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Brilliant Beginnings Learning Center III
3740 Holland Road
Virginia beach, VA 23452
(757) 486-2252

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: March 28, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Early Childhood Care and Education

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a in-person tour of the program A monitoring inspection was initiated on 3/25/22 and concluded on 3/28/22. The provider was contacted by telephone to initiate the inspection. There were 52 children present and 13 staff. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 5 children?s records and 9 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. 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.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of nine staff records, it was determined that the center did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).

Evidence:
1. The record for Staff #1 (DOH: 02/07/22), working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing).
2. The record for Staff #6 (DOH: 02/22/22), working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing).
3. Staff #1, Program Director, confirmed that she had not received the results of the finger print background check (finger printing) for staff #1 and staff #6.

Plan of Correction: 1. Before hiring Staff #1, a REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal was sent via email on 2/4/22. Brilliant Beginnings received a REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal check that included Staff #1?s name. Being unfamiliar with the process, after receiving this form from the backgrounds department, it was assumed this was the correct information needed in order for Staff #1 to begin employment. It was not until our licensing inspection that we were informed the information we received from the backgrounds department regarding Staff #1 was incomplete. On April 1, 2022, Brilliant Beginnings received a response from the Office of Background Investigation-Criminal Background Unit deeming Staff #1 eligible as an employee.
2. A REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal was sent via email on 2/4/22. Brilliant Beginnings received a REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal check that included Staff #6?s name. Being unfamiliar with the process, after receiving this form from the backgrounds department, it was assumed this was the correct information needed in order for Staff #6 to begin employment. It was not until our licensing inspection that we were informed the information we received from the backgrounds department regarding Staff #6 was incomplete. On March 30, 2022, Brilliant Beginnings received a response from the Office of Background Investigation-Criminal Background Unit deeming Staff #6 eligible as an employee.

Standard #: 22.1-289.035-B-4
Description: Based on a review of nine staff records, it was determined that the facility did not ensure that they obtain a copy of the results of a criminal record check, a sex offender registry check, and 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:
1. The record for staff #4 (date of hire 3/7/22) did not contain documentation of a completed criminal record check and sex offender registry check from Nevada. The sworn statement indicated staff #4 had previously lived in Nevada within the last 5 years.
2. The record for staff #5 (date of hire 11/9/21) did not contain documentation of a completed criminal record check, search of the central registry finding, and sex offender registry check from Pennsylvania. The sworn statement indicated staff #4 had previously lived in Pennsylvania within the last 5 years.
3. Staff #1 (Program Director) confirmed the criminal record check and a sex offender registry check from the State of Nevada (staff #4) and Pennsylvania (staff #5) were received prior to start of employment. In addition the completed search of the child abuse and neglect registry or equivalent registry from Pennsylvania for staff #5 was received within 45 days of hire.

Plan of Correction: 1. Brilliant Beginnings failed to provide evidence of a completed criminal record and sex offender registry check from Nevada for Staff #4. As of 3/31/22 Staff #4 is no longer employed with Brilliant Beginnings.
2. Brilliant Beginnings provided our Licensing inspector, Christopher Robinson a completed Criminal History Check for Pennsylvania and a Sex Offender Registry Check for Staff # 5 on 3/28/22 as he requested. Brilliant Beginnings failed to provide a completed Central Registry Check for Staff #5. Staff #5 has been placed on administrative leave until we send/receive a Sex Offender Registry Check from Pennsylvania.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of nine staff records, it was determined that the facility did not deny continued employment of staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #1 (DOH: 3/26/22), did not contain documentation of a completed search of the central registry finding.
2. The record for staff #3 (DOH: 03/04/2022), did not contain documentation of a completed search of the central registry finding.
3. The record for staff #5 (DOH: 11/09/2021), did not contain documentation of a completed search of the central registry finding.
4. The record for staff #6 (DOH: 02/02/22), did not contain documentation of a completed search of the central registry finding.
5. The record for staff #7 (DOH: 09/28/2021), did not contain documentation of a completed search of the central registry finding.
6. The record for staff #8 (DOH: 12/08/2021), did not contain documentation of a completed search of the central registry finding.
7. Staff #1 (Program Director), reviewed the records and confirmed that the search of the central registry finding has not been received for nay of the staff listed above..

Plan of Correction: Before hiring Staff #1, a REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal was sent via email on 2/4/22. Brilliant Beginnings received a REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal check that included Staff #1?s name. Being unfamiliar with the process, after receiving this form from the backgrounds department, it was assumed this was the correct information needed in order for Staff #1 to begin employment. It was not until our licensing inspection that we were informed the information we received from the backgrounds department regarding Staff #1 was incomplete. On March 29, 2022, a Central Registry Release of Information Form was sent to Virginia Department of Social Services for Staff #1. Brilliant Beginnings is currently awaiting a response. Staff #3 attended orientation on 3/4/2022. Staff #3 first official day in the facility was 3/7/2022. Licensing standards state that the Central Registry Release Information must be sent within 5 days of hire. Staff #3, Central Registry Release of Information was originally sent to the Virginia Department of Social Services on 3/9/2022. After submission, Licensing Standards state that Central Registry Release of Information Results must be received no more than 30 days after hire. During our licensing visit, it had only been 24 days. We have contacted the Virginia Department of Social Services to inquire about Staff #3 results. In addition, another Central Registry Release of Information form was sent on 3/29/22. Brilliant Beginnings has emailed the Background Department of Social Services to inquire about the status of the information for Staff #3. The Virginia Department of Social Services received Staff #5, Central Registry Release of Information Form on 11/16/2021. On 11/23/2021, a response from Office of Background Investigations was sent to Brilliant Beginnings informing Brilliant Beginnings that there was a payment Processing/Intake Error. Brilliant Beginnings resent a Central Registry Release Information Form to the Department of Social Servicers on 12/30/21. Brilliant Beginnings emailed the Department of Social Services on 3/27/22 inquiring about the results set for Staff #3. On 3/29/22, Brilliant Beginnings received a response from the Department of Social Services stating they had no record for Staff #3. On 3/30/2022, a third Central Registry Release of Information Request was sent for Staff #3 (Elena Person). Brilliant Beginnings is currently awaiting those results. A REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal was sent via email on 2/4/22. Brilliant Beginnings received a REQUEST FOR BACKGROUND PORTABILITY: Central Registry and Criminal check that included Staff #6?s name. Being unfamiliar with the process, after receiving this form from the backgrounds department, it was assumed this was the correct information needed in order for Staff #6 to begin employment. It was not until our licensing inspection that we were informed the information we received from the backgrounds department regarding Staff #6 was incomplete. On March 29, 2022, a Central Registry Release of Information Form was sent to Virginia Department of Social Services for Staff #6. Brilliant Beginnings is currently awaiting a response. A Central Registry Release of Information Request was sent for Staff #7 after hire. Unfortunately, a date was not written on the copy that Brilliant Beginnings retained. Brilliant Beginnings contacted The Department of Social Services via email on 3/27/2022 to inquire about the results of the check. On 3/29/22, A Central Registry Release of Information Form was resent for Staff #7. Brilliant Beginnings is currently awaiting the results. Brilliant Beginnings failed to provide evidence that a Central registry Release of Information Form was sent for Staff #8. As of 3/28/22, Staff #8, is no longer employed with us.

Standard #: 8VAC20-780-150-B
Description: Based on record review of five children and interview, it was determined that the center did not ensure that an immunization report shall be signed by a physician, his designee, or an official of a local health department.

Evidence:
1. The record for child #5 contained an immunization record with no No physician signature.
2. Staff #1 (Program Director) confirmed no physician signature to the immunization record.

Plan of Correction: 1. A record for child #5 immunization record was present and inside of child #5?s file but did not contain a signature from a physician. An immunization record containing a signature of a physician was obtained from child #5?s parent on 3/28/22.

Standard #: 8VAC20-780-160-A-2
Description: Based on a review of nine records, it was determined that the center did not ensure the Tuberculosis screening for staff were completed within the last 30 calendar days of the date of employment.

Evidence:
1. The record for staff #1 (DOH: 02/08/2022) contained a TB screening that was dated 06/08/2021.
2. The record for staff #3, (DOH: 03/04/2022),contained a TB screening that was dated 08/24/2021.
3. Staff #1 (Program Director) confirmed that the TB screening received for both staff was completed more than 30 days prior to employment.

Plan of Correction: 1. Brilliant Beginnings obtained a Tuberculosis screening for Staff #1 on 3/30/22.
2. Brilliant Beginnings obtained a Tuberculosis screening for Staff # 3 on 3/30/22.

Standard #: 8VAC20-780-270-A
Description: Based on observation and interview, it was determined that the center did not ensure the areas and equipment of the center, inside and outside, were maintained in a safe and operable condition.

Evidence:
1. The exterior doors for the toddler and two?s classroom on the small playground had peeling paint in reach of children.
2. The play structure on the large playground had an approximate 10 inch crack to the plastic exterior posing a possible injury to a child.
3. Staff #1 (Program Director), confirmed the areas listed above were not maintained in a safe and operable condition.

Plan of Correction: 1. The exterior doors for the toddler and twos classroom are scheduled to be painted on 4/9/22.
2. There is an existing work order for the playground structure scheduled to be completed on or before June 2022.

Standard #: 8VAC20-780-280-B
Description: Based on observation and interview, it was determined that the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. In the infant room, an uncovered deodorizing aerosol bottle was on top of the refrigerator.
2.In the toddler room, an open box of baking soda was on the floor of an unlocked closet within reach of the children.
3. In the three year old classroom, there were two unlabeled cleaning substances in bottles that were in an unlocked cabinet.
4. In the school age room, two unlabeled cleaning bottles, a container of disinfectant wipes, and disinfectant spray that were in an unlocked cabinet accessible to children.
5. In the school age room and two year old room, scented gel deodorizer in the room were unlocked and accessible to children.
6. Staff #1 (Program Director), confirmed the hazardous substances listed above were not stored in a locked place using a safe locking method that prevents access by children.

Plan of Correction: 1. Staff in the infant room failed to ensure hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Infant staff who were present at the time of the violation, including the Director received a First Written Write-Up. Staff were also mandated to complete and submit a training certificate for Green Cleaning, Sanitizing, and Disinfecting: A curriculum for ECE. Staff were informed that no aerosol cans are allowed to be in the classroom. Staff were trained on how to properly store cleaning items on 4/4/22.
2. Staff in the toddler room failed to ensure hazardous substances were kept in a locked place using a safe locking method that prevents the access by children. Toddler staff who were present at the time of the violation, including the Director received a First Written Write-up. Staff were also mandated to complete and submit a training certificate for Green Cleaning, Sanitizing, and Disinfecting: A curriculum for ECE. Staff were informed that baking soda needed to be kept in a locked cabinet when not in use during a training on 4/4/22.
3. Staff in the three-year old classroom failed to ensure hazardous substances were kept in a locked place using a safe locking method that prevents the access by children. Preschool staff who were present at the time of the violation, including the Director received a First Written Write-Up. Staff were also mandated to complete and submit a training certificate for Green Cleaning, Sanitizing, and Disinfecting: A curriculum for ECE. Staff were trained on how to properly label bottles containing soap and water and sanitizing solution on 4/4/22.
4. Staff in the school-age room failed to ensure hazardous substances were kept in a locked place using a safe locking method that prevents access by children. School-age staff received a First Written Write-Up and were mandated to complete and submit a training certificate for PYD Foundations: Safety and Wellness.
5. Staff of the School-age and Two-year-old room failed to ensure hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Staff received a First Written Write-Up. Staff were also mandated to submit a training certificate for Green Cleaning, Sanitizing, and Disinfecting: A curriculum for ECE. Staff were informed that cleaning supplies must be kept out of reach of children during a training held on 4/4/22.

Standard #: 8VAC20-780-280-F
Description: Based on observation and interview, it was determined that the center did not ensure hazardous substances that were not contained in the original containers were labeled to clearly indicate their contents.

Evidence:
1. In the three year old classroom, there were two unlabeled bottles containing a blue liquid in the cabinet over the sink.
2. In the school age classroom, there were two unlabeled bottles containing a blue liquid in the cabinet over the sink.
3. Staff #1 (Program Director) confirmed that the unlabeled bottles contained a cleaning substance and were not in the original containers.

Plan of Correction: 1. Staff in the pre-school room were reminded that all soap and water bottles must be labeled with their contents.
2. Staff in the school-age room were reminded that all soap and water bottles must be labeled with their contents

Standard #: 8VAC20-780-280-H
Description: Based on observation and interview, it was determined that staff's personal medication, shall not be stored in areas, purses or pockets that are accessible to children.

Evidence:
1. In the Preschool (3's) classroom there was an unlocked closet which contained a purse belonging to staff #2. The purse was open and contained medication.
2. Both Staff #1 and Staff #2 confirmed and observed that the medication was not locked and accessible to the children.

Plan of Correction: 1. Staff # 2 received a Written Write-Up based on the observation her inhaler was stored in her purse which was in a unlocked cabinet.

Standard #: 8VAC20-780-330-B
Description: Based on observation, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles

Evidence:
1. On the large playground, there were tears and holes to the resilient surfacing (pour-n-play) which compromised its integrity.
2. Staff #1 (Program Director), confirmed the surfacing did not comply with safety standards.

Plan of Correction: 1. As of March 16, 2022, Brilliant Beginnings has a work order for construction of the playground equipment to begin on or before June 2022.

Standard #: 8VAC20-780-500-B
Description: Based on observation and interviews, it was determined that the licensee did not ensure that disposable diapers shall be disposed of in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal.

Evidence:
1. In the infant room, the storage system used for disposing of diapers was not of a design of hands free operation.
2. Staff members in the infant room confirmed that they had used their hands to open the storage system to dispose of soiled diapers.

Plan of Correction: 1. Hands-Free disposal bins were added to the infant room for the use of disposing of diapers on 3/28/22.

Standard #: 8VAC20-780-510-B
Description: Based on observation and interview, it was determined that the center did not ensure that they obtained written authorization from a parent or guardian to administer medication.

Evidence:
1. The medication authorization form for child #7 did not contain a parent signature to authorize the administration of medication.
2. The medication authorization form for child #8 did not contain a parent signature to authorize the administration of medication
3. Staff #1 (Program Director) confirmed that parent authorization to administer medication was not obtained for child #7 and child #8.

Plan of Correction: 1. As of 3/28/22, Brilliant Beginnings received a parent signature to authorize the administration of medication for child #7.
2. As of 4/5/22, Brilliant Beginnings received a parent signature authorizing administration of medication for child #8.

Standard #: 8VAC20-780-510-I
Description: Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, all medication that was dispensed from a pharmacy is maintained in the original, labeled container.

Evidence:
1. The medication (EpiPen) for Child #6, currently at the center for care, was not maintained in the original container with labeled directions attached.
2. Staff #1 (Program Director) confirmed the medication for child #6 was not maintained in its original container with the direction label attached.

Plan of Correction: 1. The medication (Epi Pen) for child #6, was sent home. Parent of Child #6 informed Staff #1 that the medication was no longer needed.

Standard #: 8VAC20-780-580-B
Description: Based on observation and interview, it was determined that the center?s transportation vehicle did not meet the safety standards set by the Department of Motor Vehicles (DMV).

Evidence:
1. The van used for transporting the children daily to and from local schools had an expired Department of Motor Vehicle registration. The registration expired July 2021.
2. Staff #1 (Program Director) confirmed the vehicle?s registration was expired and not in compliance with DVM safety standards.

Plan of Correction: Owner/CEO contacted the Department of Motor Vehicles, who stated that the vehicles tags are current and Brilliant Beginnings has 6 months left on the registration. Owner/CEO obtained proof and documentation that the vehicle was issued registration stickers on 5/18/21 and expires 6/30/23.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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