VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Right at School, LLC-Tabb
3711 Big Bethel Road
Yorktown, VA 23693
(757) 894-7837

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Sept. 22, 2022

Complaint Related: 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 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Technical Assistance:

Discussed reviewing the new CDC standards that became effective 10-13-2021 and the new website (Child Care VA) https://www.doe.virginia.gov/cc/. Clarified the requirements for the timeframes for medication authorization for enrolled children.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program. A monitoring inspection was initiated on September 22, 2022 and concluded on September 26, 2022. There were 83 children present, ranging in ages from 5 to 11, with 6 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 8 child records and 6 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:

Standard #:	8VAC20-780-160-A
Description:	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.
Plan of Correction:	Tb test will be reviewed to ensure they are completed in the correct timeframe. Staff member completed TB screening on 9-26-22.
Standard #:	8VAC20-780-60-A
Description:	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. Evidence: Staff #1 confirmed the following missing information for 3 out of 8 of the children?s records reviewed. 1. Child #2 did not have a second emergency contact listed. 2. Child #6 did not have a home addresses or home phone number for one of the parents listed. 3. Child #5 did not have a written care plan for their diagnosed food allergy (peanuts), 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.
Plan of Correction:	1. Child #1's file was updated with a second emergency contact. 9-27-22 2. Child #2's file was updated with the listed parent's address and phone number. 9-28-22 3. Child #5' was provided was provided with paperwork to fill out in regards to the allergy action plan. Parent has requested to complete paperwork. 10-14-22
Standard #:	8VAC20-780-70
Description:	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.
Plan of Correction:	All staff members have filled out the employee health form to be stored in the licensing binder. Al staff will complete form on their first day at the site.
Standard #:	8VAC20-780-240-C
Description:	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.
Plan of Correction:	Head trauma training is a part of annual training. Training will be added to the VA orientation sheet to show that it been completed.
Standard #:	8VAC20-780-240-E
Description:	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.
Plan of Correction:	Area Manager will ensure that a CPR/ First Aid class is set up to obtain certification.
Standard #:	8VAC20-780-245-A
Description:	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.
Plan of Correction:	Training was completed as shown by certificates. Training times will be added certificates.
Standard #:	8VAC20-780-530-A-1
Description:	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.
Plan of Correction:	Area manager will ensure that CPR/ First Aid class is set up in order to obtain certification.
Standard #:	8VAC20-780-530-A-2
Description:	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.
Plan of Correction:	Area manager will ensure that CPR/ First Aid class is set up in order to obtain certification.
Standard #:	8VAC20-780-540-E
Description:	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.
Plan of Correction:	New radio was ordered for the site.
Standard #:	8VAC20-780-550-G
Description:	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.
Plan of Correction:	Program manger will ensure that monthly evacuation drills are conducted.