Bright Horizons at Old Town Alexandria

8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information.

The record for Child #1 did not contain the name, address, and phone number of one of two designated people to call in an emergency if a parent cannot be reached; the second person listed was the child's parent.

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8VAC20-780-380-A-1 · Centers shall include opportunities for outdoor activity for preschoolers, weather and air quality allowing, for at least one hour per day if the center operates more than five hours per day. On 3/30/2026, the KPrep classroom was not provided with one hour of outdoor activity. Transition reports indicated the KPrep classroom checked in at the lobby to go outside at 3:44pm. The classroom returned inside and transitioned to the Stem Lab at 4:05pm for a total of 21 minutes outdoors to include time spent walking to each location. The transition report and staff confirmed the classroom did not go outdoors for the remainder of the day.

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8VAC20-780-350-B-4 · The required ratio for children ages 3 years old up to school age is one staff per ten children. On 3/30/2026, one staff member was supervising eleven children in the Preschool 2 classroom. Staff confirmed eleven children were present under the supervision of one staff member for approximately 15-20 minutes.

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8VAC20-780-550-P · Centers are required to maintain a written record of children's serious and minor injuries that include all required information. Two separate injury reports documented for Child #1 included the time a parent was notified as the same time that the injury occurred. An injury report for Child #2 documented the time a parent was notified as occurring prior to the time of the incident. Staff reported the time of injury on the report is automatically populated as the time the report is generated.

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8VAC20-780-150-B · Centers are required to obtain immunization reports signed by a physician, designee, or an official of a local health department. The immunization reports in the record for Child #2 were not signed by a physician, designee, or local health department official as required.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not complete a sex offender registry check from one state for Staff #4, who has been employed for more than one year and was working with children at the time of the inspection.

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8VAC20-780-130-E · Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years for one child.

Evidence: 1. Child #4 was 3 months old on the first date of attendance (08/29/2022). 2. Updated immunization records were dated 09/12/2022, 02/06/2022 and 03/21/2024.

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8VAC20-780-150-B · Based on record review, immunizations for 2 of 5 children reviewed were not signed by a physician, his designee, or an official of a local health department.

Evidence: 1. Documentation of immunizations in the record for Child #1 and 2 did not contain the signature of a physician, his designee, or an official of a local health department.

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8VAC20-780-340-F · Based on staff interview, children under 10 years of age were not within actual sight and sound supervision of staff.

Evidence: 1. Administrative staff reported that on 2/16/2023, staff #1 was observed in the two's classroom, lying under a desk looking at an ipad while children were sleeping. The staff under the desk was not able to provide sight supervision of children as required.

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22.1-289.035-B-4 · Based on record review, the center did not obtain a copy of the results of a of a criminal history record information check and a search of the child abuse and neglect registry from any state in which an individual has resided in the preceding five years within required timeframes for 1 staff.

Evidence: 1. Staff #1 began employment on 12/5/2022. 2. Staff #1 has lived outside of the State of Virginia in the past 5 years. 3. The record for Staff #1 did not contain documentation of the results of a search of the child abuse and neglect registry from Tennessee. 4. Documentation in the file indicates a request was sent on 12/5/2022; however there is no documentation of a follow-up within 45 days from the request as required. 5. The criminal history record check results for the state of Mississippi were dated 12/13/2022, after the staff's date of employment.

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8VAC20-770-60-C-2 · Based on record review and staff interview, the child day center did not have a central registry finding within 30 days of employment for one staff.

Evidence: 1. Staff #1 began employment on 07/14/2021. 2. Documentation in the record for Staff #1 indicated a search of the central registry was submitted on 3/25/2022. 3. Staff reported the central registry check did not appear to be completed upon the 30th day of employment under previous management. Upon learning the central registry check had not been completed, a check was submitted on 3/25/2022.

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22.1-289.035-B-4 · Based on record review, the child day center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years for 3 staff.

Evidence: 1. Staff #4 (date of employment: 11/8/21) resides outside of the state of Virginia. A sex offender registry check and a search of the child abuse and neglect registry for the state of Maryland was not obtained for Staff #4. 2. Staff #5 (date of employment: 8/4/21) resides outside of the state of Virginia. A sex offender registry check and a search of the child abuse and neglect registry for the state of Maryland was not obtained for Staff #5. 3. Staff #6 (date of employment 11/22/21) resides outside of the state of Virginia. The results of a criminal history record information check, sex offender registry check, and a search of the child abuse and neglect registry check for Washington D.C. was not obtained for Staff #6.

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