VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Beginnings, Inc. - Forest Lakes
1610 Regent Street
Charlottesville, VA 22911
(434) 973-8414

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Aug. 24, 2022

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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on August 24, 2022 and concluded on September 21, 2022. There were seventy one children present, ranging in ages from 8 weeks to 5 years, with ten 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 five child records and ten staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility. Please contact your licensing inspector, Chrystal King, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you at 804-297-4469

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of ten staff records, the program did not ensure that a national criminal history record check was completed prior to the first day of employment for two staff. Evidence: 1. The start date for Staff #2 was 4/7/2022. The results in the file were dated 4/11/2022. 2. The start date for Staff #5 was 2/2/2022. The results in the file were dated 2/14/2022.
Plan of Correction:	See Intensive Plan of Correction
Standard #:	22.1-289.035-B-4
Description:	Based on review of ten staff records, program did not ensure that the results from a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry wer obtained from any state in which the individual has resided in the preceding five years for two staff. Evidence: 1. The start date for Staff #2 was 4/7/2022. There were no results from a search of the child abuse and neglect registry in the file for the previous state of residence. 2. The start date for Staff # 5 was 2/2/2022. There were no results from a criminal history record check, a sex offender registry check, nor a search of the child abuse and neglect registry for either of the two previous states of residence.
Plan of Correction:	See Intensive Plan of Correction
Standard #:	8VAC20-770-60-B
Description:	Based on a review of ten staff records, the program did not ensure that a sworn statement was completed prior to the first day of employment for one staff. Evidence: The start date for Staff # 4 was 4/11/2022. The sworn statement was completed on 8/27/2022.
Plan of Correction:	See Intensive Plan of Correction
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of ten staff records, the program did not deny continued employment for five staff when the results from the central registry check were not received within 30 days of employment. Evidence: 1. The start date for Staff #1 was 8/1/2022. Request was mailed 8/17/2022. There are no results in the file. 2. The start date for Staff #3 was 5/30/2022. Third request was mailed 8/17/2022. There are no results in the file. 3. The start date for Staff #4 was 4/11/2022. Request was mailed 9/9/2022. There are no results in the file. 4. The start date for Staff #5 was 2/2/2022. The results in the file were dated 9/11/2022. 5. The start date for Staff #9 was 7/28/2022. The results in the file were dated 9/11.2022.
Plan of Correction:	See Intensive Plan of Correction
Standard #:	8VAC20-780-160-A
Description:	Based on the review of ten staff records, the program did not ensure that the documentation of a negative tuberculosis (TB) screening was completed within the last thirty calendar days of the date of employment for seven staff. Evidence: 1. The date of employment for Staff #1 was 8/1/2022. The TB screening in the file was dated 9/9/2022. 2. The date of employment for Staff #2 was 4/7/2022. The TB screening in the file was dated 4/12/2022. 3. The date of employment for Staff #4 was 4/11/2022. The TB screening in the file was dated 9/6/2019. 4. The date of employment for Staff #5 was 2/2/2022. The TB screening in the file was dated 2/11/2022. 5. The date of employment for Staff #7 was 1/3/2022. The TB screening in the file was dated 5/11/2022. 6. The date of employment for Staff #8 was 3/14/2022. The TB screening in the file was dated 3/17/2022. 7. The date of employment for Staff #9 was 7/28/2022. The TB screening in the file was dated 12/14/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-B
Description:	Based on observation, the program did not ensure that cribs are identified for use by a specific child. Evidence: There were four cribs in the Lions room, but none of them were identified for use by a specific child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-G
Description:	Based on observation and interview, the program did not ensure that cribs are used for children under 12 months of age. Evidence: 1. There were seven children, aged 8 weeks to 8 months old, in the Lions room. Only four cribs were available. 2. When Staff #1 was asked where the other three children slept, she pointed to the center of the room where children were sleeping in their bouncy chair.
Plan of Correction:	See Intensive Plan of Correction
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the program did not ensure that children's hands were washed with soap and running water or disposable wipes before and after eating snacks or meals. Evidence: Two children in the Monkeys room were eating upon inspector's arrival. Once the children finished eating, they were removed from the table and placed on the rug to play, without washing hands.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the program did not ensure that prepared infant formula was dated and labeled with the child's name. Evidence: There were two bottles in the refrigerator of the Lions room that had no name or date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-E-1
Description:	Based on observation and interview, the program did not ensure that the most recently issued license was posted. Evidence: 1. The license that was posted expired 9/19/2019. 2. Administrator looked and confirmed that the license was expired.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-E-5
Description:	Based on observation and interview, the program did not ensure that a copy of the notice of intent from the Superintendent was posted in a prominent place at each public entrance to the facility to advise consumers of serious or persistent violations. Evidence: 1. The notice of intent (NOI), issued to facility yn 7/21/2022, was not posted at the entrance. 2. When Staff #6 (first day of employment was 8/15/2022) was asked where the NOI was posted, she was not aware of its existence.
Plan of Correction:	See Intensive Plan of Correction