VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Right at School at Garland Quarles Elementary
1310 S. Loudoun Street
Winchester, VA 22601
(540) 583-8144

Current Inspector: Barbara Workman (540) 430-9257

Inspection Date: Oct. 25, 2023

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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A non-mandated monitoring inspection was conducted on 10/25/2023 from 2:51 P.M.-5:45 P.M. There were 30 children present, ranging in ages from five to 12 years of age. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, staff training and qualifications, programming, medication, special care and emergencies and nutrition. A total of five child records and three 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview, the center failed to ensure that the findings of the most recent inspection were posted. Evidence: 1. The findings of the most recent inspection, (08/09/2023), that were emailed to administration on 08/11/2023 were not posted. 2. Staff #1 verified that the findings of the most recent inspection were not posted.
Plan of Correction:	These inspections will be posted immediately and will be verified monthly by the Area Manager during visits to the schools.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff records, the center failed to obtain a central registry finding within 30 days of employment. Evidence: 1. Staff #3?s date of hire was 08/01/2023. There want not a completed central registry finding or documentation that a central registry finding had been requested in the record. 2. Administration verified that Staff #3 did not have a central registry finding in the record, and did not have evidence that one had been requested.
Plan of Correction:	All staff currently have either been approved or are in the application process. As new hires come onboard, Area Manager will continually submit CRS applications immediately upon hire.
Standard #:	8VAC20-780-160-A
Description:	8VAC20-780-160-A Based on a review of staff records, the center failed to obtain a tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2?s date of hire was 10/17/2023. The record did not contain documentation of a negative tuberculosis screening. 2. Staff #2 was observed working with a group of children on 10/25/2023.
Plan of Correction:	All staff currently have obtained the proper TB screening, and a checklist has been developed to insure that moving forward all new employees will complete this step during the onboarding process before working.
Standard #:	8VAC20-780-40-E
Description:	Based on observation and document review, the facility failed to ensure that the center?s activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. Evidence: 1. The current license, effective 08/16/2023-02/15/2023 stipulates, ?There may be no more than 26 children in the room 148 at any one time.? 2. On 10/25/2023 at 2:51 P.M. when the Licensing Inspector entered Classroom #148 there were 30 children between the ages of five and 12 years present with two staff. 3. Staff #1 verified the number of children in the classroom and the ages of the children in the classroom.
Plan of Correction:	After contacting the administration of the school, we have decided to not utilize Room 148 for any classroom activities with the children. We will be in the cafeteria only.
Standard #:	8VAC20-780-60-A
Description:	Based on review of children records, the center failed to ensure that all required information was contained in the children?s records. Evidence: 1. The records for Child#1, #2 and #3 did not contain the date of enrollment, and name, home address, and phone number of each parent/guardian who has custody. 2. Child #3?s record only contained of the two designated people to call in an emergency if the parent cannot be reached. 3. Child #5?s record did not contain the name, home address, and home phone number of each parent who has custody; work phone number and employment of each person who has custody; name, address, and phone number of two designated people to call in an emergency if parents cannot be reached; names of persons authorized to pick up the child; previous child day care and schools attended by the child; and the name of any additional programs or schools that the child is concurrently attending and the grade or class level. 4. Staff #4 verified that these children?s records were not complete and did not have all required information in the record
Plan of Correction:	All files have been reviewed and parents are being informed of the missing items. They have been asked to update and return them to us asap. We will verify completeness of forms in the future before the child is admitted to the program.
Standard #:	8VAC20-780-70
Description:	Based on a review of staff records, the center failed to ensure that all required information was in staff records. Evidence: Staff #2?s date of hire was 10/17/2023. The record did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	All staff files will be brought up to date by 11/30/23 and will be reviewed regularly by the Area Manager to maintain accuracy and completeness.
Standard #:	8VAC20-780-90--A
Description:	Based on a review of children records, the center failed to ensure that a written agreement between the parent and the center shall be in each child?s record by the first day of the child?s attendance. Evidence: Child #5?s date of enrollment was 09/26/2023. There was not a written agreement between the parent and the center in the child?s file.
Plan of Correction:	All files have been reviewed and parents are being informed of the missing items. They have been asked to update and return them to us asap. We will verify completeness of forms in the future before the child is admitted to the program.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. On a table in the far side of the cafeteria, that is accessible children, there were two bottle of Peroxide Cleaner and one container of Nilosorb Deodorizing Liquid Spill Absorbent. 2. The manufacturer?s labels stated, ?Keep out of reach children.?
Plan of Correction:	Emailed principal and had all the schools? chemicals removed from the area that children are present. Will inspect daily to insure they are not present.
Standard #:	8VAC20-780-340-C
Description:	Based on observation and interview, the center did not ensure during the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer, or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1. On 10/25/2023 from approximately 3:17 P.M.-4:17 P.M., Staff #1 was the only staff on the premises when up to 30 children were present. 2. Staff #1 verified that she was the only staff present.
Plan of Correction:	Currently have the correct number of staff but am hiring an additional 1-2 people to ensure compliance with the ration standards. Area Manager will be present as required until that process is complete.
Standard #:	8VAC20-780-350-B-5
Description:	Based on observation, the center failed to ensure that the required staff-to-children ratio for school age children, 5-12 years of age, was maintained at all times. Evidence: 1. On 10/25/2023 at approximately 3:21 P.M., Staff #2 left the facility, leaving Staff #1 along with 30 children ages 5 years-12 years of age. The required staff-to-children ratio for that age group is 1:18. 2. The center failed to ensure the required staff-to-children ratio for approximately one hour before Staff #4 arrived at 4:17 P.M.
Plan of Correction:	Currently have the correct number of staff but am hiring an additional 1-2 people to ensure compliance with the ration standards. Area Manager will be present as required until that process is complete.
Standard #:	8VAC20-780-400-B
Description:	Based on interview and documentation review, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior to resolve conflicts. Evidence: 1. On 10/25/2023 at approximately 2:51 P.M. there were 30 children present with Staff #1 and Staff #2. Staff #1 was obtaining items from the closet, and Staff #2 was supervising handwashing. At the back of the handwashing line one child was continually kicking another child who was laying on the floor. The child being kicked was hitting back at the child that was kicking. This lasted for approximately four minutes. 2. While in the cafeteria one child trying to grab bendable blacks from another child, poked the child in the eye with a block. The child immediately covered their eye and said it hurt and started crying. 3. Children were observed running throughout the cafeteria in various directions, jumping on and off the stage and seats of tables, sitting on top of the tables and throwing blocks and Legos across the floor. 4. Neither Staff #1 or Staff @ were observed to provide any behavioral guidance intended to redirect children to appropriate behavior and resolve conflicts.
Plan of Correction:	Documentation has been provided to the appropriate staff regarding supervision needs and safety and care of all children. AM to correctly hire and schedule appropriately as needs dictate. Review weekly.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center failed to ensure that children and staff completed handwashing as required. Evidence: Staff #1 and Staff #2 did not wash their hands before assisting children with snack time. Child did not wash their hands after finishing afternoon snack.
Plan of Correction:	Reviewed standards and purchased sanitary wipes to be used as needed for children?s hands. Area Manager will inspect weekly to ensure compliance.
Standard #:	8VAC20-780-550-D
Description:	Based on a document review, the center failed to implement monthly practice evacuation drills. Evidence: 1. The program opened in 08/2023. There was no documentation that evacuation drills had been completed for 08/2023 or 09/2023. 2. Staff #1 verified that monthly evacuation drills had not been implemented.
Plan of Correction:	An email was sent to Program Manager at VACDES requiring a documented drill every month. Report to be kept in their logs and a copy sent to the Area Manager for verification.
Standard #:	8VAC20-780-560-J
Description:	Based on observation and interview, staff failed to ensure that tables shall be sanitized after each use for feeding. Evidence: The tables were not sanitized after snack time. The children immediately used the tables for various activities.
Plan of Correction:	Reviewed standards and purchased sanitizer to be used as needed for tables. AM will inspect weekly to ensure compliance.