VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Horizons at Reston
11710 Plaza America Drive
Suite 10
Reston, VA 20190
(703) 481-2993

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: Oct. 27, 2021

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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

New requirements became effective on October 13, 2021. The facility has not yet [fully] complied with the following requirements: *Developing a written procedure for prevention of shaken baby syndrome, and *Develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members, and * Documentation TB screening shall be submitted at the time of employment and prior to coming into contact with children. and * The TB documentation shall have been completed within the last 30 calendar days of the date of employment *At least one staff in each classroom or area where children are present shall have, within 90 days of October 13, 2021 be current in certification in cardiopulmonary resuscitation and first aid certification, and *The center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown., and * Lockdown procedures shall be practiced at least annually.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A renewal inspection was initiated on 10/27/2021 and concluded on 10/27/2021. The director was contacted by telephone and a virtual inspection was conducted. There was 1child present, ages 3 years, with 1 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 1 child record and 3 staff records were reviewed. The center has been closed since March 2020 due to COVID 19 pandemic and just reopened on 10/18/2021. Information gathered during the inspection determined non-compliance with applicable standards and law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-185-240-D-5
Description:	Based on a review of staff records, there is not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: Staff #1 and #2 were supervising children this day, neither of them have training in daily health observation.
Plan of Correction:	Director will contact the district manager to sign the staff up for the training.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of staff records, employees have failed to undergo a background check of obtaining fingerprint results prior to employment. Evidence: Staff # 2, hire date 10/4/2021 does not have fingerprint results on file at the center. The director showed proof that the staff attended an appointment on 10/20/2021 to obtain the fingerprint search. Staff # 3, hire date 10/11/2021 does not have fingerprint results on file at the center. The director showed proof that the staff attended an appointment on 10/20/2021 to obtain the fingerprint search.
Plan of Correction:	The director will ensure that all former staff obtain fingerprinting results prior to hire date. Staff #2 and #3 fingerprint results will be forwarded to the inspector upon receipt and then filed in the staff's record at the center.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on staff record review, staff have not obtained a copy of the results of a sex offender registry prior to the first day of employment from any state in which the individual has resided in the preceding five years. Evidence: Staff # 3 has resided in the state of Maryland within the past 5 years, the center has failed to obtain a copy of the results of a sex offender registry check for the state of Maryland.
Plan of Correction:	The links to complete the required forms for the state of Maryland were emailed to the Director. the Director will complete the forms and forward the results to the Inspector upon receipt and then place the results in the staff record at the center.