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Brilliant Beginnings Learning Center
1196 Green Garden Circle
Virginia beach, VA 23453
(757) 468-5747

Current Inspector: Chris Robinson (757) 404-2322

Inspection Date: Nov. 28, 2017

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.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance was provided in the following areas of the standards: 22VAC40-185-(4)-270 (Buildign maintenance); 22VAC40-185-(4)-330-B (Resilient surfacing): 22VAC40-185-(6)-440-E (Crib spacing); 22VAC40-185-(7)-550-D (Shelter-in-place drills)

Comments:
An unannounced monitoring inspection was conducted on 11/28/17 from 10:40am - 2:10pm. During the inspection there were 45 children ages three months old to four years old in care with 11 staff. A tour of the facility was conducted and children were observed in a variety of activities in the classrooms, playing outside, eating lunch and during rest period. Records were reviewed for five children and six staff. Medication, emergency procedures, and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of six staff records, it was determined that the facility did not ensure that each staff member submits documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employment begins.

Evidence:
1. The record for staff #2 (date of hire 10/11/17) contained documentation of a negative TB screening that was dated 5/20/16.
2. The record for staff #4 (date of hire 6/12/17) did not contain documentation of a negative TB screening.
3. Staff #6 (Program Director) staff reviewed the record for staff #2, and staff #4, and confirmed that there was no documentation of a negative screening available for viewing during the inspection for either staff that was completed within 12 months of employment or within 21 days after employment began.

Plan of Correction: The facility responded: Staff #2 and staff #4 will get a TB screening completed. All new staff will complete a TB screening within 21 days of employment or have a TB screening that was completed within the last 12 months.

Standard #: 22VAC40-185-510-C
Description: Based on a review of four medications, it was determined that the facility did not ensure that they follow their procedures to prevent the use of outdated medication. Evidence: 1. The medication (Epi-pen Jr.) for child #1 had an expiration date of October 2017. 2. Staff #7 (Assistant Director) confirmed that the medication for child #7 was expired.

Plan of Correction: The facility responded: The medication will be returned to the parents of child #1. Center management will review medication at the facility on a regular basis to ensure that it is not expired.

Standard #: 22VAC40-185-510-E
Description: Based on a review of medication at the facility, it was determined that the facility did not ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. There was bottle on Benadryl in the medication storage box that was not labeled with a child's name. 2. When asked, staff #7 (Assistant Director) stated that it belonged to child #1.

Plan of Correction: The facility responded: The name of child #1 was written on the medication during the inspection. All new medication will be labeled with the child's name.

Standard #: 22VAC40-185-510-F
Description: Based on a review of medication being stored, the facility did not ensure that all medication dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The medication (Ventolin Inhaler) for child #6 was not in the original, labeled container. The prescription box that the inhaler was being stored in had an expiration date of January 2019, but the actual inhaler had an expiration date of August 2018. 2. Staff #7 (Assistant Director) confirmed the medication for child #7 was not in the original, labeled container.

Plan of Correction: The facility responded: The medication will be returned to the parent of child #7 and they will be asked to provide medication that is in the original, labeled container.

Standard #: 22VAC40-191-60-B
Description: Based on a review of six staff records, it was determined that the facility did not ensure that all employees have completed a sworn statement or affirmation prior to employment. Evidence: 1. Staff #1 (date of hire 8/8/17) completed a sworn statement or affirmation on 8/8/17, however it was not the current version of the sworn statement or affirmation that is required. 2. Staff #6 (Program Director) reviewed the record for staff #1 and confirmed that it was not the correct version of the sworn statement or affirmation.

Plan of Correction: The facility responded: All staff who completed the older version of the sworn statement of affirmation will complete the correct version.

Standard #: 22VAC40-191-60-C-1
Description: Based on a review of six staff records the facility did not deny continued employment of a staff who did not have an original criminal history record report within 30 days of employment.

Evidence:
1. Staff #2 (date of hire 10/11/17), working during the inspection, had no documentation of a completed criminal history record report . There was a copy that indicated it was mailed on 10/12/17, but no other follow up was completed until staff #8 called the Virginia State Police during the inspection.
2. Staff #8 reviewed the record for staff #2 and confirmed that a completed criminal history record report had not been received within 30 days.

Plan of Correction: The facility responded: The Virginia State Police was contacted during the inspection, but the recorded message stated that due to a backup in processing, all inquiries about the status of a background check be submitted by e-mail. An e-mail was sent to request an update about the status of the background check was made during the inspection. If any new employee's criminal record check is not received within 30 days of employment, we will contact the Virginia State Police and document it.

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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