Bright Beginnings, Inc. - Crozet

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Child #2’s has been at the center for eight months and does not have documentation of a physical examination at the center.”

Rule 8VAC20-780-140-A.

22.1-289.035-A

Rule 22.1-289.035-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. The record for child #3, age 14 months, was missing the one year immunization record. The record for child #5, age 7 months, did not have a six month immunization record.”

Rule 8VAC20-780-130-E.

8VAC20-780-500-B

“The diapering area shall have a nonabsorbent surface for diapering or changing. The diapering surface in the Elephant room was torn in two places exposing the absorbent sponge.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. Per documentation only one shelter in place drill was conducted in 2025.”

Rule 8VAC20-780-550-E.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle of water/bleach mixture was on an open shelf beside the changing table.”

Rule 8VAC20-780-280-B.

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met: These products do not need to be kept locked but shall be inaccessible to children. Diaper ointment was found under the changing table in an unlocked cabinet.”

Rule 8VAC20-780-520-C.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. The cabinet under the changing table in the infant room contained a spray bottle of bleach/water mixture.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by these standards. The center’s policies and procedures to prevent the use of outdated medication was not followed. A child’s medication at the center expired eight weeks ago.”

Rule 8VAC20-780-40-E.

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. This list shall be dated and kept confidential in each room or area where children are present. A child listed as having an allergy in the Monkey room is no longer in the room.”

Rule 8VAC20-780-40-M.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, attended the facility for three months before the center had an immunization record on file.”

Rule 8VAC20-780-130-A. From a complaint.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for seven months.”

Rule 8VAC20-780-140-A. From a complaint.

Based on observation, the center failed to ensure medication is labeled with the child’s name and the dosage amount.

“Evidence: The medication for MAT 3 did not have the child’s name and dosage amount listed on the medication.”

Rule 8VAC20-780-510-G.

Based on record review and interview, the center failed to maintain documentation of emergency evacuation drills.

“Evidence: The documentation of emergency evacuation drills were reviewed. The documentation did not contain information regarding a drill being conducting in March 2024. The administrator stated one was completed but she forgot to document the drill.”

Rule 8VAC20-780-550-G.

Based on observation and interview, the center failed to ensure a prescription medication was maintained in the original labeled prescription box dispensed from the pharmacy.

“Evidence: 1. Prescription medication for child 6 was not in the original labeled prescription box dispensed from the pharmacy. 2. The director stated they did not have the original prescription box.”

Rule 8VAC20-780-510-I.

Based on record review and interview, the center failed to ensure staff provided documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment.

“Evidence: 1. Staff 3’s employment start date is documented as 12/1/22. The TB screening document is dated 4/28/22. 2. The director verified the date of employment and stated they do not have another TB for staff 3.”

Rule 8VAC20-780-160-A.

Based on observation and interview, the center failed to obtain medication authorization from the parent and physician for the center to administer medication for two children in care.

Rule 8VAC20-780-510-F.

Based on record review and interview, the center failed to obtain out of state child abuse and neglect search by the end of the 30th day of employment and out of state criminal history name check prior to the first date of employment for one staff member.

“1. Staff 4’s hire date was 4/11/22. The sworn statement documents staff 4 living in Delaware within the last five years. The record did not contain documentation of a Delaware child abuse and neglect search and criminal history name check for staff 4. 2. The director was unable to locate Delaware background checks for staff 4.”

Rule 22.1-289.035-B-4.

Based on record check and interview, the center failed to obtain documentation of a central registry finding within 30 days of employment for all new staff.

“Evidence: 1. The hire date for staff 1 is 9/28/21. The record did not contain documentation of a central registry finding. 2. The hire date for staff 1 is 9/27/21. The record did not contain documentation of a central registry finding. 3. The director was unable to find documentation of a central registry finding for staff 1 and 2.”

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

Based on record review and interview, the center failed to obtain documentation of a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. The first day of care for child 1 was 8/16/21. The record does not contain documentation of a physical. 2. The first day of care for child 4 was 6/1/22. The record contains a physical examination dated 7/28/22. 3. The director was unable to find documentation of a physical for child 1.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record for staff 1 (hire date 9/28/21) did not contain documentation of a TB screening. 2. The director was unable to provide documentation of a TB screening for staff 1.”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center failed to update tuberculosis (TB) screenings every two years.

“Evidence: 1. The record for staff 3 contained documentation of a TB screening dated 4/11/19. 2. The director was unable to provide documentation of a more up to date TB screening.”

Rule 8VAC20-780-160-C.

Based on record review and interview, the center failed to ensure lead teachers met one of the lead teacher qualifications.

Rule 8VAC20-780-210-A.

Based on record review and interview, the center failed to ensure at least one staff member is on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: 1. The records for four staff were reviewed. No documentation was found showing training in daily health observation. 2. The director was unable to provide documentation of at least one staff that was present during the inspection is training in daily health observation of children.”

Rule 8VAC20-780-245-L.

Based on observation and interview, the center failed to ensure ratios for children from birth up to 16 months was one staff to four children.

“Evidence: 1. The infant room had two staff with 9 children. 2. The director stated they are short staffed.”

Rule 8VAC20-780-350-B-1.

Based on interview, the center failed to ensure at least on staff in each classroom has a current certification in CPR and first aid.

“Evidence; Per the director, there were no staff with a current certification in CPR and first aid in the Cheetah room, the Monkey room or the Hippo room. One staff member in the Giraffe room has current CPR but not first aid. Staff 2 was the only staff member in the building with current first aid certification and two with CPR (staff 2 and staff 5).”

Rule 8VAC20-780-530-A.

Based on record review and interview, the center failed to obtain a written care plan with instructions from a physician for each child with diagnosed food allergies.

“Evidence: 1. The record for child 1 documents an allergy for eggs and peanuts. The record contain an allergy care plan from the parents of child 1 but not from the physician. 2. The director verified the center does not have an allergy care plan from child1’s physician.”

Rule 8VAC20-780-60-A-8.

Based on record review and interview, the center failed to obtain all the required documentation for each staff record.

“Evidence: 1. The record for staff 1 (hire date 9/28/21) and staff 4 (hire date 4/11/22) did not contain documentation of at least two references as to character and reputation as well of competency before employment. 2. The director was unable to provide documentation that references were completed for staff 1 and staff 4.”

Rule 8VAC20-780-70.

Based on record review, program did not ensure that the results of a central registry check were received within thirty days of employment.

“Evidence: 1. Date of employment for Staff #3 was 3/19/18. Central registry results in the file were dated 4/25/19.”

Rule 22VAC40-191-60-C-2.

Based on record review, program did not ensure that a criminal history record check was completed prior to first day of employment.

“Evidence: 1. Date of employment for Staff #1. was 8/17/21. Results in the file were dated 8/31/21. 2. Date of employment for Staff #3 was 3/19/18. Results in the file were dated 3/23/18.”

Rule 63.2(17)-1720.1-B-2.