VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Horizons at Old Town Alexandria
411 John Carlyle Street
Alexandria, VA 22314
(703) 519-1840

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: July 9, 2018

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 General Provisions. 63.2 Child Abuse and Neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced renewal study was conducted today from 10:30am-3:00pm. A total of 107 children were observed in the care of 26 staff. A sample of 8 staff records, 10 children's records, emergency drills, outdoor playground, physical plant, medications and other documents were reviewed. Children were observed during outdoor play, bathroom breaks, handwashing, transitions to lunch, and naptime. Infants were observed during bottle feeding, diapering and tummy time. Areas of noncompliance are documented on the violation notice. If you have any questions, please contact me at Ivaco.Clarke@dss.virginia.gov or 571-835-5505. Thank you.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on a review of records, 5 out of 8 staff records were missing the required documentation. Evidence: 1. The records for Staff #1 and #3 were missing an emergency contact. 2. The records for Staff #5, #6 and #7 [all identified as lead qualified] were missing written information to demonstrate that the individuals possess the education/ certification required by the job position.
Plan of Correction:	We will have the documents added to the records.
Standard #:	22VAC40-185-240-C
Description:	Based on a review of records, documentation of annual training was not available for 5 out of 8 staff. Evidence: At the time of the inspection, the inspector was unable to access annual training documented for Staff #4 [date of employment: 4/11/2016] ,#5 [date of employment: 3/29/2017], #6 [date of employment: 10/5/2016], #7 [date of employment: 10/5/2016] and #8 [date of employment: 6/29/2006].
Plan of Correction:	The Director has access to the log and was not present; The Director will print the information.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, equipment used in the center was not maintained in clean condition. Evidence: 8 out of 10 rest mats in Classroom D were observed to have large rips along the seams exposing foam padding.
Plan of Correction:	We ordered new mats that should be being used.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, hazardous substances were not kept in a locked place using a safe locking method. Evidence: 1. In Classroom A, a bottle of bleach solution was observed in an unlocked cabinet in the bathroom. Another bottle containing bleach solution was observed in an upper cabinet without a lock installed. 2. In Classroom B, a bottle of bleach solution was observed in an unlocked upper cabinet.
Plan of Correction:	We will request to have child safety locks installed.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, 3 unused electrical outlets did not have protective covers installed. Evidence: 2 outlets were missing protective covers on a surge protector in Classroom C. In Classroom E, 1 outlet on a surge protector was missing a protective cover.
Plan of Correction:	We will provide staff with extra protective covers.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of records, 1 of 8 staff records was missing a completed sworn statement prior to the first day of employment. Evidence: The record for Staff #1 [date of employment: 6/4/2018] was missing a sworn statement.
Plan of Correction:	We will have the staff member complete the form today.
Standard #:	63.2-1720.1-B-2
Description:	Based on a review of records, the center failed to obtain the required criminal background checks prior employment for 3 out of 8 staff. Evidence: 1. Fingerprint results were missing for Staff #2 [Date of employment: 6/25/2018] who was observed caring for children at the time of inspection. 2. Fingerprint results for Staff #1 and #3 were received 6/19/2018; however, the date of employment for both staff was 6/4/2018.
Plan of Correction:	We will request additional support from corporate to update our hiring policies and procedures.
Standard #:	63.2-1720.1-B-3
Description:	Based on a review of records, 2 out of 8 staff records were missing results of a central registry from the state in which they have resided in within the past five years. Evidence: 1. A sworn statement signed by Staff #2 disclosed that the staff member resided in Maryland within the past five years. Central registry results from that state were not available at the time of the inspection. 2. A sworn statement signed by Staff #3 disclosed that they lived in the District of Columbia within the past five years. Central registry results from that district were not available at the time of the inspection.
Plan of Correction:	We will request the missing central registry checks.