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Bright Horizons at Rosslyn
1300 Wilson Blvd
Arlington, VA 22209
(703) 524-4688

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Nov. 4, 2015

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

Technical Assistance:
1. The Violation Notice of the most recent inspection is to be posted for public viewing in its entirety, not just the first page. Placing the document in a plastic sleeve behind other papers is not acceptable.
2. The current month menu should be posted consistently. Today menus from October and November were posted throughout the center.

Comments:
Conducted an unannounced monitoring inspection. Observed 103 children + 23 direct-care staff. Additional staff were present and available to assist in classrooms as needed. Ratios and supervision were in compliance. Staff were engaged with the children and tending to their needs. Infants were being held, fed, rocked, diapered, having play time on the floor, and taking naps. Children wre taking naps, eating snack, and having outdoor play time during the inspection. Parent/teacher conferences were being held today. Classrooms were clean, safeguarded appropriately, and supplied sufficiently with indoor toys and equipment. There was not a sufficient supply of age appropriate outdoor play toys. The afternoon snack included: hummus, pita bread, and milk. Medication management + record keeping violations found. Inspection completed 1:35-3:45pm.

Violations:
Standard #: 22VAC40-185-50-A
Description: Based on observations made, it was determined that information about children was not maintained in a confidential manner. Evidence: The Supplemental Information page of the 4/15/15 inspection report was found to be in a plastic sleeve behind other pages on the bulletin board in the main lobby. Identifying information about 3 children was included on this document. The following statement is on the document: "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility."

Plan of Correction: Corrected

Standard #: 22VAC40-185-60-A
Description: Based on 2 children's records reviewed, it was determined that 1 record did not include complete work information. Evidence: Child #1 - There was no telephone number listed for 1 of 2 parents.

Plan of Correction: Corrected

Standard #: 22VAC40-185-270-A
Description: Based on observations made, it was determined that a piece of equipment in the Infant 2 classroom was not maintained in a clean condition. Evidence: The refrigerator used to store infant bottles was dirty with spilled milk, sticky substances, and a napkin was observed to be stuck to an interior side.

Plan of Correction: Corrected

Standard #: 22VAC40-185-430-B
Description: Based on observations made and interviews conducted, it was determined that outdoor active play materials/equipment were not age and stage appropriate, or of adequate supply. Evidence: 1. 2's - A group of 7 children were observed during outdoor play time. (A) The children were given 3 plastic jump ropes to play with, which was not an age appropriate toy for 2 year-olds. (B) Children were not developmentally able to physically jump rope, which is the intended use of the product. (C) While a teacher/child were observed swinging 1 jump rope together; children were observed dragging the other 2 ropes around the play area which posed as a trip hazard. (D) Children were observed fighting over the jump ropes and yanking them back and forth between each other, as the play materials were insufficient. (E) 2 push toys were available to the children however, this was not an adequate supply and resulted in children fighting over the toys. (F) A small rock climbing type wall was the only other play equipment available to the children. This is a small structure that is limited to one child climbing at a time. 2. Toddlers - A group of 9 children were observed during outdoor play time. (A) The children were given 1 stationary rocking toy, and 3 plastic balance stepping circles to play with, which was not an adequate supply. (B) There was no other play equipment available to the children. 3. In both age groups (in separate play areas , children were either fighting over the limited equipment available, or standing/walking around. 4. Staff reported that the previous supply of age appropriate outdoor/playground toys were broken, had not been replaced or repaired, and the sand box had been removed. Staff did not know when new play equipment would be purchased.

Plan of Correction: Staff will be further trained on bringing an adequate supply of age appropriate equipment to the playground that has been provided to them. More equipment will be purchased as necessary.

Standard #: 22VAC40-185-510-A
Description: Based on records reviewed, staff interviewed, and observations made, it was determined that medications were not maintained in accordance with procedures. Evidence: 1. Child #1 - There was no written physician medication authorization for a long-term prescription diaper ointment. There was no documentation of application of the ointment to the child during the specified application dates of 3/19/15-4/19/15. Staff reported being unaware of the ointment being a prescription and that it was no longer being applied to the child. There was no communication between staff about the ointment when the child transferred from one class to another. 2. Child #2 - (A) The medication on-site did not match the written authorization. The authorization was for a brand name product, but a generic form of the medicine was on-site. (B) No staff were trained to administer a second emergency medication that was on-site for this child. 3. Child #3 - The name of the child identified on the medication box did not match the name written on the authorization form.

Plan of Correction: Ointment was returned to family. 11/04/15 Staff training on medication storage & labeling & acceptance. 12/30/15 Corrected 11/04/15

Standard #: 22VAC40-185-510-N
Description: Based on records reviewed and observations made, it was determined that a medication was not returned to the parents within 14 days of the expiration of the authorization. Evidence: Child #1 - The authorization for the ointment expired on 4/19/15, and the medicine was found by the inspector to be on-site and in a classroom today.

Plan of Correction: Corrected

Standard #: 22VAC40-185-520-B
Description: Based on observations made, it was determined that sunscreen products were not labeled properly. Evidence: 1. Toddler 4 Room - 2 sunscreen products were not labeled with the child's name. 2. 2's-1 Room - 2 sunscreen products were not labeled with the child's name.

Plan of Correction: returned to families

Standard #: 22VAC40-185-520-C
Description: Based on observations made, it was determined that diaper ointment products were not labeled properly. Evidence: 1. Toddler 1 Room - 5 diaper ointment products were not labeled with the child's name. 2. Toddler 3 Room - 3 diaper ointment products were not labeled with the child's name. 3. Toddler 4 Room - A prescription diaper cream ointment was not stored, authorized, or applied according to medication regulations. 4. 2's-1 Room - A bowl of a white unidentified cream was not in the original product container, or labeled with the child's name.

Plan of Correction: Corrected (labeled properly)

Standard #: 22VAC40-185-550-E
Description: Based on records reviewed, it was determined that there was no documentation of a minimum of 2 shelter-in-place drills having been completed in the last year. Evidence: 0 of 2 drills were recorded.

Plan of Correction: Corrected-documented drill from 03/2015

Standard #: 22VAC40-185-550-M
Description: Based on records reviewed, it was determined that 5 of 10 written injury reports did not include documentation of the "time" the parent was notified.

Plan of Correction: staff training on properly documenting

Standard #: 22VAC40-191-60-C-2
Description: Based on 5 staff records reviewed, it was determined 1 record did not include a Central Registry Check (CPS) completed within 30-days of employment. Evidence: Staff #7 - Date of hire was 2/10/14, and the CPS Check on-file was completed in December 2014. The staff person worked 10 months in a direct-care position without a completed check. There was no documentation of previous efforts to obtain the check.

Plan of Correction: staff training for administrators to ensure completion in 30 days

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.

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