Bright Horizons at Commerce Metro Center

8VAC20-780-240-C · Based on record review and staff interview, an orientation training including facility specific topics was not completed for 1 staff member.

Evidence: 1. Staff #1 began employment at this center at the end of January 2024 . 2. The record for Staff #1 did not contain documentation of an orientation training including facility specific topics. 3. Staff stated an orientation specific to the facility was not completed.

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8VAC20-780-140-B · When obtaining documentation of physical examinations that occurred prior to attendance, the physical exam shall be within the required time period. For children ages seven months through 18 months the physical shall have occurred within three months prior to attendance. The physical obtained for Child #5 was completed 9 months prior to the first date of attendance. Child #5 was 16 months old at enrollment.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #5, enrolled for more than one year, did not contain the name, address, and phone number for 1 of 2 designated people to call in an emergency if a parent cannot be reached;

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8VAC20-780-380-A-1 · Centers shall include opportunities for outdoor activity for toddlers and preschoolers, weather and air quality allowing, for at least one hour per day if the center operates more than five hours per day.

During a three week period reviewed, toddlers and preschoolers were not provided an hour of outdoor activity per day. Transition reports for Child #1, who attended approximately 8 hours per day in Classroom 1 indicate outdoor time provided on 7of 13 days attended in the three week period. On the days during which Child #1 was provided outdoor activity, Child #1 was not provided outdoor activity for the minimum amount of one hour per day. Transition reports for Child #2, who attended approximately 9 hours per day in Classroom 2 indicate outdoor time provided on 6 of 12 days attended in the three week period. On the days during which Child #2 was provided outdoor activity, Child #2 was not provided outdoor activity for the minimum amount of one hour per day. Staff reported outdoor activity "doesn't happen every day, happens when we can." Staff reported that days children do not go outside often happen due to lesson plans taking longer than the time allotted and the classroom missing their designated time to use the playground.

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8VAC20-780-270-A · The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There were areas of chipped paint in the Preschool 2, KPrep, and Movement Matters rooms, accessible to children. Loose wooden planks were observed along the fence and at the base of the light fixture on the playground. The planks could be moved in a way that created a potential pinching or entrapment hazard.

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22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment. The central registry search request for Staff #1 was requested 2 weeks after Staff #1's first day of employment.

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8VAC20-780-270-A · Based on observation, equipment of the center, inside, was not maintained in a safe condition.

Evidence: 1. Peeling paint was observed in the two's-1 classroom on the wall below the window, accessible to children.

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8VAC20-770-60-B · Based on record review, one staff did not complete a sworn statement before employment.

Evidence: 1. Staff #5 began employment on 7/24/2023. The record for Staff #5 did not contain a sworn statement.

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8VAC20-780-240-C · Based on record review, orientation training did not include required facility specific topics.

Evidence: Staff #1 began employment on 2/13/2023. There was no documentation of orientation training addressing the required topics as they pertain to this facility, in the record for Staff #1. Documentation of an orientation training from a previous location was included in the record but doesn?t address the required facility specific components.

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

Evidence: 1. Child #2 (start 7/06/2021) who is under the age of two years old had an immunization record dated 5/25/2021 and did not have an updated immunization record.

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8VAC20-780-270-A · Based on observation, areas and equipment of the center, inside, were not maintained in a safe and operable condition.

Evidence: There were several areas of peeling paint on the walls in 3 out of 4 classrooms. 1. Peeling paint was located in the Infant 1 classroom near floor by the blue rocking chair. 2. Peeling paint was located in Two?s 1 classroom under two windows. 3. Peeling paint was located in Preschool 1 on the wall near window & dramatic play set.

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