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Bright Beginnings Preschool - Forest Lakes
1610 Regent Street
Charlottesville, VA 22911
(434) 973-8414

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: Sept. 6, 2017

Complaint Related: Yes

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.

Comments:
Thank you for your assistance during this unannounced complaint inspection. This on-site inspection was conducted on September 6, 2017 from 11:30 a.m. through 1:30 p.m. This inspection was in response to a complaint that was received by the Valley Licensing Office on August 31, 2017. Interviews were conducted with staff and a parent relating to the allegations regarding medication administration. Medication and attendance logs were reviewed. The information gathered during the investigation supports the allegations, so the complaint is determined to be valid. Please return your plan of correction and the dates to be completed within five business days. If you have any questions or concerns please contact the licensing inspector at 540-430-9256. This inspection was amended on October 27, 2017.

Violations:
Standard #: 22VAC40-185-40-E
Complaint related: Yes
Description: Based on review of documentation and staff interview, the facility failed to ensure operational responsibilities for compliance with medication standards. Evidence: 1. The facility?s written medication policies do not ensure medication is administered in a manner that is required by the standards. 2. The facility was not aware that the medication for Child #1 was not administered as prescribed on July 10th, August 21st, 22nd, 23rd, 24th, and 25th of 2017 until the medication log was requested by the parent. 3. Written information provided by the facility to staff states, ?If dispensing medication, our contract requires that parents check in with us at least weekly to ensure mediation is being dispensed correctly. It is ultimately the parent responsibility for medication to be administered. Again, we strongly discourage our staff having this responsibility.? 4. Written information provided to parents in the parent handbook states, ?When dropping off medication, we prefer you drop off to MAT trained staff or the director. You must ensure that the medication forms are filled out completely and confirm that the medication is locked. You must regularly check in with either the classroom teacher or MAT trained teacher to ensure your child?s medicine is administered as indicated by doctor and approved by you.? 5. Child #1 was administered the medication in June, July and August of 2017 without written authorization from the parent.

Plan of Correction: Immediate and specific clarification is requested with exact requirements Department has with respect to "manner that is required by standards." After having licensed centers in Virginia for 35 years, a violation regarding long time policies is unusual. Additional measures will be put in place to ensure effective communication to parents in the event a dosage is inadvertently missed. (Rework medication form to include second staff signature) Bright Beginnings Core Values and philosophy signed by complainant and all enrolled parents requires families to partner with all aspects of care and in particular dispensing medication. Parents did not abide by contractual agreement by failing to check in with staff regarding medication dispensing. It is ultimately the parent responsibility for medication to be administered. Parent did authorize medication in writing per both MAT trained teachers, who dispensed medication each day. However, our school was closed for one week in July due to complete renovation and the document was in advertently misplaced.

Standard #: 22VAC40-185-510-G
Complaint related: Yes
Description: Based on review of documentation and staff interview, the center did not obtain written authorization from parent prior to administering medication to one child and failed to administer the medication in accordance with the prescriber?s instructions. Evidence: 1. The medication permission for Child #1 did not include written authorization from the parent to administer the medication. 2. Staff could not produce written authorization from the parent to administer medication to Child #1. 3. The medication log confirmed medication was administered to Child #1 in June, July and August of 2017. 4. According to the prescriber?s instruction, the medication was to be administered at lunch/noon. 5. The medication log confirmed medication was not administered to Child #1 while in care on July 10th, August 21st, 22nd, 23rd, 24th, and 25th of 2017. 6. Staff confirmed the medication had not been given to Child #1.

Plan of Correction: These are a duplication of 22 VAC40-185-(2)-40-E description #5, therefore the response is a duplication. Parent did authorize medication in writing per both MAT trained teachers, who dispensed medication each day. However, our school was closed for one week in July due to a complete renovation and the document was inadvertently misplaced. Additional measures will be put in place to ensure effective communication to parents in the event a dosage is advertently missed. (Rework medication form to include second staff signature) Additional measures will be put in place to make copies of signed authorizations so authorizations will be readily available for inspection.

Standard #: 22VAC40-185-510-M
Complaint related: Yes
Description: Based on review of documentation and interviews with staff and parent, staff did not inform parent immediately of any medication error. Evidence: 1. Medication log was reviewed for Child #1. 2. The medication was not given to Child #1 while in care on July 10th, August 21st, 22nd, 23rd, 24th, and 25th of 2017. 3. Staff confirmed the medication had not been given to Child #1. 4. The parent reported he had not been notified that the medication had not been given to Child #1. 5. The facility was not aware the medication had not been given to Child #1.

Plan of Correction: This is a duplication of 22 VAC40-185-(2)-40-E therefore the response is a duplication. Additional measures will be put in place to endure effective communication to parents in the event a dosage is inadvertently missed. (Rework medication form to include second staff signature and to immediately inform parent if dosage is missed)

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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