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Right at School, LLC- Bethel Manor

Inspection · 2024-08-06

Date
2024-08-06
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.
8VAC20-820 The License.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on August 6, 2024 and completed on August 8, 2024. The on-site inspection began at 2:30pm and ended at 3:40pm. The inspector reviewed compliance in the areas listed above.
There were 78 children present and 8 staff. The inspector reviewed 8 children?s records and 8 staff records electronically on August 7, 2024. This inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 19, 2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 8VAC20-780-240-C
Based on record review and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics.

Evidence: Staff #5 did not have documentation they had not obtained orientation training related to prevention of abusive head trauma.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
(Repeat Violation)
Based on a review of 8 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training.

Evidence: Staff #5?s and Staff #8?s record did not include documentation of 16 hours of training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-J
Based on center documentation review and staff interview the licensee did not ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

Evidence: Senior Program Manager confirmed they did not have an updated injury prevention plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Based on observation and staff interviews, the licensee did not ensure the center shall maintain, 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. This list shall be dated and kept confidential in each room or area where children are present.

Evidence: The current written list of all children's allergies, sensitivities, and dietary restrictions did not include the information for Child #2 who has a restriction of pork.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

Evidence:
1.Child #4 had a medication (Epi-pen) and the medication authorization designated expiration at the end of the 2023- 2024 school year .
2.Child #1 had a medication (Albuterol) and the medication authorization expired July 1, 2024.
3.These medications had not been sent home to the parents or disposed of as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information.

Evidence: Injury reports were reviewed and 6 out of 7 were missing some information related to the date, time and how the parent was notified of the injury.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
(Repeat Violation)
Based on record review and staff interviews, the licensee did not ensure each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information.

Evidence:
1. Records for Child #7 and Child #6 did not include complete emergency contact information to include the city, state and zip code for the emergency contacts listed.
2. Records Child #1, #2, #3,#4,#5,#7 and #8 did not include proof of identity.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services