Right at School, LLC-Dare

8VAC20-780-40-J

“Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. The most recent plan available to review was dated 9-11-2024.”

Rule 8VAC20-780-40-J.

8VAC20-780-560-J

“Tables used for feeding shall be sanitized before and after each use for feeding. Snack time was observed and 2 of the 4 tables were not sanitized before eating.”

Rule 8VAC20-780-560-J.

8VAC20-780-60-A

“Repeat Violation Centers must keep a separate record for each child enrolled that contains all of the required information. Child #3’s annual record update was overdue by 10 months and Child #5’s annual update was overdue by over 2 years.”

Rule 8VAC20-780-60-A.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Five out of five injury reports were reviewed, and they were missing information regarding the staff present during injury and any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

Repeat Violation

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. Five out of five records reviewed only included parents phone numbers, authorized pick up and emergency phone numbers. All other required information was missing including but not limited to immunization records, physical from a physician and parent agreements.”

Rule 8VAC20-780-60-A.

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/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and before coming into contact with children. Saff #3?s TB screening was conducted 3 weeks after hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-550-E

“The center shall practice shelter in place procedures a minimum of twice per year. There was not documentation of shelter in place drills conducted in 2024.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“The center shall practice lockdown procedures at least annually. There was not documentation of a lock down drill conducted in 2024”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1 and Child #5 was missing the employment phone number for one of the parents listed. There was no record for Child #2 who has been attending approximately one month.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“(Repeat Violation) Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required shall be in each staff record. Staff #3 and Staff #4 are designated as Program Leaders and do not have documentation of qualifications.”

Rule 8VAC20-780-70.

Based record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course.

“Evidence: The record for Staff #4 did not include the required annual 3 hour health and safety update course for 2023.”

Rule 8VAC20-790-600-F.

Repeat Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department

“Evidence: The immunization for Child #4 did not include a physician or designated individual’s signature.”

Rule 8VAC20-780-150-B.

Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence that includes all required information.

“Evidence: Five out of five injury reports reviewed were missing information to include staff present during injury, date, time and how the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

Repeat Based on record review and staff interview the center did not maintain a record for each child enrolled which contained all of the required information.

“Evidence: Director confirmed the following items were missing from children’s records: 1.The record for child #1 did not include a parents work phone number. 2.The record for child #5 did not include work phone numbers for both parents listed and did not include the appropriate paperwork when a custodial parent requests the center not to release the child to the other parent.”

Rule 8VAC20-780-60-A.

Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation.

“Evidence: The record for Staff #2 did not include the emergency contact information and health related information”

Rule 8VAC20-780-70.

8VAC20-780-150-B

“Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department. Evidence: The physical and immunization documents in the records for Child #1 did not include a physician or designated individual’s signature. Child #4 has been attending for more than 30 days.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children. Evidence: The record for Staff #5 (hire date 9-19-23) did not include TB screening results. Staff #5 was observed during inspection.”

Rule 8VAC20-780-160-A.

8VAC20-780-340-B

Rule 8VAC20-780-340-B.

8VAC20-780-340-D

“Repeat Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: Staff #3 and Staff #5, were observed as the only staff supervising 21 Schoolage children in the gymnasium. Staff #3 and Staff #5 do not have documentation available for review indicating they meet the qualifications for program lead/director”

Rule 8VAC20-780-340-D.

8VAC20-780-540-E

“Based on equipment review and staff interview the licensee did not ensure to have required nonmedical emergency supplies. Evidence: Staff #1 verified they did not have a working battery-operated radio.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-G

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in March, April, May, June and August 2023.”

Rule 8VAC20-780-550-G.

8VAC20-780-70

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record. Evidence: Staff #1 is designated as an educator /program lead and their record does not have documentation to demonstrate they have the education and certification required by the job position.”

Rule 8VAC20-780-70.

Based on record review, observation and staff interviews, the licensee did not ensure that there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.

“Evidence: Staff #3 was the only staff in the gym supervising 16 schoolage children from approximately 8:00 am until 8:35 am. Staff #3 does not have documentation that indicates they meet the qualifications of a program lead or program director.”

Rule 8VAC20-780-340-D.

Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The records for child #1, child #2 and child #5 did not have complete emergency contacts information as required. 1)Child #1 did not have address for both contacts listed 2) Child #3 did not have the city state or zip code for both contacts listed 3) Child #5 did not have the house # or street name for 1 contact listed. Staff #1 confirmed missing information.”

Rule 8VAC20-780-60-A.

Based on a review of 3 staff records and staff interviews, the licensee did not ensure the staff records were kept for each staff person with all required information.

“Evidence: Staff #2 and Staff #3 are designated as Educators (Program Leaders) and they do not have the required documentation to demonstrate they possesses the education and certification required by the job position.”

Rule 8VAC20-780-70.

Based on observation and staff interviews, the licensee did not ensure documents related to the terms of the license are required to be posted on the premises of each facility. These include the mist recently issued license.

“Evidence: The current license was not posted. The most license posted had an expiration date of March 8 , 2022.”

Rule 8VAC20-820-120-E-1.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.

“Evidence: Staff #1 confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Evidence: Child #6 had a medication (albuterol) the medication authorization signed by the physician expired on 8-9-2022. The medication had not been sent home to the parents or disposed of as required.”

Rule 8VAC20-780-510-P.

Based on review of 5 children’s records and staff interviews, the licensee did not ensure that each child shall maintain and keep at the center a separate record for each child enrolled which shall contained the required information.

Rule 8VAC20-780-60-A.

Based on record review and licensee interviews, the licensee did not obtain the out of state criminal records check and a sex offender check prior to employment. The licensee also did not obtain the out of state search of the central registry check ( CPS ) by then end of the 30th day of employment. The out of state background checks are required for any person who has lived out side of Virginia within the last five years.

“Evidence: According to center documentation, Staff #1, date of hire was 9-30-2021 lived in South Carolina within the last five years. The criminal record check results were dated 1-11-2022 and sex offender check results were dated 12-21-2021 and were not conducted prior to employment. The CPS check was dated 12-15-2021. Staff#1 was observed working during the inspection, February 16, 2022. Area Manager confirmed background check information and hire date.”

Rule 22.1-289.035-B-4.

Based on observation, documentation review and record review, the licensee did not ensure for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who has obtained the medication administer training.

“Evidence: On February 16, 2022, according to center documentation there were three children who entered the after school program at approximately 3:34 who require emergency medications, Child #1, (Flovent), Child #3 (Pro-Air) and Child #4 (Albuterol). Child #1 left the center at approximately 5:23 pm, Child #3 left at approximately 4:00 pm and Child #4 left at approximately 4:14 pm. There was not a staff member with the required medication training available at the center during the time frame Child #1, #3 and #4 were at the center.”

Rule 8VAC20-780-245-J.

Based on observation and record review, the licensee did not ensure the center maintained, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: The record for Child #2 confirms they have a food allergy/intolerance to lactose. This information was not listed on the center’s written list of allergies, intolerances and sensitivities, however the list did include Child #2’s name and seasonal allergies was written.”

Rule 8VAC20-780-40-M.

Based on observation and record review, the licensee did not ensure a written care plan for each 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: The physical signed by a physician for Child #2 confirms they have a food allergy/intolerance to lactose. There was not a written allergy care plan available for review.”

Rule 8VAC20-780-60-A-8.

Based on record review and licensee interviews, the licensee did not ensure to a obtain the out of state criminal records check and a sex offender check prior to employment The licensee also did not ensure to obtain the out of state search of the central registry check ( CPS ) as required. The out of state background checks are required for any person who has lived out side of Virginia within the last five years.

“Evidence: There were not criminal record check results and sex offender check results available for review dated prior to employment for Staff #1 who lived in Illinois within the last five years, according to center documentation. Staff #1 was date of hire 8-16-21 and was working during the inspection. Area Manager confirmed information.”

Rule 22.1-289.035-B-4.

Based on observation and licensee interviews, the licensee did not ensure to obtain all required nonmedical emergency supplies.

“Evidence: There was not an operable battery operated radio available during the inspection.”

Rule 8VAC20-780-540-E.