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Right at School, LLC-Dare

Inspection · 2022-02-16

Date
2022-02-16
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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 (22VAC40-191)
22.1 Early Childhood Care and Education

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and on February 16, 2022 a tour of the program was conducted in person.

A renewal inspection was initiated on February 16, 2022 and concluded on February 22, 2022. The provider was contacted by telephone and an inspection was conducted. There were 23 children present, ranging in ages from 5 to 11, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 3 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program

Violations

4
Standard 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.
Plan of Correction: Out of state criminal checks and sex offender checks will be completed in the required time frame.
Standard 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.
Plan of Correction: MAT class has been scheduled for March 12th. No medication will be given until certs are obtained.
Standard 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.
Plan of Correction: Parent did not notify staff on child reg. form or company computer registration of intolerance. Child was added to the allergy list and not be served lactose until a dr. note is received stating the intolerance is not an issue.
Standard 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.
Plan of Correction: Parent did not notate intolerance. Parent is currently contacting the doctor to get docuemtniaon that intolerance is not longer an issue.
View original record on Virginia Department of Social Services