VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Beginnings - Crozet
1645 Park Ridge Drive
Crozet, VA 22932
(434) 823-7129

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: July 25, 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. 8VAC20-770 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 7/25/2022 at the center from 10:17 AM until 11:25 AM and concluded on 8/2/2022 with virtual record review. There were 54 children present, ranging in ages from infant to five, with 11 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 four child records and five 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 complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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 preventive measure(s). If you have questions or concerns contact the licensing inspector, Michelle Argenbright, at (540) 848-4123.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center failed to obtain out of state child abuse and neglect search by the end of the 30th day of employment and out of state criminal history name check prior to the first date of employment for one staff member. 1. Staff 4's hire date was 4/11/22. The sworn statement documents staff 4 living in Delaware within the last five years. The record did not contain documentation of a Delaware child abuse and neglect search and criminal history name check for staff 4. 2. The director was unable to locate Delaware background checks for staff 4.
Plan of Correction:	The director spoke with Licensing Inspector (LI) on 8/10/22 to confirm she had left the appropriate voicemail and email with the DE. DOE in regards to gaining access to the online portal in DE that allows the center to conduct the interstate child abuse and neglect registry check. The LI said to continue documenting progress and shared a live link info pertaining to all states. It gives the center the most current information by each state. This will be most helpful for future new hires. The director completed the required documents on 8/10 and sent off on 8/11. The director will follow up and check in on 8/15 if the center has not received a response.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record check and interview, the center failed to obtain documentation of a central registry finding within 30 days of employment for all new staff. Evidence: 1. The hire date for staff 1 is 9/28/21. The record did not contain documentation of a central registry finding. 2. The hire date for staff 1 is 9/27/21. The record did not contain documentation of a central registry finding. 3. The director was unable to find documentation of a central registry finding for staff 1 and 2.
Plan of Correction:	The director resent the information for staff 4. Staff 4 completed another central registry form , had it notarized and the form was resubmitted on 8/11/22. If the document has not been received within 30 days the director will follow up. When the results are received a copy will be forwarded to the licensing inspector.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, the center failed to obtain documentation of a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The first day of care for child 1 was 8/16/21. The record does not contain documentation of a physical. 2. The first day of care for child 4 was 6/1/22. The record contains a physical examination dated 7/28/22. 3. The director was unable to find documentation of a physical for child 1.
Plan of Correction:	For child 1, her mother confirmed on 8/9/22 that she was calling the pediatrician to see if she could get a copy of the physical she believes she originally submitted. If she is unable to provide the original copy she will schedule another physical. For child 4, she was a recent transfer from another center. Her parents submitted her physical examination as soon as I made a request post licensing visit made on 7/25/22.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff 1 (hire date 9/28/21) did not contain documentation of a TB screening. 2. The director was unable to provide documentation of a TB screening for staff 1.
Plan of Correction:	This staff member is trying to obtain an original record of having the TB test completed at the time of hire. In the meantime she has an appointment scheduled to complete another TB test on 8/11 after work hours. A copy of the TB results will be forwarded to the licensing inspector.
Standard #:	8VAC20-780-160-C
Description:	Based on record review and interview, the center failed to update tuberculosis (TB) screenings every two years. Evidence: 1. The record for staff 3 contained documentation of a TB screening dated 4/11/19. 2. The director was unable to provide documentation of a more up to date TB screening.
Plan of Correction:	Staff member 3 is scheduling a TB test with her primary care physician. She has put in a request for an appointment. She will complete her TB test on 8/15/22. A copy of the TB results will be forwarded to the licensing inspector.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and interview, the center failed to obtain a written care plan with instructions from a physician for each child with diagnosed food allergies. Evidence: 1. The record for child 1 documents an allergy for eggs and peanuts. The record contain an allergy care plan from the parents of child 1 but not from the physician. 2. The director verified the center does not have an allergy care plan from child1's physician.
Plan of Correction:	The parent confirmed no care plan was ever created by the child?s doctor. The parent said the child is growing out of the allergy itself. The need to have the child?s doctor document for the center the allergy was only a food sensitivity at this point in time was explained. The parent has put in a request with the doctor to obtain a note for center records. The parent confirmed the above actions on 8/9/22.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center failed to obtain all the required documentation for each staff record. Evidence: 1. The record for staff 1 (hire date 9/28/21) and staff 4 (hire date 4/11/22) did not contain documentation of at least two references as to character and reputation as well of competency before employment. 2. The director was unable to provide documentation that references were completed for staff 1 and staff 4.
Plan of Correction:	Contacts for references of staff 4 were made via phone however not documented for her file. Reference check forms will be completed and added to her file on 8/10/22.
Standard #:	8VAC20-780-210-A
Description:	Based on record review and interview, the center failed to ensure lead teachers met one of the lead teacher qualifications. Evidence: 1. The director stated staff 1 was the lead teacher in the Monkey room Staff 1 was the only staff member present in the class. 2. The record did not contain documentation showing how staff 1 met the lead teacher qualifications. 3. The director stated staff 4 was the lead teacher in the Giraffe room. 4. The record did not contain documentation showing how staff 4 met the lead teacher qualifications. 5. The director was unable to provide documentation showing staff 1 and staff 4 qualified as a lead teacher.
Plan of Correction:	Staff 1 and staff 4 will complete the 24 hours of required training to meet lead teacher qualifications by 9/26/22 or they will be replace with a teacher that meets the qualifications.
Standard #:	8VAC20-780-245-L
Description:	Based on record review and interview, the center failed to ensure at least one staff member is on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. The records for four staff were reviewed. No documentation was found showing training in daily health observation. 2. The director was unable to provide documentation of at least one staff that was present during the inspection is training in daily health observation of children.
Plan of Correction:	Since the licensing visit on 7/25/22. 2 staff members have obtained this training. All staff have been given the link via email and through Tadpoles and asked to begin the course and complete it ASAP during nap time.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation and interview, the center failed to ensure ratios for children from birth up to 16 months was one staff to four children. Evidence: 1. The infant room had two staff with 9 children. 2. The director stated they are short staffed.
Plan of Correction:	Hiring is a continuous effort. We run ads on Indeed, we have connected with the local high school to be part of their job fair and are working to join a local job fair on the 8/18. We held a staff meeting on Tuesday, August 9th to discuss hiring efforts, etc. With the help of our Regional Director we will apply for a licensing extension by Friday, August 19th. We were under the impression prior to our licensing visit that being over by 1 was allowable per licensing. Operating out of ratio is not at all typical practice. We have 2 staff members out on maternity leave due to return by the beginning of September and 2 family deaths in the families of 2 other staff members.
Standard #:	8VAC20-780-530-A
Description:	Based on interview, the center failed to ensure at least on staff in each classroom has a current certification in CPR and first aid. Evidence; Per the director, there were no staff with a current certification in CPR and first aid in the Cheetah room, the Monkey room or the Hippo room. One staff member in the Giraffe room has current CPR but not first aid. Staff 2 was the only staff member in the building with current first aid certification and two with CPR (staff 2 and staff 5).
Plan of Correction:	Online links for CPR/First Aid have been shared with staff members with the request that these be completed by 8/19/22. All centers held a hands-on training session to complete certification for staff members ready to do so on Saturday 8/6/22. Another session will be held on Friday, August 19th. These sessions will be offered with more consistency with the addition of a consultant group that has been hired to support with staff training, etc.