Bright Horizons at Inova Fairfax

22.1-289.035-B-4 · Repeat Violation

Based on a review of records, one staff record did not contain documentation of a completed background search for an residence outside of the state of Virginia in the past 5 years. Evidence: 1. There was no out of state Criminal History Search conducted prior to employment for a residence outside of Virginia in the past 5 years. 2. There was no Child Abuse and Neglect search results available within 45 days of employment for a residence outside of the state of Virginia in the past 5 years. (Staff A - Date of Hire 8/21/23)

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Child #1's record did not contain immunization updates every six months.

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8VAC20-780-350-Q · A center may temporarily reassign a child from his regular group for reasons of administrative necessity but not casually or repeatedly disrupt a child's schedule.

Two infants were moved to a different room to maintain ratios, due to a staff person being late. There were additional staff available to step into rooms to prevent moving children to maintain ratios.

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8VAC20-780-40-E · The operational responsibilities of the licensee shall include ensuring that the center's activities are maintained in compliance with the center's own policies and procedures that are required by these standards.

The staff did not follow the policy for knowing where children are at all times. The policy states: 1. Conduct a Name-To-Face roll call when leaving one location or entering a new location. 2. Conduct a Verbal Head Count when passing through any additional door/gate. Additionally the last teacher leaving a location is responsible for conducting a visual sweep, which consists of viewing all areas to confirm no child is left behind. Staff did not conduct verbal head counts at each door (3 doors), or a Name-To-Face when entering a new location (classroom). No visual sweep of the playground was done as the class left the area. Staff A and B confirmed they did not follow proper procedures while transitioning from one area to another.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Child #1's record did not contain any documentation of updated immunizations. Update were over due by 14 months.

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8VAC20-780-270-A · Based on observation, the center was not maintained in a clean, safe and operable condition.

Evidence: 1.The Two's-1 room has a broken cabinet door. 2. A tricycle on the playground has a broken pedal.

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22.1-289.035-B-4 · Based on a review of records, one staff record did not contain documentation of a completed out of state child abuse and neglect search within 45 days of employment.

Evidence: Staff A's record did not contain documentation of a child abuse nd neglect search for a residence outside of the state of Virginia within the past 5 years. (Date of Hire (DOH) 7/17/23)

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8VAC20-780-160-A · Based on a review of records, staff records do not contain documentation of negative tuberculosis screening dated within 30 days prior to the date of employment.

Evidence: *Staff 5: Date of Hire(DOH) is documented as 10/17/22. The screening results on file are dated 10/18/2022. Not prior to employment. *Staff 6 (DOH: 10/3/22) Screening results on file are dated 8/22/22, more than 30 days prior to employment.

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8VAC20-780-160-A · Based on a review of records, staff records did not contain documentation of a TB screening result within 30 days and prior to employment.

Evidence: 2 of 3 staff records reviewed contained documentation of TB screening results after the date of hire or more than 30days prior to employment. * Staff 1; (Date of hire (DOH): 7/25/22.) TB results are dated 6/9/22 more than 30 days prior to employment, *Staff 2 (DOH: 7/18/22) TB results are dated 7/22/22.

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8VAC20-780-160-A · Based on a review of records, one staff record did not contain documentation of a negative TB screening within in 21 days of employment.

Evidence: Staff A (Date of Employment: 10/12/21) did not provide documentation of a negative TB Screening within 21 days of employment based on the regulations at that time. The TB screening results are dated 11/30/21.

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8VAC20-780-400-B · Based on multiple written statements and staff interview, behavior guidance used with one child was not constructive in nature.

Evidence: On January 6, 2022 a staff member restrained a child's arms and held the child against the wall of the building when the child began hitting and kicking staff, screaming and throwing snow and ice at children and staff. Additionally, the staff member removed the child's hat and began "tapping" him with it on his leg. Staff stated it was not a hit, but an attempt to distract the child from hitting.

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22VAC40-185-280-B · Based on direct observation, cleaning products were not stored in a locked place.

Evidence: 4 of 5 rooms inspected today had bleach water spray bottles not stored locked. *3 of 5 were on the counter or diapering area with no diapering in progress. *1 of 5 was in a cabinet; however, the cabinet was not locked.

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