Right at School, LLC-Tabb

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #5 was missing 6 hours of annual training for 2025.”

Rule 8VAC20-780-245-A.

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.

8VAC20-780-40-M

“The center shall maintain, 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. Child #7 has a physician documented allergy and it was not listed on the allergy list.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was documentation of only drill conducted in 2025.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-P

“Repeat Violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Injury reports were reviewed and 3 out of 7 were missing information regarding the time the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-790-600-F

“Staff who work directly with children shall obtain the departments health and safety update course. Staff #5?s annual updated course is overdue by 15 months.”

Rule 8VAC20-790-600-F.

8VAC20-790-600-F

“Repeat Violation The vendor shall ensure staff who work directly with children shall complete the department’s annual health and safety update course. Staff #4?s updated course was overdue by 1 year..”

Rule 8VAC20-790-600-F.

8VAC20-780-160-C

“Staff shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the tuberculosis initial screening or testing. Staff #4?s TB screening was overdue by approximately 11 days.”

Rule 8VAC20-780-160-C.

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. Two of two injury reports were reviewed and they were missing information (date, time and how the parents were notified of the injury).”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Staff records for each person shall include all required items. Staff #3 was missing documentation to demonstrate they possess the education, certification, and experience required by the job position. Staff #3 is designated as program leader and has been employed for 3 months.”

Rule 8VAC20-780-70.

8VAC20-780-600-F

“Repeat Violation Staff who work directly with children shall, in addition to preservice and orientation training required shall obtain the department’s health and safety update course. Staff #4 does snot have documentation of taking the annual health an safety update Staff #4 has been employed for more than 22 months.”

Rule 8VAC20-780-600-F.

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 #2?s TB screening was conducted 2 days after hire.”

Rule 8VAC20-780-160-A.

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.

8VAC20-780-560-M

“Repeat Violation The center did not ensure that no child shall be allowed to drink or eat while walking around. Two children were observed walking around eating, Child #1 was eating crackers and Child #3 was eating a lollipop”

Rule 8VAC20-780-560-M.

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 center did not ensure to request at least annually parent confirmation that the required information in the child’s record is up to date. The records for Child #3 is overdue by 2 1/2 years, Child #6 and Child #7 are overdue by 1 1/2 years.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training required shall obtain the department’s health and safety update course. Staff #4 doe snot have documentation of taking the annual health an safety update, the most recent one is dated 10-12-2022.”

Rule 8VAC20-790-600-F.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, has been attending for 6 weeks.”

Rule 8VAC20-780-140-A.

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. Child #4 has been attending for 6 weeks and their immunization record was not signed and dated.”

Rule 8VAC20-780-150-B.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5 completed the course 2 months late.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1 did not complete orientation training until 4 weeks after they began working”

Rule 8VAC20-780-240-B.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #4 obtained 8 out of the 16 required hours .”

Rule 8VAC20-780-245-A.

8VAC20-780-560-M

“Based on observation, the licensee did not ensure children should be allowed to drink or eat while walking around. One child was walking around in the cafeteria eating a bag of chips.”

Rule 8VAC20-780-560-M.

8VAC20-780-60-A

“(Repeat Violations) A written care plan is required 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. Child #2, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“The provider shall keep for each staff person / staff record all required information. Staff #5 who has been working for the past 9 months was missing documentation of completed references on file that were checked prior to employment, emergency contact information and information related to any health issues that may interfere with the job.”

Rule 8VAC20-780-70.

Repeat Based on record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Evidence: The record for Staff #4 did not include documentation of current CPR certification; certification expired 1-12-2024.”

Rule 8VAC20-790-600-D-1.

Repeat Based on record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in first aid appropriate to the ages of children in care.

“Evidence: The record for Staff #4 did not include current First Aid certification; certification expired 1-12-2024”

Rule 8VAC20-790-600-D-2.

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, was the only one staff in gym supervising 18 children and their record does not include documentation they meet the program lead qualifications”

Rule 8VAC20-780-340-D.

Based on observation and staff interviews, the licensee did not ensure the center shall maintain, 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. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: The record for Child #5 list an intolerance to pineapples and it was not listed on the current written list of all children’s allergies, sensitivities, and dietary restrictions.”

Rule 8VAC20-780-40-M.

Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure.

“Evidence: Staff #1 confirmed they did not have information /documentation of shelter in place drills practiced at least twice in 2023.”

Rule 8VAC20-780-550-E.

Based on staff interviews and review of documentation, the licensee did not ensure to practice annually a lockdown drill procedure.

“Evidence: Staff #1 confirmed they did not have information /documentation of a lock down drill practiced in 2023.”

Rule 8VAC20-780-550-F.

Repeat Based on record review and staff interviews, license did not ensure that children’s records contained all required information.

“Evidence: 1. Staff #1 confirmed the record for Child #4 was missing and not available for review. 2. The record for Child # 1 did not include work phone numbers for both parents listed. 3. The record for Child #2 did not include work phone numbers for both parents listed and there was not a physician’s phone number.”

Rule 8VAC20-780-60-A.

Based on documentation review and staff interviews, the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1.The attendance sheet for the 18 children in the gym was not accurate as it listed 20 children. 2.There was not an attendance list for the 27 children that were observed in the cafeteria”

Rule 8VAC20-780-80-A.

Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to 1st day of employment.

“Evidence: Staff # 5?s Sworn Statement was dated 9-21-2023 which is after the 1st date of employment on 9-18-2023.”

Rule 8VAC20-770-60-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 immunization documents for Child #3 did not include a physician or designated individual’s signature.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment and coming in contact with children. Evidence: Staff #5?s TB screening was dated 9-20-2023 and was conducted after coming into contact with children on 9-18-2023.”

Rule 8VAC20-780-160-A.

Based on a record review and staff interviews, the licensee did not ensure that staff have completed orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The record for Staff #5 (date of hire 9-18-23) did not include documentation of completing the required orientation to include all required topics”

Rule 8VAC20-780-240-B.

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 August 2023.”

Rule 8VAC20-780-550-G.

Repeat Based on record review and staff interviews, license did not ensure that children’s records contained all required information.

“Evidence: 1) One out of 5 records requested for review were not available. Staff #1 confirmed the record for Child #1 was missing. 2) The record for Child # 1 has a diagnosed food allergy (milk) and the record did not include a written care plan, to include instructions from a physician.”

Rule 8VAC20-780-60-A.

Repeat Based on a record review and staff interviews, the licensee did not ensure staff have all required documentation for their record.

“Evidence: The following information was missing from the staff records 1) Staff #4 (designated as program lead/educator) did not have documentation to demonstrate they have the required experience, education, training, and certification by their job position. 2)There was not emergency contact information and health related information for Staff #2, which is required to be at the center.”

Rule 8VAC20-780-70.

Based on observation and staff interviews, the licensee did not ensure medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There were two medications (Albuterol and pain reliever ) observed on a shelf in the unlocked office which children had access to.”

Rule 8VAC20-780-510-L.

8VAC20-780-560-F

“Based on observation and staff interviews, when centers choose to provide meals or snacks, there shall be a menu listing foods to be served for meals and snacks during the current one-week period that is dated and posted in a location conspicuous to parents or given to parents. Evidence: Staff #1 confirmed there was not a menu available or given to parents.”

Rule 8VAC20-780-560-F.

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure to obtain all required items for staff records. 1. Staff #2 did not have documentation to demonstrate they have the training/education and experience required for program lead. Staff #5 said Staff #2 is a designated as program leads. 2. There was not emergency contact information and required health related information for Staff #3 at the center”

Rule 8VAC20-780-70.

8VAC20-820-120-E-1

“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 most recently issued license. Evidence: There was not a license posted.”

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

8VAC20-820-120-E-2

“Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection results dated September 27, 2022 were not posted in a conspicuous place.”

Rule 8VAC20-820-120-E-2.

Based on a review of 6 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Evidence: The record for Staff #2 (date of hire 5-13-2022 did not include documentation of CPR certification.”

Rule 8VAC20-790-600-D-1.

Based on a review of 6 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in first aid appropriate to the ages of children in care.

“Evidence: The record for Staff #2 (date of hire 5-13-2022 did not include documentation of First Aid certification.”

Rule 8VAC20-790-600-D-2.

Based on a review of 6 staff records 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 records for Staff #1 (date of hire 8-16-2021) and Staff #6 (date of hire 8-16-21) did not include documentation of the departments 3 hour health and safety update course.”

Rule 8VAC20-790-600-F.

Based on review of 6 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Staff #1 confirmed the TB screening/ test available for review for Staff #3 was not conducted prior to 30 days of hire. TB screening/ test dated 3-30-2022 and the first date of employment was 8-15-2022.”

Rule 8VAC20-780-160-A.

Based on a review of 6 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The records for Staff # 2 (hire date 5-13-2022), Staff #3 (hire date 8-15-22) and Staff # 4 (hire date 8-15-2022) do not include information indicating orientation related abusive head trauma, including procedures to cope with distraught children was conducted.”

Rule 8VAC20-780-240-C.

Based on a review of 6 staff records and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Evidence: Staff # 2 (date of hire 5-13-2022) and Staff # 4 (date of hire 8-15-2022) do not have documentation of CPR / first aid training/orientation.”

Rule 8VAC20-780-240-E.

Based on a review of 6 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training.

“Evidence: The record for Staff #1 (date of hire 8-16-2021) did not include documentation of annual training.”

Rule 8VAC20-780-245-A.

Based on review of 6 staff records and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: In the cafeteria Staff #4 and Staff #5 were the only staff supervising the 2nd and 3rd grade children and neither staff has obtained CPR certification.”

Rule 8VAC20-780-530-A-1.

Based on review of 6 staff records and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid as appropriate to the age of the children in care.

“Evidence: In the cafeteria Staff #4 and Staff #5 were the only staff supervising the 2nd and 3rd grade children and neither staff has obtained First Aid certification.”

Rule 8VAC20-780-530-A-2.

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

“Evidence: Staff #1 confirmed there was not a working, battery-operated radio.”

Rule 8VAC20-780-540-E.

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 available for review for April 2022, May 2022 and June 2022.”

Rule 8VAC20-780-550-G.

Based on review of 8 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 contain the required information.

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of 6 staff records and staff interviews, the licensee did not ensure there was the required information kept at the center for the staff. Evidence: Staff #1 confirmed the following information was not at the center for 5 of the 6 staff (Staff #2, #3, #4, #5, and #6) working during the inspection. 1) Information about any health problems that may interfere with fulfilling the job responsibilities 2) The name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

Based on review of 3 staff records and staff interviews, the licensee did not ensure the child day center obtained a copy of the results of a criminal history record information check, 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. The child day center is to obtain complete data before reporting to the child day center.

“Evidence: The record for staff #1, date of hire 9-20-2021 did not include the results of a sex offender check or a criminal records check for the state of California, where they had lived within the last 5 years. The sex offender check results are dated 12-21-2021 and the criminal records check results are dated 1-14-2022 and they were not conducted prior to employment as required.”

Rule 22.1-289.035-B-4.

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 outside of Virginia within the last five years.

“Evidence: Area Manager confirmed, there was not criminal records check result or sex offender check result available for review for Staff #2 who lived in Alaska within the last five years according to center documentation. Staff #2 (date of hire 10-18-21).”

Rule 22.1-289.035-B-4.

Based on record review and licensee interviews, the licensee did not ensure to obtain a search of the central registry ( CPS ) for employees within 30 days of employment.

“Evidence: Area Manager confirmed, there were not findings of the Virginia ( CPS ) available for review during the inspection for Staff #1 (date of hire 8-30-2021).”

Rule 8VAC20-770-60-C-2.