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: Sept. 6, 2023

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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site September 6, 2023. The director was available during the inspection. There were 86 children present, ranging in ages from 3 months to 5 years, with 21 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 8 child records, 9 staff records, and two agent 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Repeat Violation Based on a review of staff records and interview, the center failed to ensure to obtain the results of a check of an out-of-state child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #6, hired 04/03/2023, did not contain documentation of an out-of-state child abuse and neglect result. Staff #6 indicated living in a previous state on the staff's sworn disclosure statement. 2. Staff #7 confirmed the result was not obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Repeat Violation Systemic Deficiency Based on a review of children's records and interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #4, enrolled 06/12/2022, contained documentation of immunizations that were dated 06/19/2023, which was not prior to enrollment. 2. The record of child #4, enrolled 06/12/2022, contained documentation of a physical that was dated 06/12/2023, which was not before the child's attendance or within 30 days after the first day of attendance. 3. Staff #1 confirmed that child #4 did not have immunizations and a physical in the required timeframe.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on a review of staff records, the center failed to ensure that two or more references were checked before employment. Evidence: The records of staff #2, hired 08/04/2023, and staff #4, hired 09/01/2023, did not contain documentation of two references.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. On the playground, approximately six steps and the handrails, going up the play structure contained chipped paint and rust and rusted bolts. 2. The bike carousel contained five bikes with rusted handlebars and the center disc was also rusted. 3. Staff #1 and staff #5 confirmed the equipment contained rust.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The Giraffe classroom, ages 18 months-24 months, had an unlocked upper cabinet that contained disinfectant, Windex, and Febreze with labels that stated "keep out of reach of children" and "caution." 2. Staff # 5 confirmed the cabinet was not locked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	Based on observation and interview, the center failed to ensure the cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food. Evidence: 1. In the Giraffe classroom, hand sanitizer was located laying on it's side, on a wire shelf directly above food from a child's lunch in ziplock bags. 2. Staff #5 confirmed the hand sanitizer was located above food.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-B
Description:	Based on observation and interview, the center failed to ensure that cribs shall be identified for use by a specific child. Evidence: In the Lion room, two cribs were occupied by infants and the cribs were not labeled to identify use by a specific child. Staff #1 confirmed the cribs were not labeled.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-E
Description:	Based on a review of records, the center failed to ensure to implement a minimum of two shelter-in-place drills per year for the most likely to occur scenarios. Evidence: There was no documentation of shelter-in-place drills being practiced in 2021 and 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-F
Description:	Based on a review of the log for procedures for emergencies, the center failed to ensure lockdown procedures are practiced at least annually. Evidence: There was no documentation of a lockdown drill being practiced in 2021 and 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation and interview on September 6, 2023, the center failed to ensure food from home shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the Lion room, there were six infant bottles not dated. There were two bottles dated 8/21. 2. In the Monkey room, there was one bottle dated 8/6. 3. In the Giraffe room, there were four thermos containers not dated. 4. In the Zebra room, there was crackers and yogurt in a cubby which were not labeled or dated. 5. In the Cheetah room, there were 13 lunchboxes that were not dated.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-C
Description:	Based on observation and interview, the center failed to ensure to maintain a record of each child on formula to include the brand of formula. Evidence: 1. The Lion room did not contain documentation of the brand of formula for seven children on formula. 2.The Monkey room did not contain documentation of the brand of formula for two children on formula. 3. Staff #5 confirmed they did not have the brand of formula.
Plan of Correction:	Not available online. Contact Inspector for more information.