Right at School, LLC- Bethel Manor

8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #4 and Child #5 who had been attending for 3 weeks did not have documentation of immunizations.

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8VAC20-780-140-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1, who had been enrolled for 11 months and Child #7 who had been enrolled for 14 months.

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8VAC20-790-600-F · Staff who work directly with children shall annually complete the health and safety update course. Staff #4's record did not contain documentation for the 2024 health and safety update course.

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22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4, was dated 11 days after their employment.

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8VAC20-790-600-F · Based on a review of 8 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course.

Evidence: Staff #3, Staff #5 and Staff #8 do not have the annual updated health and safety course.

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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.

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22.1-289.035-B-4 · Based on record review and licensee interviews, the licensee did not ensure to a obtain the out of state criminal records check prior to employment. The out of state background checks are required for any person who has lived outside of Virginia within the last five years.

Evidence: Staff #4?s criminal record results ( CRC

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8VAC20-790-600-F · Based on staff record review and staff interviews, the vendor did not ensure that staff who work directly with children shall have completed the departments health and safety update course.

Evidence: The record for Staff #3 did not include the required annual 3-hour health and safety update course. The most recent was dated 2-19-2017.

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8VAC20-780-150-B · Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department

Evidence: The immunization documents in the record for Child #4 did not include a physician or designated individual?s signature.

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8VAC20-780-160-A · Based on record review, the licensee did not ensure each staff member submit documentation of a negative tuberculosis screening 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 hire date was 06/3/2022 and tuberculosis screening was completed 06/06/2022. Staff #2 hire date was 03/24/2023 and tuberculosis screening was completed 03/29/2023.

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8VAC20-770-60-C-2 · Based on staff interview and record review, the licensee did not ensure central registry findings

with in 30days of employment. Evidence: During the time records were requested Staff#2 hire date 08/15/2022 did not have central registry results.

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8VAC20-790-600-D-1 · Based on record review, the licensee did not ensure all staff with in 90days have a current cpr and first aid.

Evidence: Staff #1 hire date was 06/03/2022 documents provided did not documentaiton of CPR and First Aid. Staff #1 has been employed for more than 30 days.

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22.1-289-036-B-4 · Based on record review and licensee interviews, the licensee did not ensure to a obtain a sex offender check prior to the end of the 30th day of employment /service for new agents/board officers. The out of state background checks are required for any person who has lived out side of Virginia within the last five years.

Evidence: Area Manager confirmed, there was not criminal record result available for review for Agent #1 who lived in New Jersey within the last five years. Agent #1, start date 1-1-2022.

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22.1-289.035-B-4 · Based on record review, the licensee did not ensure a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence: Staff #1 hire date 08/30/2021 ,there was no results or documentation that a out of state search of the child abuse and neglect registry for the state of California was completed.

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