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Bright Horizons at Henrico
7704 E. Parham Road
Richmond, VA 23294
(804) 217-9226

Current Inspector: Florence Martus (804) 662-9772

Inspection Date: June 8, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on June 8, 2016, from approximately 2:40pm until 5:30pm. Some, but not all, licensing standards were reviewed. Present today were: seven infants with two staff in Infant 1; three infants with one staff in Infant II; six toddlers with two staff in Toddler I; four toddlers with one staff in Toddler II; six two year old children with one staff in Early Preschool I; five two year old children with one staff in Early Preschool II; fifteen three year old children in Preschool I with two staff; ten three year old children with one staff in Preschool II; five children with one staff in kindergarten prep.
Children were observed awakening from nap, during diapering, playing with cars and trucks, learning words beginnings with "Oo", and having snack. Infants were being held, and having floor play.
PM Snack : Apples and water
A practice evacuation drill was conducted 5/3/16. Practice shelter-in-place drills were conducted 4/26/16.
Five staff records, five children's records and five medication records were inspected.

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on inspection of the facility, the center did not ensure all areas, inside and outside, were maintained in a clean, safe and operable condition. Evidence: There was a tricycle being used on the toddler playground that was missing both pedals. There were also four "bumble bee" push toys that had deteriorated wood that had splinters and sharp areas.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-185-280-B
Description: Based on inspection of the facility the center did not ensure all hazardous substances such as cleaning materials were kept in a locked place. Evidence: A container of bleach water was located unlocked under the sink in the Preschool II classroom. In the kindergarten prep classroom, a container of bleach water was located on the shelf, although not accessible to children, this container was not in a locked place.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-185-440-B
Description: Based on inspection of the facility, the center did not ensure each crib was identified for use by a specific child. Evidence: Out of eight cribs in use in Infant Room 1, three cribs were not labeled with the child's name using the crib.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-185-500-A
Description: Based on observations, the center did not ensure staff washed their hands after diapering each child. Evidence: The staff person changing diapers in Toddler 1 classroom did not wash her hands after diapering each child. The staff person stated she washes her hands to begin diapering and at the conclusion of diapering all children.

Plan of Correction: Per Center: Re-train staff on proper diaper changing procedures.

Standard #: 22VAC40-185-500-B
Description: Based on inspection of the facility, the center did not ensure a container for soiled diapers was present in each diapering area. Evidence: There was no container for soiled diapers in the diapering area in Early Preschool 1 or in Preschool 1.

Plan of Correction: Per Center: There was a container but the lid was off. Will ensure that the lid remains on the container at all times.

Standard #: 22VAC40-185-510-N
Description: Based on inspection of children's medications present at the facility during today's inspection, the center did not ensure each medication contained up to date parental permission forms to dispense the medication. Evidence: Out of five medications reviewed, medication #4 parental permission to dispense the medication expired 6/2015.

Plan of Correction: Per Center: Corrected. Parent completed new form.

Standard #: 22VAC40-185-550-M
Description: Based on review of injury reports, the center did not ensure all required information was completed on each injury report. Evidence: Out of five injury reports reviewed, four reports did not indicate the date and time of parental notification of the injury.

Plan of Correction: Per Center: Re-train staff on proper documentation.

Standard #: 22VAC40-185-560-F
Description: Based on observations during snack time, the center did not ensure a two part snack was provided. Evidence: Today the children had apples and water.

Plan of Correction: Per Center: Re-train cook on guidelines.

Standard #: 22VAC40-185-570-I
Description: Based on observations and conversations with staff, the center did not ensure there was a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care at the center. Evidence: Infant I and Infant II did not have the supplies listed above.

Plan of Correction: Per Center: Corrected. We now have a full day supply of formula and bottles on site.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on review of staff records, the center did not ensure all staff had a search of the central registry and a criminal history record check before the end of thirty days of employment.
Evidence:
Out of five staff records inspected, Staff #2, hired 6/16/15, did not have a central registry completed until 9/29/15 and did not have a criminal history record check completed until 9/26/15.

Plan of Correction: Per Center: The form was mailed but it was not received until after 30 days. Will begin notating on the form follow-up calls with agency.

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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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