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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: March 14, 2018 and March 15, 2018

Complaint Related: Yes

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

Comments:
The Licensing Inspector conducted a complaint investigation, including an unannounced inspection on 3/14/18 and 3/15/18 in response to a complaint that was received in the Licensing office on 3/13/18 concerning care and protection of the children at the facility and injury reporting. Observations were conducted, staff were interviewed, and documentation was reviewed including a video during the investigation. Based on the information gathered during the investigation, the evidence supports the complaint and the complaint is deemed to be valid. The area of non-compliance associated with the complaint is in the area of supervision and injury reporting, and is described on the attached violation notice.

Violations:
Standard #: 22VAC40-185-40-E
Complaint related: No
Description: Based on interviews, a review of documentation and viewing of a video from the facility, it was determined that the facility did not ensure that the facility follows its own policies and procedures for action in case of injured children. Evidence: 1. On March 12, 2018 at approximately 10:18am child #1 fell striking his head on a toy train and the tile floor in the Two's classroom. 2. Staff #1 and staff #2 did not follow the facility's own policy to notify management immediately if a head injury occurs. Management was not notified about child #1's head injury until 10:36am, approximately 18 minutes after the injury occurred. 3. Staff #3 (Program Director) did not follow the center's policy to immediately contact parents of children who have sustained a head injury. 4. Staff #3 (Program Director) confirmed that she did not contact the parents of child #1 about his head injury immediately upon notification of the injury, and that the staff in the Two's classroom did not notify management immediately about child #1's head injury.

Plan of Correction: The facility responded: Staff and management have been retrained on injury reporting, even if the injury initially appears to be minor. All head injuries shall be reported immediately to management and management will contact parents as soon as the injury is reported to them.

Standard #: 22VAC40-185-340-A
Complaint related: No
Description: Based on interviews, a review of documentation and viewing of a video from the facility, it was determined that the facility did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. The Licensing Inspector viewed a video at the facility on March 14, 2018 with staff #3 (Program Director). The video shows that on March 12, 2018 at approximately 10:18am child #1 was pushing a plastic toy train in the Two year old classroom and fell striking his head on the plastic toy train and the tile floor. Child #1 was assisted by staff #1, but no first aid treatment was provided immediately after injury occurred. 2. Staff #2 wrote an injury report at approximately 10:29am for child #1. 3. At approximately 10:33am, staff #1 stated that she noticed a "red mark" on child #1's forehead and informed staff #2. Staff #2 then left the classroom to take child #1 to the office to inform staff #3 (Program Director) about the injury. 4. Staff #2 can be seen on the video leaving the classroom with child #1 at approximately 10:36, which was 18 minutes after the injury occurred. According to the American Medical Associations First Aid Guide, "head injuries require prompt medical attention". 5. Staff #2 re-entered the classroom at approximately 10:39am and set child #1 on the carpet with the ice pack while she attended to other children. 6. Child #1 is put down for nap on his cot at 12:07pm and is asleep at 12:29pm, and awake at 2:30pm. Once child #1 was asleep, he was not routinely checked on by staff. 7. At no time prior to the child being picked up at 3:35pm by dad were the parents notified of their child sustaining a serious (head) injury. Child #1 was taken to see a physician on 3/12/18 upon leaving the facility. 8. The Licensing Inspector viewed a medical report provided by the parent that documented that child #1 was diagnosed with a concussion by his physician on 3/15/18 after returning to the physician because he was still not feeling well and was more fussy than usual.

Plan of Correction: The facility responded: Staff have been retrained on the immediate application of first aid to an injury. All head injuries shall be treated with ice and other first aid measures immediately, in addition to further monitoring for possible concussion. Finally, management will contact parents immediately in the case of any head injury.

Standard #: 22VAC40-185-550-K
Complaint related: No
Description: Based on interviews, a review of documentation and viewing of a video from the facility, it was determined that the facility did not ensure that a parent is notified immediately when a child sustains a serious injury. Evidence: 1. On March 12, 2018 at approximately 10:18am child #1 fell in the Two year old classroom striking his head on a toy and the tile floor. 2. The parent of child #1 stated that he was not notified of his child's injury until his arrival at the center at approximately 3:35pm for pickup. Upon arrival, he noticed his child had a large lump in the center of his forehead and bruising over his right eye. He said he was given an injury report when he picked up child #1, but never received a telephone call about injury immediately following the injury. 3. Staff #3 (Program Director) confirmed that the parent of child #1 was not called about his child's injury, even though that is part of the facility's policy. 4. According to the medical report provided by the father, the child's physician diagnosed child #1 with a concussion on 3/15/18, which is considered a serious injury.

Plan of Correction: The facility responded: Management has been retrained on reporting all head injuries to parents immediately.

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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