Right at School, LLC-Mount Vernon

8VAC20-790-600-D-1

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and shall include an in-person competency demonstration. Evidence: The following records did not include CPR documentation as required 1. Staff #3?s (hire date 9-6-2022) CPR certification did not include an in person competency demonstration. 2. Staff #4 (date of hire 4-14-2023) did not include CPR certification.”

8VAC20-790-600-D-2

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care. Evidence: The records for Staff #3?s (hire date 9-6-2022) and Staff #4 (date of hire 4-14-2023) did not include First Aid certification.”

8VAC20-780-130-A

“Repeat Based on children’s record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child #4 (first date of attendance 8-28-23) did not include an immunization record.”

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 April, June, and August 2023.”

8VAC20-780-540-E

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

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 #2 and Staff #3, were observed as the only staff supervising 27 Schoolage children on the playground. Staff #2 and Staff #3 do not have documentation available for review indicating they meet the qualifications for program lead/director.”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #4?s (hire date was 4-14-2023) record did not include documentation of completing the required Virginia Department of Education-sponsored orientation.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: The records for Staff #2, and Staff #3 do not include documentation to demonstrate they have the education and certification required by the job position. Staff #2 and Staff #3 are designated as program leaders/ educators.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the VA Central Registry( CPS ) finding. Evidence: Staff # 4?s (hire date was 4-14-2023 did not have documentation of results of a CPS check conducted. Staff #4 was observed working on the day of the day of the inspection.”

8VAC20-780-140-A

“Based on children’s record review and staff interviews, the licensee did not ensure to obtain documentation that each child shall have a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The following records were missing physicals conducted by a physician. 1.Child #1, first date of attendance 11-22-22. 2.Child #4, first date of attendance 8-29-22. 3.Child #5, first date of attendance 10--27-22.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child#5 (first date of attendance 10-17-22) did not include an immunizations prior to attendance.”

8VAC20-780-240-C

“Based on record review 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: Staff #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not include information indicating orientation training on prevention of abusive head trauma.”

8VAC20-780-530-A-2

“Based on a record review and staff interviews, the licensee did not ensure that at least one staff in each classroom or area where children are present shall have, current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had first aid certification.”

8VAC20-780-340-D

“Based on staff 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 #2 and Staff #3, were outside on the playground with 26 children. Staff #5 confirmed there is no documentation available for review that Staff #3 or Staff #4 meet the qualifications for program lead. Staff #3 and Staff #4 were the only staff supervising children on the playground.”

8VAC20-780-530-A-1

“Based on a record review and staff interviews, the licensee did not ensure that at least one staff in each classroom or area where children are present shall have, current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration; and resuscitation (CPR). Evidence: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had CPR certification.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have documentation to demonstrate the individuals have the education, training, and certification, required by the job position. Evidence: The following information was not included in staff records as required. 1.Staff #2 and Staff #3 did not have documentation to demonstrate they have the training/education and experience required for program lead. Staff #5 said Staff #2 and Staff #3 are designated as program leads. 2.There was not emergency contact information and required health related information for Staff #3 and Staff #4 at the center.”

8VAC20-780-240-E

“Based on staff record review 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 #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not have documentation of CPR / First Aid orientation.”

8VAC20-780-140-A

“Based on children’s record review and staff interviews, the licensee did not ensure to obtain documentation that each child shall have a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The following records were missing physicals conducted by a physician. 1.Child #1, first date of attendance 11-22-22. 2.Child #4, first date of attendance 8-29-22. 3.Child #5, first date of attendance 10--27-22.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child#5 (first date of attendance 10-17-22) did not include an immunizations prior to attendance.”

8VAC20-780-240-C

“Based on record review 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: Staff #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not include information indicating orientation training on prevention of abusive head trauma.”

8VAC20-780-530-A-2

“Based on a record review and staff interviews, the licensee did not ensure that at least one staff in each classroom or area where children are present shall have, current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had first aid certification.”

8VAC20-780-340-D

“Based on staff 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 #2 and Staff #3, were outside on the playground with 26 children. Staff #5 confirmed there is no documentation available for review that Staff #3 or Staff #4 meet the qualifications for program lead. Staff #3 and Staff #4 were the only staff supervising children on the playground.”

8VAC20-780-530-A-1

“Based on a record review and staff interviews, the licensee did not ensure that at least one staff in each classroom or area where children are present shall have, current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration; and resuscitation (CPR). Evidence: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had CPR certification.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have documentation to demonstrate the individuals have the education, training, and certification, required by the job position. Evidence: The following information was not included in staff records as required. 1.Staff #2 and Staff #3 did not have documentation to demonstrate they have the training/education and experience required for program lead. Staff #5 said Staff #2 and Staff #3 are designated as program leads. 2.There was not emergency contact information and required health related information for Staff #3 and Staff #4 at the center.”

8VAC20-780-240-E

“Based on staff record review 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 #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not have documentation of CPR / First Aid orientation.”

22.1-289.035-B-4

“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 #2, date of hire 9-2-2021 did not include the results of a sex offender check or child protective service ( CPS ) check for the state of New York, where they had lived within the last 5 years. The sex offender check results are dated 12-23-2021 and they were not conducted prior to employment as required. The CPS was requested on 2-10-2022, no results available for review and the request was not made by the end of the 30th day of employment as required.”

8VAC20-780-160-A-1

“Based on record review of 3 staff records and staff interviews, the licensee did not ensure documentation of the tuberculosis (TB) screening was submitted at the time of employment and prior to coming into contact with children. Evidence; The record for staff #1, has TB results dated 2-3-2022 which after they came in contact with children on 1-31-2022. This is verified by center staff.”

8VAC20-780-550-D

“Based on documentation review and staff interviews, the licensee did not ensure to implement a monthly practice evacuation drill. Evidence; There was not documentation of a monthly practice drill conducted in December 2021.”

22.1-289.035-B-4

“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 #2, date of hire 9-2-2021 did not include the results of a sex offender check or child protective service ( CPS ) check for the state of New York, where they had lived within the last 5 years. The sex offender check results are dated 12-23-2021 and they were not conducted prior to employment as required. The CPS was requested on 2-10-2022, no results available for review and the request was not made by the end of the 30th day of employment as required.”

8VAC20-780-160-A-1

“Based on record review of 3 staff records and staff interviews, the licensee did not ensure documentation of the tuberculosis (TB) screening was submitted at the time of employment and prior to coming into contact with children. Evidence; The record for staff #1, has TB results dated 2-3-2022 which after they came in contact with children on 1-31-2022. This is verified by center staff.”

8VAC20-780-550-D

“Based on documentation review and staff interviews, the licensee did not ensure to implement a monthly practice evacuation drill. Evidence; There was not documentation of a monthly practice drill conducted in December 2021.”

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 #2 who lived in New York within the last five years, according to center documentation. There was not a CPS check available for review from New York for Staff #2. Staff #1 (date of hire 9-02-2021). Staff #2 was working during the inspection. Area Manager confirmed information.”

8VAC20-770-60-C-2

“Based on record review and licensee interviews, the licensee did not ensure to obtain a search of the central registry ( CPS ) 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 #2 (date of hire 9-02-2021).”

8VAC20-780-200-A

“Based on record review and licensee interviews, the licensee did not ensure the center has a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Evidence: The record for Staff #1, the designated Program Director did not include documentation supporting Staff #1 had met the required qualifications for Program Director. Area Manager confirmed information.”