AlphaBEST @ Churchland Elementary
5601 Michael Lane
Portsmouth, VA 23703
(757) 807-0869
Current Inspector: Brandie Viscayda (757) 636-3427
Inspection Date: Oct. 1, 2021
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.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
- Comments:
-
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program.
A monitoring inspection was initiated on 10/01/2021 and concluded on 11/10/2021. The director was contacted by email to initiate the inspection. There were 8 children present and 2 staff. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
- Violations:
-
Standard #: 22VAC40-185-130-A Description: Based on record review and interview it was determined the center obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. There was no documentation of immunization for child #2.
2. There was no documentation of immunization for child #3.
3. Staff confirmed that there was no immunization documentation available for child #2 and child #3 during this inspection.
4. Child #2 and child #3 were in attendance during this inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-140-A Description: Based on record review and interview it was determined the center did not ensure each child had a physical exam by or under the direction of a physician within the required time frame.
Evidence:
1. There was no documentation of physical exam for child #1(enrolled 9/27/21)
2.There was no documentation of physical exam for child #2.
3. There was no documentation of physical exam for child #3.
4. Staff confirmed that there was no physical exam documentation available for child #1, child #2, and child #3 during this inspection.
5. Child #1, child #2 and child #3 were in attendance during this inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-50-B Description: Based on observation, interview, and record review it was determined the center did not maintain and make accessible records and reports on children and staff.
Evidence:
1. The center failed to make accessible the required documents to initiate and complete the required inspection within the required time frame.
2. This inspector provided the center with the initial inspection request on 10/01/21. Inspector did not receive the requested information by the required 10/4/21. This inspector followed up on 10/6/21 and 10/8/21 regarding the initial inspection request. These documents were received on 10/8/21.
3. The record review request was sent on 10/8/21. Records were not made accessible by the required 10/12/21. Inspector followed up on 10/12/21, 10/21/21, 10/28/21, and 11/3/21.
4. As of 11/3/21 many of the documents requested were not received electronically and were unavailable during the virtual tour.
5. Inspector emailed and spoke with site director, area director, and regional manager in attempts to gain access to the documents needed to complete the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-60-A Description: Based on record review and interview it was determined the center did not ensure that each child enrolled in the program had a record that contained all of the required components.
Evidence:
1. There was no record available for child #2.
2. There was no record available for child #3.
3. Staff confirmed that these records could not be located for this inspection.
4. These children were in attendance during this inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-70-A Description: Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required components.
Evidence:
1. The staff record for staff #1 did not contain documentation of the date of hire, 1 of the 2 required reference checks, and written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position(program lead).
2. The record for staff #2 did not contain the employee's job title, date of hire, and written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position.
3. Staff confirmed that these records were not available during this inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-340-D Description: Based on interview and observation it was determined the center did not ensure that each group of children
had at least one staff member who meets the qualifications of a program leader or program director regularly present.
Evidence:
1. Staff #1 was supervising 8 children during the inspection.
A. Staff #1 reported they were the program leader.
B. Staff #1 was unable to tell this inspector how they were qualified as a program leader.
2. There was no documentation in the record for staff #1 to demonstrate how they qualified as a program leader.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-540-C Description: Based on observation and interview it was determined that the center did not ensure first aid kit contained all the required items.
Evidence:
1. There was no ice pack and first aid manual in the first aid kit.
2. Staff confirmed that these items were not present during this inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-191-60-C-2 Description: Based on record review and interview it was determined the center did not ensure that each employee had a central registry finding within 30 days of employment.
Evidence:
1. The record for staff #1 did not contain documentation of central registry findings.
2. Staff confirmed that this documentation was not available during this inspection.Plan of Correction: Not available online. Contact Inspector for more information.
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.