VAC20-770-60-B

“Based on a review of three staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed. Evidence: 1. The record for staff #3 (date of hire 7/30/19) did not contain a sworn statement or affirmation. 2. The Site Director reviewed the record for staff #3 and confirmed there was no sworn statement or affirmation available for viewing during the inspection.”

8VAC20-780-160-A-1

“Based on a review of 3 staff records, it was determined that the facility did not ensure that all staff provide documentation of a negative TB screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2 (date of hire 9/17/21) did not contain documentation of a negative TB screening. 2. The record for staff #3 (date of hire 7/30/19) did not contain documentation of a negative TB screening. 3. The Site Director confirmed that staff #2 and staff #3 did not have a negative TB screening available for viewing during the inspection.”

8VAC20-780-70

“Based on a review of three staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. The record for staff #2 did not include documentation of orientation training. 2. The Site Director confirmed that there was no for staff #2 available for viewing during the inspection.”