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Alpha Beta Cappa Day School, Inc

Inspection · 2025-03-17

Date
2025-03-17
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 3/17/25. The on-site inspection began at 1:45pm and ended at 5:45pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 30 children present and 4 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 4/17/25. A POC submitted after this date will not appear on the public website.

Violations

14
Standard 22.1-289.035-B-3
Repeat Violation
The center must request a search of the central registry prior to the employee's first day of employment. Staff #5, who had been employed for 10 weeks, did not have a central registry search in the record. There was no documentation in the record indicating the provider had followed up with OBI to check on the status of the central registry search. Staff #1 was working alone with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child #3 was not signed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Repeat Violation
A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 was due 6 weeks ago. The updated screening for Staff #3 was due 3 weeks ago. The updated screenings have not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-180-C
Staff who drive a vehicle transporting children shall disclose any traffic violation that occurred prior to or during employment or assignment as a driver. The record for Staff #1 did not include a driving disclosure. The staff member transported children on the date of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The provider did not have a current fire inspection. The fire inspection was due six weeks ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances must be in a locked place that prevents access by children. In the Pre-K room there were cans of shaving cream, Lysol spray and a bottle of bleach in an unlocked closet. These items were labeled keep out of reach of children.
Plan of Correction: The provider locked the storage closet during the inspection.
Standard 8VAC20-780-290-A-3
In areas used by preschool age or younger children, electrical outlets shall have protective covers. There was an uncovered outlet in the Pre-k classroom.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Repeat Violation
Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. There was no resilient surfacing under or around a Little Tykes slide on the two year old playground. The slide was 36" high.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-C
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. The evacuation map did not include all of the required components. The secondary exits and the shelter in place locations were not documented on the map.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-G
Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes all the required components. Evacuation drills for 2025 were missing the following components: January was missing the number of children and staff participating, the time it took to complete the drill and the weather conditions. February was missing the number of staff participating and the time it took to complete the drill. March was missing the weather conditions.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-I
A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. The telephones in three classrooms did not have emergency numbers and the number for the poison control center posted in a visible location.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Injury records did not include the following required components: Child #1, time of injury, date, time and how parent was notified and any future action to prevent reoccurrence of injury. The injury reports for Child #1 and Child #3 contained only the parent signature. Parent and staff signatures were required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person and include all of the required information. The following components were missing from staff records:
1. Verification of age. Staff #1 and Staff #5 did not have documentation to verify age.
2. Address of emergency contact. Staff #1 did not have documentation of the emergency contact address.
3. Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been actively working at the center for the past 2 months, did not have any completed reference verifications on file.
Plan of Correction: The verification of age for staff #1 was requested and put in the record during the inspection.