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AlphaBEST @ Lakeview Elementary
1300 Horne Avenue
Portsmouth, VA 23701
(757) 204-2851

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: Oct. 23, 2019 and Oct. 24, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
Please send documentation that the violations pertaining to background checks have been corrected within 10 days of receipt of this notice.
Corrections can be documented with scanned and emailed forms, or may be faxed, or delivered in person to the Licensing Office. Mail delivery may be utilized ?at your own risk? if the correction is made in a timely manner allowing adequate time for mail to arrive in the licensing office within the 10 day period.
Email: melinda.popkin@dss.virginia.gov
fax: (757) 455-0836
Mailing Address: 420 North Center Drive, Building 11, Suite 100, Norfolk, Virginia 23502

Since staff records are currently being housed off site, please continue to keep staff emergency contacts on site. It would also be very helpful if a copy of Staff?s CPR and First Aid Certification, Daily Health Observation Training and (as applicable) Medication Administration Training (MAT) be kept on site for review since it is required that a staff with these current trainings be present with the children at all times, whenever they are in care.

Comments:
An unannounced monitoring inspection was conducted on 10/23/19 from 3:15 ? to 4:25 p.m. to monitor the program?s compliance with the Standards during their first 60 days of operation under the 6 month Conditional Licensure period. The inspection was continued on 10/24/19 from 12 noon, until 2:30 p.m. with an unannounced review of staff records at the AlphaBEST administrative office located off site.
At the time of entrance on 10/23/19 the following adult to child ratios were observed: 7 children ages 5 to 12 years old, with 2 staff
The records sample size consisted 2 staff records and 5 children?s records. Children were observed playing table top games, creating a holiday craft project, and eating an afternoon snack consisting of Ham and Cheese sandwiches with lettuce, Pickle spear, apple slices, Cheetos and milk. Restroom procedures, hand washing and table sanitizing were also observed. Medication administration was not observed. No medication is currently being administered to children in care. Staff reported no accidents or injuries having occurred since the last inspection. Violations cited appear on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of records and interview, the center did not maintain and keep at the center a separate record for each child enrolled which contained all of the required information.
Evidence:
Five children's records were reviewed during the inspection.
The record for child #2 did not contain addresses for the two designated people to call in an emergency if a parent cannot be reached.
Staff #2 stated that this information was not in the record.

Plan of Correction: Staff #1 stated that she would have the parent to complete this information on the enrollment form at the time of pick up or contact them via phone to obtain the addresses.

Standard #: 22VAC40-185-70-A
Description: Based on a review of records and interview, the licensee was unable to demonstrate that a complete record containing all required documentation is maintained for each staff.

Evidence: Two (all) staff records for the program at this site were reviewed.
The record for staff #2 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.
The area manager was unable to provide evidence that reference checks had been completed for staff #2.

Plan of Correction: The area manager stated that this documentation may be located at the corporate office. If the documentation is located, a copy will be placed in the staff's record. Otherwise, references will be checked and documented in the record.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of records and interview, the licensee was unable to demonstrate that the results of a Search of the Central Registry has been obtained for each staff within 30 days of employment.
Evidence:
Two (all) staff records for the site were reviewed.
The record for staff #2, whose date of employment was documented as 9/13/19, did not contain results of a Search of the Central Registry
The area manager stated that Central Registry search requests were completed at the time of hire for these staff, but that when results had not been returned, new forms were completed for each staff and re-mailed on 10/2/19.

Plan of Correction: They were requested again and mailed off on 10/2/19.
Results will be filed in staff records as they are received back.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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