VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Horizons Children's Centers LLC - Henrico
7704 E. Parham Road
Richmond, VA 23294
(804) 217-9226

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: April 22, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures

Technical Assistance:

N/A

Comments:

The licensing inspector conducted an unannounced inspection in response to a self-reported concern regarding supervision that occurred at the center on April 15, 2019. The Department was notified of the incident on April 16, 2019. The investigation was initiated on April 22, 2019 and completed on May 10, 2019. On April 22, 2019, the licensing inspector conducted an unannounced inspection from approximately 9:30am until 10:40am. Interviews were completed, observations were made in the center, and documentation was reviewed. On May 2, 2019, the inspector conducted additional interviews. The preponderance of the evidence gathered during the investigation validates the self-reported incident. See the violation notice for more details. 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 the date of receipt. 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 standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:

Standard #:	22VAC40-185-40-E
Description:	Based on a review of policies and procedures, interviews and a review of documentation, the center did not ensure that the center's activities and services were in compliance with the center's own policies and procedures related to supervision that are required by the standards. Evidence: 1) On April 15, 2019, at approximately 5:45pm, Staff #2 found 2-year-old, Child #1, alone and unsupervised on the playground. 2) In a written statement, Staff #3 wrote "I went immediately to ESP2, where [Child #1] should have been, and check [sic] tracking sheet. She was still on sheet as being in there. They had been outside but had come back in at 4:40pm but had not been checked in name to face. I asked [Staff #1] about it and she said she didn't check them and thought she had come in but wasn't sure." 3) During interview on 05/02/2019, Staff #1 stated she did not do a "Face to Name Roll Call" on 04/15/2019 after the classroom returned inside from the playground. Staff #1 stated that during transition at approximately 5:40pm, when another child was picked up, "[Child #1] went behind and ran out the door." Staff #1 was not aware that Child #1 had exited the classroom until approximately 5:50pm when Staff #3 notified Staff #1. 4) The center's Supervision of Children Policy requires that "staff should be aware of how many children are in their care and where all children are, at all times. Children are not allowed out of the classroom without adult supervision." The center's transition tracking policy requires that "all children must be accounted for at all times....teachers are required to: know the names and numbers of children in their care at all times; use the We Care Transition Tracking Sheet to account for the children in their care; conduct a Face to Name Roll Call whenever a transition through a door or gate occurs, followed by a Head Count. The Face to Name Roll Call consists of calling each child by name and physically looking at the child to confirm that he/she is present. The Head Count is a simple count which is recorded on the sheet."
Plan of Correction:	Per the Center: "Corrective Action in Response: Our Center takes this matter seriously and we have developed a comprehensive corrective action plan in response. On April 16, 2019, the Regional Manager inspected the door to the playground from the classroom and observed that the door does not shut tightly when it closes on its own and must be pulled to close tightly. After inspecting the doors to the playground from all the classrooms, the Center requested that facilities repair the doors which occurred on May 17, 2019. Additionally, on April 18, 2019, the Field Education and Training Specialist and the Regional Manager retrained all the Center staff on the Child Transition Tracking Process including planning ongoing observations of staff during transitions. A copy of that training agenda and attendance log is included as Exhibit A. Following that, the Center?s leadership team is now observing classroom transitions daily and providing feedback to staff on how well they conducted the transitions including recording them on the tracking sheets. On a weekly basis, the Center is sending reports on these observations to the Regional Manager for the next six weeks. Finally, on both April 25 and May 7, 2019, the Regional Manager visited the Center and conducted observations and provided feedback on the transition tracking procedures to all the center staff. Finally, we can confirm that Teacher B will not be returning to the Center at this time."
Standard #:	22VAC40-185-340-F
Description:	Based on interview and documentation reviewed, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1) In a written statement dated 04/15/2019, Staff #2 wrote "Around 5.45pm [sic] I was taking the kids towards the table in the toddler 2 classroom, to get ready for dinner. As I was approaching the table, I heard a child crying outside. I opened the back door leading to the playground of Toddler 2 classroom for the child's cry and noticed [Child #1; 2-years-old] crying." 2) In a written statement dated 04/15/2019, Staff #3 wrote "On April 15 at 5:30 I was giving a tour. [Staff #2] was trying to get my attention around 5:45 and when I finished with tour I went back to see what she wanted. She said she heard [Child #1] crying outside alone." 3) During interview on 05/02/2019, Staff #1 stated that Child #1 "went behind and ran out the door" when another child was picked up at approximately 5:40pm. Staff #1 was not aware that Child #1 was not in her class until approximately 5:50pm when Staff #3 reported it to Staff #1. 4) Based on documentation reviewed, it is estimated that Child #1 was out of sight and sound supervision for approximately two to five minutes.
Plan of Correction:	Per the Center: "Corrective Action in Response - Our Center takes this matter seriously and we have developed a comprehensive corrective action plan in response. On April 16, 2019, the Regional Manager inspected the door to the playground from the classroom and observed that the door does not shut tightly when it closes on its own and must be pulled to close tightly. After inspecting the doors to the playground from all the classrooms, the Center requested that facilities repair the doors which occurred on May 17, 2019. Additionally, on April 18, 2019, the Field Education and Training Specialist and the Regional Manager retrained all the Center staff on the Child Transition Tracking Process including planning ongoing observations of staff during transitions. A copy of that training agenda and attendance log is included as Exhibit A. Following that, the Center?s leadership team is now observing classroom transitions daily and providing feedback to staff on how well they conducted the transitions including recording them on the tracking sheets. On a weekly basis, the Center is sending reports on these observations to the Regional Manager for the next six weeks. Finally, on both April 25 and May 7, 2019, the Regional Manager visited the Center and conducted observations and provided feedback on the transition tracking procedures to all the center staff. Finally, we can confirm that Teacher B will not be returning to the Center at this time."