Right at School, LLC.-Grafton Bethel
410 Lakeside Drive
Yorktown, VA 23692
(757) 894-7668
Current Inspector: Christine Mahan (757) 404-0568
Inspection Date: Oct. 11, 2022
Complaint Related: No
- Areas Reviewed:
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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
- Comments:
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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 October 11, 2022 and concluded on October 13, 2022. There were 22 children present, ranging in ages from 5 to 11, with 4 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 5 child records and 5 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:
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Standard #: 8VAC20-770-60-C-2 Description: Based on a review of 5 staff records 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 Central Registry (CPS) finding for the state of Virginia.
Evidence: Staff # 4?s date of hire 9-13-2022 does not have documentation of a CPS check conducted. Area Manger confirmed the CPS check was mailed on 10-10-2022. Staff #4 was observed working on the day of the day of the inspection.Plan of Correction: All on boarding staff are required to meet with the Area manger before the first day with kids to ensure all the proper paperwork has been turned in at the appropriate time.
Standard #: 8VAC20-780-160-A Description: Based on review of 5 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: The following TB screenings/ test were not conducted within the required timeframe.
1.The TB screening/ test available for review for Staff #3 was not conducted in the required timeframe as it is dated 10-11-2022 and the first date of employment was 8-15-2022.
2. The TB screening/ test available for review for Staff #5 was not conducted in the required timeframe as it is dated 1-28-2022 and the first date of employment was 1-21-2022.Plan of Correction: All onboarding staff will meet with the Area Manger to ensure all required paperwork is turned in during the appropriate timeframe.
Standard #: 8VAC20-780-40-K Description: Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.
Evidence: Staff #1 confirmed there was not a policy available for review related to head trauma.Plan of Correction: Area Manager emailed the policy to the program manager on 10-13-22 and is I the licensing binder for review.
Standard #: 8VAC20-780-60-A Description: Based on review of 5 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: The following information is missing from 4 out of 5 of the children?s records reviewed.
1. Child #1 did not have the address for 1 emergency contact listed, the home addresses, home phone number or place of employment for one of the parents listed. Child #1 did not have an immunization record that was signed by a physician, his designee, or an official of a local health department.
2. Child #2 did not have the addresses for both emergency contacts listed.
2. Child #3 did not have a physician name or phone number.
3. Child #4 did not have the address for 1 emergency contact listed.Plan of Correction: Child #1's missing info was updated on 10-11-22. The shot record had the required signature but was not visible in the scan. Child #2's missing info was updated on 10-11-22. Child #3's info was updated on 10-12-22. Child 34's info was updated on 10-11-22. Program Manager will review required info with parents.
Standard #: 8VAC20-820-120-E-2 Description: Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises.
Evidence: The most recent inspection results dated 9-26-2022 were not posted in a conspicuous place.Plan of Correction: Area Manger will ensure to email out recent inspection reports to be posted.
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
