Bright Beginnings, Inc. - Forest Lakes

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. A license that expired four months ago was the only license posted.”

Rule 22.1-289.011-F.

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis (TB) screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department. The TB screening for staff #4 was completed four months prior to the date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. A foam couch in the Elephant room was torn on two corners exposing the foam underneath.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan. The list posted in the classrooms was not current and had children that are no longer at the center posted, a new child not posted, and a child listed in the wrong room.”

Rule 8VAC20-780-40-M.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. Three bottles in the Monkey room were not labeled.”

Rule 8VAC20-780-570-E.

8VAC20-780-560-G

“When food is brought from home, the food container shall be labeled in a way that identifies the owner. Seven out of eight lunch boxes in the Elephant room were not labeled.”

Rule 8VAC20-780-560-G.

8VAC20-780-500-A

“Staff shall wash hands with soap and running water after any contact with body fluids. Staff #3 did not wash hands after wiping mucus from a child’s nose and the staff’s arm.”

Rule 8VAC20-780-500-A.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no lockdown procedure practiced in 2024. The most recent lockdown practiced was dated 9/13/23.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child #3, enrolled for over two weeks, was missing the work phone number of each parent who has custody and the previous child day care attended by the child.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1, who is under the age of 2 and had been attending for 11 months, did not have documentation of immunizations every 6 months.”

Rule 8VAC20-780-130-E.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was chipped and peeling paint in several areas on the wall to the right when you walk into the zebra room. There was a hole, big enough for fingers to fit in, on the wall with the sink in the zebra room.”

Rule 8VAC20-780-270-A.

8VAC20-780-370-1

“Based on observation and interview, the center failed to ensure when an infant is placed in his crib, he shall be placed on his back (supine). Evidence: Infant #1 (age 6 weeks) was observed to be placed in the crib on the infant’s left side to sleep. Administration acknowledged the infant was placed on his side, and not on his back (supine).”

Rule 8VAC20-780-370-1.

8VAC20-780-160-A

“Based on record review, the center failed to ensure that a staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2, hired on 05/15/2023, did not contain documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on record review, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening. Evidence: 1.The record for staff #3 contained TB results dated 05/10/2021. The follow-up screening was not obtained until 09/04/2023.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-350-Q

Rule 8VAC20-780-350-Q.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

8VAC20-780-500-A

“Based on observation, the center failed to ensure children’s hands are washed with soap and running water after toileting. Evidence: In the Cheetah classroom, child #12 was observed exiting the restroom without washing his hands. Staff #4 confirmed the child used the restroom and staff were unaware the child’s hands were not washed.”

Rule 8VAC20-780-500-A.

8VAC20-780-70

“Repeat VIolation Based on record review, the center failed to ensure that a staff record contained documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required in 8VAC20-780-240 and 8VAC20-780-245. Evidence: 1. The record for staff #3, Program Leader, did not contain documentation that the staff fulfilled a high school program completion or the equivalent.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

“Based on observation and interview, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. On the playground, approximately six steps and the handrails, going up the play structure contained chipped paint and rust and rusted bolts. 2. The bike carousel contained five bikes with rusted handlebars and the center disc was also rusted. 3. Staff #1 and staff #5 confirmed the equipment contained rust.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The Giraffe classroom, ages 18 months-24 months, had an unlocked upper cabinet that contained disinfectant, Windex, and Febreze with labels that stated “keep out of reach of children” and “caution.” 2. Staff # 5 confirmed the cabinet was not locked.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-D

“Based on observation and interview, the center failed to ensure the cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food. Evidence: 1. In the Giraffe classroom, hand sanitizer was located laying on it’s side, on a wire shelf directly above food from a child’s lunch in ziplock bags. 2. Staff #5 confirmed the hand sanitizer was located above food.”

Rule 8VAC20-780-280-D.

8VAC20-780-440-B

“Based on observation and interview, the center failed to ensure that cribs shall be identified for use by a specific child. Evidence: In the Lion room, two cribs were occupied by infants and the cribs were not labeled to identify use by a specific child. Staff #1 confirmed the cribs were not labeled.”

Rule 8VAC20-780-440-B.

8VAC20-780-550-E

“Based on a review of records, the center failed to ensure to implement a minimum of two shelter-in-place drills per year for the most likely to occur scenarios. Evidence: There was no documentation of shelter-in-place drills being practiced in 2021 and 2022.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on a review of the log for procedures for emergencies, the center failed to ensure lockdown procedures are practiced at least annually. Evidence: There was no documentation of a lockdown drill being practiced in 2021 and 2022.”

Rule 8VAC20-780-550-F.

8VAC20-780-560-G

Rule 8VAC20-780-560-G.

8VAC20-780-570-C

“Based on observation and interview, the center failed to ensure to maintain a record of each child on formula to include the brand of formula. Evidence: 1. The Lion room did not contain documentation of the brand of formula for seven children on formula. 2.The Monkey room did not contain documentation of the brand of formula for two children on formula. 3. Staff #5 confirmed they did not have the brand of formula.”

Rule 8VAC20-780-570-C.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on a review of staff records, the center failed to ensure that two or more references were checked before employment. Evidence: The records of staff #2, hired 08/04/2023, and staff #4, hired 09/01/2023, did not contain documentation of two references.”

Rule 8VAC20-780-70.

Systemic deficiency

Rule 8VAC20-780-60-A.

Repeat violation

Rule 22.1-289.035-B-4.

Repeat violation

“Based on a review of ten staff records, the program did not ensure that a sworn statement was completed prior to the first day of employment for one staff. Evidence: 1. The start date for Staff # 2 was 10/10/2022. The completed sworn statement was dated 10/17/2022. 2. Administrators confirmed date of 10/17/2022 on the form signed through DocuSign.”

Rule 8VAC20-770-60-B.

Based on observation, program failed to post the notice of the Superintendent’s intent (NOI) at a prominent place at each public entrance.

“Evidence: When the Licensing inspector and Licensing Administrator arrived on 10/18/2022, the NOI was not posted at the entrance. The NOI was issued 7/21/2022.”

Rule 22.1-289.023-A. From a complaint.

Based on observation, program failed to post the Special Order (SO) issued by the Superintendent.

“Evidence: When the Licensing inspector and Licensing Administrator arrived on 10/18/2022, the SO was not posted at the entrance.”

Rule 22.1-289.023-B. From a complaint.

Based on a review of four staff records, the program did not ensure that a national criminal history record check was completed prior to the first day of employment for one staff.

“Evidence: The start date for Staff #1 was 10/10/2022. There were no valid results in the file.”

Rule 22.1-289.035-B-2. From a complaint.

Based on a review of four staff records, the program did not ensure that a sworn statement was completed prior to the first day of employment for one staff.

“Evidence: The start date for Staff # 1 was 10/10/2022. There was no valid sworn statement in the file.”

Rule 8VAC20-770-60-B. From a complaint.

Based on a review of four staff records, the program did not deny continued employment for five staff when the results from the central registry check were not received within 30 days of employment.

“Evidence: The start date for Staff #1 was 10/10/2022. There were no results in the file.”

Rule 8VAC20-770-60-C-2. From a complaint.

Based on the review of four staff records, the program did not ensure that the documentation of a negative tuberculosis (TB) screening was completed within the last thirty calendar days of the date of employment for one staff.

“Evidence: The dated of employment for Staff #1 was 10/10/2022. The TB screening in the file was dated 8/10/2022.”

Rule 8VAC20-780-160-A. From a complaint.

Based on review of four staff files, program did not ensure that orientation was completed within seven days of assuming job responsibilities for one staff.

“Evidence: The start date for Staff #1 was 10/10/2022. Orientation paperwork was not in the file.”

Rule 8VAC20-780-240-B. From a complaint.

Based on a review of ten staff records, the program did not ensure that a national criminal history record check was completed prior to the first day of employment for two staff.

“Evidence: 1. The start date for Staff #2 was 4/7/2022. The results in the file were dated 4/11/2022. 2. The start date for Staff #5 was 2/2/2022. The results in the file were dated 2/14/2022.”

Rule 22.1-289.035-B-2.

Based on review of ten staff records, program did not ensure that the results from a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry wer obtained from any state in which the individual has resided in the preceding five years for two staff.

“Evidence: 1. The start date for Staff #2 was 4/7/2022. There were no results from a search of the child abuse and neglect registry in the file for the previous state of residence. 2. The start date for Staff # 5 was 2/2/2022. There were no results from a criminal history record check, a sex offender registry check, nor a search of the child abuse and neglect registry for either of the two previous states of residence.”

Rule 22.1-289.035-B-4.

Based on a review of ten staff records, the program did not ensure that a sworn statement was completed prior to the first day of employment for one staff.

“Evidence: The start date for Staff # 4 was 4/11/2022. The sworn statement was completed on 8/27/2022.”

Rule 8VAC20-770-60-B.

Based on a review of ten staff records, the program did not deny continued employment for five staff when the results from the central registry check were not received within 30 days of employment.

Rule 8VAC20-770-60-C-2.

Based on the review of ten staff records, the program did not ensure that the documentation of a negative tuberculosis (TB) screening was completed within the last thirty calendar days of the date of employment for seven staff.

Rule 8VAC20-780-160-A.

Based on observation, the program did not ensure that cribs are identified for use by a specific child.

“Evidence: There were four cribs in the Lions room, but none of them were identified for use by a specific child.”

Rule 8VAC20-780-440-B.

Based on observation and interview, the program did not ensure that cribs are used for children under 12 months of age.

“Evidence: 1. There were seven children, aged 8 weeks to 8 months old, in the Lions room. Only four cribs were available. 2. When Staff #1 was asked where the other three children slept, she pointed to the center of the room where children were sleeping in their bouncy chair.”

Rule 8VAC20-780-440-G.

Based on observation, the program did not ensure that children’s hands were washed with soap and running water or disposable wipes before and after eating snacks or meals.

“Evidence: Two children in the Monkeys room were eating upon inspector’s arrival. Once the children finished eating, they were removed from the table and placed on the rug to play, without washing hands.”

Rule 8VAC20-780-500-A.

Based on observation, the program did not ensure that prepared infant formula was dated and labeled with the child’s name.

“Evidence: There were two bottles in the refrigerator of the Lions room that had no name or date.”

Rule 8VAC20-780-570-E.

Based on observation and interview, the program did not ensure that the most recently issued license was posted.

“Evidence: 1. The license that was posted expired 9/19/2019. 2. Administrator looked and confirmed that the license was expired.”

Rule 8VAC20-820-120-E-1.

Based on observation and interview, the program did not ensure that a copy of the notice of intent from the Superintendent was posted in a prominent place at each public entrance to the facility to advise consumers of serious or persistent violations.

“Evidence: 1. The notice of intent (NOI), issued to facility yn 7/21/2022, was not posted at the entrance. 2. When Staff #6 (first day of employment was 8/15/2022) was asked where the NOI was posted, she was not aware of its existence.”

Rule 8VAC20-820-120-E-5.

Based on interviews, the program did not ensure the care and protection of children.

“Evidence: 1. The Program Director stated that they were made aware of a social media post on 1/13/22 claiming that a child in their care was given the wrong bottle. 2. Two former staff admitted the error to the Program Director when they were questioned. 3, Staff were retrained on proper infant feeding procedures.”

Rule 8VAC20-780-340-A. From a complaint.

Based on observation and interviews, the program did not ensure that the required staff-to-children ratios were followed when children were in care.

Rule 8VAC20-780-350-B-1. From a complaint.

Based on observation, the program did not ensure that the required staff-to-children ratios were followed when children were in care.

“Evidence: 1. While touring the facility on March 8, 2022 beginning at 12:04 pm, the LI observed twenty children in the care of two staff members in the Elephant room (Two year old children).”

Rule 8VAC20-780-350-B-3. From a complaint.

Based on observation and interviews, the program did not ensure that the required staff-to-children ratios were followed when children were in care.

“Evidence: 1. While touring the facility on March 8, 2022 beginning at 12:04 pm, the LI observed eighteen children in the care of one staff member in the Tigers room (Children aged three and four). 2. Staff #3 admitted that there were some staff that were out with illness, but stated she is typically out of ratio.”

Rule 8VAC20-780-350-B-4. From a complaint.

Based on review of ten incident reports, the program did not ensure that all required information was completed.

“Evidence: 1. On the report dated 11/3/21, the time of the incident was not listed on the report. 2. On the report dated 11/8/21, there was only one signature on the report. 3. On the report dated 10/19/21, there was only one signature on the report.”

Rule 8VAC20-780-550-P. From a complaint.