VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Horizons at Boone Boulevard
1919 Gallows Road, Suite P100
Suite P100
Vienna, VA 22182
(703) 288-3850

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Nov. 9, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed with Administration: infant bottle labels on the bottle not the cap. A sample training log will be provided to the Director

Comments:

An in person renewal study was conducted today. All rooms were in ratio during the inspection. Children were observed playing outside on the playground, during diapering, eating lunch, resting quietly, and playing with a variety of age appropriate toys. The reviewed emergency supplies, emergency drills, medications, allergy action plans, injury reports, and the injury prevention plan update were all in compliance. 5 staff and 4 child records were reviewed. See Violation Notice for non-compliances. If you have any questions, please do not hesitate to contact me at (703) 479- 4678 or at Sarah.Marbert@doe.virginia.gov. LI was present today from 10;15 AM - 12:23 PM.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of records, one staff record did not contain documentation of a repeated Central Registry Search (CPS) within the allowable 5 year time frame. Evidence: 1 of 6 staff records reviewed did not have the CPS search repeated within 5 years. The previous search was dated 3/29/2016. The repeated search is dated 5/10/2021, past 5 years.(Staff F).
Plan of Correction:	Submit CPS forms early to allow for delays in results.
Standard #:	8VAC20-780-240-A
Description:	Based on a review of records, one staff record does not include documentation of the VDOE sponsored orientation course having been completed in the allowable 90 day time frame, from the date of employment. Evidence: 1 of 6 staff records reviewed did not include documentation of the required preservice training having been completed within 90 days of employment. The required course is dated as completed on 6/24/22 (Staff D: Date of Hire (DOH) 3/4/22)
Plan of Correction:	Ensure that the orientation course is completed within 90 days.
Standard #:	8VAC20-780-245-M
Description:	Based on a review of on-going training documentation, all required components are not documented. Evidence: 2 of 2 staff records reviewed for annual training requirements, did not include documentation of the training delivery method. (Staff E, F)
Plan of Correction:	Utilize sample training log provided.
Standard #:	8VAC20-780-370-5
Description:	Based on staff statement, one infant, who cannot turn themselves over, has not been placed on their stomach for 30 minutes a day. Evidence; Staff stated that Child #3 had not been placed on their stomach for "tummy time", that there was no parental authorization for "tummy time".
Plan of Correction:	Retrain staff
Standard #:	8VAC20-780-420-E-1
Description:	Based on staff statement, there is no documentation available of the time infants have spent on their stomachs. Evidence: The daily record for 2 infants in the Infant 3 room does not include time spent on their stomachs. The documentation for previous day reports were requested. Staff stated there was no documentation when it could not be located. (Child 1, 2)
Plan of Correction:	Ensure that tummy time is documented