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Bright Horizons Early Education & Back-Up Center @ Tysons Corner
8405 Greensboro Drive
Suite P-100
Mclean, VA 22102
(571) 633-9777

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: April 12, 2017

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. Reviewed posting requirements for State documents. All pages to be readily viewable to the public. 2. Recommend Director and Assistant Director attend CDC Phase II Training. For date/times and registration please call 703-934-1505. 3. Discussed medication management requirements, and recommended staff review.

Comments:
Conducted an unannounced renewal inspection 10:05am-12:55pm. Observed 33 children + 9 direct-care staff. Ratios were in compliance. Staffing violations found. Children were engaged in a variety of activities to include: coloring, puzzles, blocks, science activities, soccer, and outdoor active play. Staff were actively engaged with the children and activities. The infants were being held, fed, napping, and playing with bubbles. The infant room staff were holding the children, playing with them on the floor, and promptly tending to the needs of the infants. Food remains catered. Breakfast served today: oatmeal peach crisp + milk. The center was found to be clean and sufficiently supplied with toys and equipment for the children. Fire inspection was current. Medication management and record keeping violations found. Staff training non-compliances found. Required documents were posted. 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 2 of 6 staff records did not include documentation of a completed TB screening. Evidence: 1. Staff #2 - Date of hire 10/17/16. 2. Contract Staff #2 - There was no documentation of the date of hire however, it was reported to be in January 2017.

Plan of Correction: 1.Staff # provided documentation + completion date of 4/19/17 for TB test. 2. Date of hire listed in enrichment provider agreement on file. 4/12/17

Standard #: 22VAC40-185-70-A
Description: Based on records reviewed, it was determined that 4 of 5 records did not include documentation of the following required information. Evidence: 1. Staff #5 - 0 of 2 written reference checks. Date of hire 6/18/16. 2. Staff #6 - Documentation of the educational requirements for the Lead Teacher position she was working today. Date of hire 4/5/17. 3. Staff #7 - Emergency contact information, and 0 of 2 written reference checks. Date of hire 12/4/16. 4. Staff #8 - 0 of 2 written reference checks. Date of hire 9/22/16.

Plan of Correction: 1. Staff #5 reference checks in progress. 2. Documentation of educational requirements now in employee file. 3. Emergency contact info in file 4/12/17. Reference checks in progress. 4. Reference checks in progress for Staff #8.

Standard #: 22VAC40-185-240-D-1
Description: Based on records reviewed, it was determined that a medicine was administered to a child by a staff person that was not MAT trained. Evidence: According to the medication administration record, the Child #5 was given .5ml of Tylenol on 1/18/17 and 2/3/17 by a Staff #2 who was not MAT trained.

Plan of Correction: Staff #2 attending MAT training 5/23/17.

Standard #: 22VAC40-185-240-D-5
Description: Based on interviews conducted, it was determined that they is not always at least one staff member present who has obtained daily health observation training (DHO) within the last 3 years. Evidence: There is currently no staff employed at the center with DHO training.

Plan of Correction: DHO training scheduled for all staff 5/3/17

Standard #: 22VAC40-185-280-B
Description: Based on observations made, it was determined that hazardous substances were not kept in a locked placed. Evidence: A bucket of laundry detergent was sitting on the floor in the laundry closet which was not locked. The lock to the door was broken.

Plan of Correction: Door fixed at licensing visit 4/12/17.

Standard #: 22VAC40-185-290-3
Description: Based on observations made, it was determined that electrical outlets did not have protective covers. Evidence: (1) 1 outlet by the sink in the Preschool I room. (2) 1 outlet by the cribs in the Infant 2 room. (3) 2 outlets by the sink in the multi-purpose room.

Plan of Correction: Outlets covered at licensing visit 4/12/17.

Standard #: 22VAC40-185-340-D
Description: Based on observations made and records reviewed, it was determined that a group of children was not supervised by a Lead Teacher qualified staff person for a period of time today. Evidence: For approximately 30 minutes, Staff #6 was observed working alone with 2 children however, there was no documentation of education required of the job position.

Plan of Correction: Documentation of education is now in employee file.

Standard #: 22VAC40-185-440-J
Description: Based on observations made and interviews conducted, it was determined that 3 of 4 occupied cribs today did not have a minimum of 30" of clearance space on the service side. Evidence: One crib had approximately 17" space between cribs, a second crib had approximately 19" space between cribs, and a third crib had approximately 24" of space between cribs. Staff stated that they did not know the requirements for crib spacing.

Plan of Correction: Crib spacing reviewed w/staff + random crib checks will be conducted by administrator.

Standard #: 22VAC40-185-510-A
Description: Based on records reviewed and interviews conducted, it was determined that medications were not given in accordance with center policies and with written parental authorization. Evidence: 1. There were 2 medicines on-site today for Child #5, date of birth 8/2/16, that were found to be not in compliance. (1) Orajel - There was no written parental medication authorization, no dosaging amounts, or instructions for when to apply the gel to the child's mouth. A topical ointment form was signed by the parent on 12/13/16, but it did not include authorization to give the medicine or any instructions. The medicine has been on-site over 10-days without a written physician authorization. (2) Tylenol - There was no written parental medication authorization, no dosaging amounts, or instructions for when to give the child the medicine. An over-the-counter skin product form was signed by the parent on 1/17/17, but it did not include authorization to give the medicine or any instructions. The medicine has been on-site over 10-days without a written physician authorization. (3) According to the medication administration record, the child was given .5ml of Tylenol on 1/18/17 and 2/3/17, a dosage that was not in accordance with the manufactures instructions for an 8 month old child. The medicine labeling stated that a physicians instructions were needed for children under the age of 2 years old. The .5ml dose was for a child ages 2-3 years old and weighing 24-35 pounds. There were no dosaging instructions from the parent. 2. There was not MAT trained staff on-site today until Staff #1 arrived at approximately 11:20am. There is currently no other MAT trained staff employed at the center.

Plan of Correction: Medications sent home. Medication policy reviewed w/ families + staff. Moving forward, medication will not be accepted if not in original packaging w/ appropriate authorization forms. Policies will be signed, dated, + in staff files.

Standard #: 22VAC40-185-510-E
Description: Based on observations made, it was determined that medications on-site were not labled with the child's name, dosage amount, and times to be given. Evidence: The medicines on-site for Child #5, Orajel and Tylenol, were not labeled with dosage amount and times to be given.

Plan of Correction: Medications sent home. Medication policy reviewed w/ families + staff.

Standard #: 22VAC40-185-520-B
Description: Based on observations made, it was determined that a sunscreen product in the Infant 2 room was not labeled with the child's name that it belonged too.

Plan of Correction: Sunscreen labeled upon visit.

Standard #: 22VAC40-185-520-C
Description: Based on observations made, it was determined that a jar of Vaseline in the Toddler I room was not labeled with the child's name it belonged too.

Plan of Correction: Vaseline belonged to staff + was removed from classroom.

Standard #: 22VAC40-185-550-M
Description: Based on records reviewed, it was determined that the center did not maintain a written record of children's injuries with all of the required documentation. Evidence: 5 of 10 written injury reports did not include the date/time the parent was notified. 3 reports were left blank, and "at-pick up" was written for the time the parent was notified on 2 reports.

Plan of Correction: Moving forward, administration will ensure all occurrence reports are complete prior to signing + filing.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on records reviewed, it was determined that 1 of 5 staff records did not include background checks completed every 3 years. Evidence: Staff #7 - The Sworn Disclosure Statement (SDS) was completed 2/4/14, the CRC was completed 3/14/14, and the Central Registry Check (CPS) was completed 3/17/14.

Plan of Correction: SDS, CRC, + CPS completed +/or mailed off as of 4/12/17.

Standard #: 22VAC40-191-40-D-3-A
Description: Based on records reviewed, it was determined that there was no documentation of background checks for a contract employee observed working today. Evidence: Contract Staff #1 - Reportedly began working at the center in January 2017. There was no SDS, CRC, or CPS check on-file for this individual. The Director contacted the contracted company during the inspection and was sent a background check completed by a third-party company, which does not meet VA standards.

Plan of Correction: SSDS, CRC, + CPS checks in progress for contracted employee. Until complete, employee will not facilitate enrichment program.

Standard #: 22VAC40-191-60-C-1
Description: Based on records reviewed, it was determined that 2 of 5 staff records did not include a completed Criminal Record Check (CRC) within the first 30 days of employment. Employment was not/has not been denied to these staff. Evidence: 1. Staff #2 - Date of hire was 10/17/16, and the CRC was completed in February 2017. 2. Staff #8 - Date of hire was 9/22/16, and there was no CRC on-file.

Plan of Correction: 1. CRC for Staff #2 completed 2/11/17. 2. CRC for Staff #8 in process, mailed 10/12/16 +4/12/17.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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