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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: April 21, 2016

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.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
1. The final fire inspection report should be forwarded to VDSS upon receipt. 2. The Violation Notice portion of the inspection report is to be readily viewable by the public, and placing it in a plastic sleeve behind the Inspection Summary does not make the document visible. Reviewed options for posting the report appropriately. 3. Recommend a First Aid kit be placed on or near the playground area, to avoid staff from having to get supplies from inside the building when needed. Supplies in staff backpacks should be routinely checked and replenished as needed. 4. Discussed taping of exterior door in Toddler 2 Room, and staff stated a permanent repair is in process and should be completed soon. A needed custom made part has been ordered.

Comments:
Conducted an unannounced renewal inspection 10:10am-1:25pm. Observed 113 children + 27 direct-care staff + 3 additional staff. Ratios and supervision were in compliance. Children were observed coloring, having story-time, learning how to measure, having indoor/outdoor free-play, washing hands, and eating lunch. Staff were playing with the children, leading activities, and tending to their needs. The infants were having play time on the floor, being held and fed, and napping. There was a sufficient amount of toys and equipment for the children. Lunch served: red beans, rice, tortilla, salad, bananas, and milk. Medication management was not in order. Record keeping violations found. Questions about this inspection may be directed to: pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on records reviewed, it was determined that 1 of 3 staff records did not include documentation of a negative TB screening. Evidence: Staff #1 - There was no record of a TB screening on-file. Date of hire was in October 2015.

Plan of Correction: obtain new copy of TB test

Standard #: 22VAC40-185-70-A
Description: Based on records reviewed, it was determined that 1 of 3 staff records did not include written reference checks. Evidence: Staff #2 - 0 of 2 written references were documented. Date of hire was May 2010.

Plan of Correction: obtain references

Standard #: 22VAC40-185-240-D-5
Description: Based on records reviewed and interviews conducted, it was determined that there is currently no one on staff that has been trained in daily health observation of children. Evidence: There was no training documented, and staff stated that a training had been scheduled in the winter, but inclement weather caused it to be cancelled.

Plan of Correction: All staff trained

Standard #: 22VAC40-185-270-A
Description: Based on observations made, it was determined that equipment in the center was not maintained in a clean condition. Evidence: The plexiglass end panels on18 of 18 cribs in the infant rooms were dirty with smears, spills, and a white film. The unclean surface was found on both the inside and outside of the crib panels.

Plan of Correction: all panels cleaned and sanitized

Standard #: 22VAC40-185-280-B
Description: Based on observations made, it was determined that hazardous substances were not kept in a locked place. Evidence: A spray cleaning product was observed sitting on top of the paper towel dispenser in the 3's-3 Room.

Plan of Correction: retrain staff on locking hazardous materials

Standard #: 22VAC40-185-500-A
Description: Based on observations made, it was determined that children's hands were not washed with soap and water after being diapered, or using the bathroom. Evidence: (1) Children in Toddler 4 Room, Toddler 5 Room, and 2's-3 Room were placed by staff back into the group after having their diaper changed and without first washing their hands. (2) A child was observed not washing their hands after using the bathroom in the K-Prep Room. Staff were tending to children elsewhere in the classroom, and not monitoring the bathroom at the time.

Plan of Correction: DHO training

Standard #: 22VAC40-185-510-A
Description: Based on records reviewed, it was determined that 3 of 5 medications did not include the required written authorizations in accordance with the center's written medication policies. Evidence: 1. Child #1 - There was no written parent authorization for a long-term medication on-site. 2. Child #2 - There was no written parent or physician authorization for an over-the-counter medicated ointment/cream. 3. Child #3 - There was no written parent or physician authorization for a long-term medication on-site.

Plan of Correction: retrain administrators & teachers & parents on medication policies

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

Plan of Correction: label all sunscreen

Standard #: 22VAC40-185-520-C
Description: Based on observations made, it was determined that 6 diaper ointment products were not labeled with the child's name, and 2 cream products were not in the original container or if homemade, labeled to identify the ingredients. Evidence: (1) Toddler 1 Room-1 diaper cream was not labeled with the child's name. (2) Toddler 2 Room-1 diaper cream was not labeled with the child's name. (3) Toddler 4 Room-3 diaper creams were not labeled with the child's name, and 1 cream product was found in a plastic container with no ingredient label. (4) Toddler 5 Room-1 cream product was found in a plastic container with no ingredient label. (5) Infant 1 Room-1 diaper cream was not labeled.

Plan of Correction: see previous page

Standard #: 22VAC40-185-540-C
Description: Based on observations made, it was determined that there was not a working battery operated radio in the emergency supplies.

Plan of Correction: Ordered battery operated radio

Standard #: 22VAC40-185-560-N
Description: Based on observations made, it was determined that a child was permitted to walk while drinking from a sip cup in the Toddler 5 Room. Staff did not prompt the child to sit down while drinking.

Plan of Correction: retrain staff on safety policies

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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