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Bright Horizons at Short Pump

Inspection · 2021-11-12

Date
2021-11-12
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A renewal inspection was initiated on 11/12/2021 and concluded on 11/15/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 29 children present with seven staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of three child records and three staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

1
Standard 22VAC40-185-510-N
Based on a review of records and interview, the center did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame.

Evidence: 1) A medication authorization, for a prescription medication, was observed for Child #5. The center had written authorization from the child's parent to administer the prescription medication, but the written authorization from the child's physician expired on May 31, 2021. The medication was still on site at the time of inspection.

2) During interview, a member of management acknowledged the child's guardian was not notified that the authorization was expired and that the medication has not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Plan of Correction: The medication was returned to the parent on the day of the inspection and a new authorizations was requested from the child's physician.