VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Right at School, LLC.-Grafton Bethel
410 Lakeside Drive
Yorktown, VA 23692
(757) 894-7668

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Sept. 12, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 STAFFING AND SUPERVISION.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a tour of the program. A monitoring inspection was initiated on September 12, 2022 and concluded on September 26, 2022 related to a self reported incident. The inspector reviewed compliance in the areas of administration, staff training and staffing and supervision. 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 #:	8VAC20-780-40-E
Description:	Based on a review of the center's documentation and interviews, the licensee did not ensure the operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: The center staff did not follow their own policy related to supervision of children. 1) Staff #2 confirms they did not follow the center's supervision policy that includes; ?Maintaining focused attention and observation (sight and sound) of children at all times.? 2) Staff #1 and Staff #2 confirm they did not follow the center's supervision policy that includes; "Maintaining the Name-To-Face form and process as intended, including documentation at each transition.? 3) Staff #1, Staff #2 and Staff #3 (center director) confirms there was not a Name-To-Face form available at that time for Staff #1 and Staff #2 to use to document transitions from the center to the playground and from the playground to the center.
Plan of Correction:	Area Manger will ensure the program has ample blank name to face sheets for times printer is down. 10-3-2022 Staff will maintain accurate and up to date name to face sheets. 9-8-2022 Program Manger will sign off on the name to face sheets nightly per company policy. 9-8-2022
Standard #:	8VAC20-780-340-A
Description:	Based on a review of the center's documentation and interviews, the licensee did not ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1) On September 7, 2022 between approximately 5:47 pm and 5:50 pm, Child#1 (age 10), was left alone on the playground without staff supervision. 2) The center?s entrance door and playground gate open to an elementary school parking lot located in a neighborhood and the road has a speed limit of 25.
Plan of Correction:	Area Manger will have all staff complete the Health and Safety training again. 10-3-2022. Staff will ensure the safety of the children is top priority. 9-8-22
Standard #:	8VAC20-780-340-G
Description:	Based on interviews with staff and other parties involved, the licensee failed to ensure children 10 years of age and older shall be within actual sight and sound supervision of staff except when specific requirements are met. Evidence: On September 7, 2022 between approximately 5:47 pm and 5:50 pm, Child #1 (age 10), was left alone on the playground without staff supervision. 1) Staff #1 and Staff #2 both reported it was at the end of the day and they took the remaining 3 children outside to the playground, directly located outside the center's entrance door. 2) At approximately 5:45 pm the parent of Child #2 and Child #3 arrived and Staff #1, Child #2, Child #3 and the parent went inside the building. 3) Child #2 and Child #3 were signed out of the program at approximately 5:47pm by their parent. 4) Staff #2 reports they were outside near the playground and the center?s entrance door and after Child #2, Child #3 and Staff #1 went into the building they called out towards the playground, ?Is there anyone else from Right at School here?? and then they went into the center. 5) Staff #2 confirms they did not know Child #1 was still on the playground when they went into the center. 6) Witness #1 reported they arrived at the center and Child #1 was on the playground by themselves. Child #1 was signed out of the center at approximately 5:50 pm by Witness #1.
Plan of Correction:	Area Manager will ensure all staff are clear on the sight and sound policies in place per company policy. 9-8-2022 Area Manger will have staff all staff repeat the Active Supervision training. 10-3-2022 Staff will ensure there is always two staff present outside with the children. 9--8-2022 Staff will ensure they are physically walking the entire playground before entering the program. 9-8-2022