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: Jan. 8, 2020

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. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced monitoring inspection was conducted from 10:55 am-5:00 pm. At the time of entrance, 117 children were in care with 26 staff members present. Children were observed playing with toys, building with blocks, creating crafts, practicing writing, and participating in story time. Diapering, handwashing, and lunchtime was also observed. The children had chicken or vegetable nuggets, potato soup, whole wheat bread, and fresh fruit for lunch. A selection of 8 staff and 10 children records, the physical space, emergency supplies, evacuation drills, attendance records, injury reports, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:

Standard #:	22VAC40-185-130-B
Description:	Based on record review, the center did not obtain documentation of additional immunizations once every six months for 1 child under the age of two years. Evidence: 1. Child #1 is under the age of two. The most recent documentation of immunizations in the record for Child #1 was dated 5/7/2019.
Plan of Correction:	Documentation of immunizations for Child #1 was requested from the parents during inspection.
Standard #:	22VAC40-185-160-C
Description:	Based on record review, 2 of 8 staff records did not contain documentation of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent documentation of a tuberculosis screening in the record for Staff #1 was dated 9/13/17. 2. The most recent documentation of a tuberculosis screening in the record for Staff #2 was dated 9/12/17.
Plan of Correction:	I will have them go by next week.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, 3 of 10 children's records did not contain all required information. Evidence: 1. The record for Child #2 did not contain the work number for each parent. 2. The record for Child #3 did not contain the name, address, and phone number of 1 of 2 required designated people to call in an emergency if a parent cannot be reached. 3. The record for Child #4 did not contain confirmation of up-to-date information in the child's record annually. Child #5 began attendance on 5/30/17. The last documentation of confirmation of up-to-date information in the record for Child #5 was dated 5/14/17.
Plan of Correction:	The information will be updated tomorrow.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, areas and equipment of the center, inside, were not maintained in a safe condition. Evidence: Peeling paint was observed in the following areas- -In the column in infant room 1 -In the K-Prep room at the bottom of the wall near the entrance and on the back wall -In the Preschool 1 room near the internal door connecting to another classroom.
Plan of Correction:	I will put a work order in today.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the center did not have a central registry finding within 30 days of employment for 1 staff. Evidence: The record for Staff #1 (hire date 9/14/17) did not contain documentation of a central registry finding.
Plan of Correction:	I will have them complete the form today and it will be mailed out tomorrow.