Right at School, LLC-Dare

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”

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.”

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.”

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.”

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.”

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.”

8VAC20-780-340-B

“Based on record review, observation and staff interviews, the licensee did not ensure that during the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: During the inspection of the before school program on September 21, 2023, Staff #1, Staff #2, Staff #3 and Staff #5 verified there was not a staff member on site who was designated as the person in charge.”

8VAC20-780-340-D

“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.”

8VAC20-780-70

“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.”

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

8VAC20-780-60-A

“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.”

8VAC20-780-340-D

“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.”

8VAC20-780-70

“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.”

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

8VAC20-780-60-A

“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.”

8VAC20-780-510-P

“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.”

8VAC20-780-40-K

“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.”

8VAC20-780-60-A

“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. Evidence: Staff #1 confirmed the following missing information for 3 out of 5 of the children’s records reviewed. 1. Child #1 did not have a home addresses or work location and phone number for one of the parents listed. 2. Child #2 did not have a home addresses or work phone number for one of the parents listed. 3. Child #3 did not have in the record documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Child #3, first date of attendance 8-29-2022”

8VAC20-780-510-P

“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.”

8VAC20-780-40-K

“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.”

8VAC20-780-60-A

“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. Evidence: Staff #1 confirmed the following missing information for 3 out of 5 of the children’s records reviewed. 1. Child #1 did not have a home addresses or work location and phone number for one of the parents listed. 2. Child #2 did not have a home addresses or work phone number for one of the parents listed. 3. Child #3 did not have in the record documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Child #3, first date of attendance 8-29-2022”

8VAC20-780-245-J

“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.”

8VAC20-780-40-M

“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.”

8VAC20-780-60-A-8

“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.”

22.1-289.035-B-4

“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.”

8VAC20-780-245-J

“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.”

8VAC20-780-40-M

“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.”

8VAC20-780-60-A-8

“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.”

22.1-289.035-B-4

“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.”

8VAC20-780-540-E

“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.”

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 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.”