Bright Horizons at Inova Fair Oaks

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“A bleach water solution was in an unlocked upped cabinet in classroom #2.”

Rule 8VAC20-780-280-B.

If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.

“There was an unlabeled spray bottle of a bleach and water solution in classroom #2.”

Rule 8VAC20-780-280-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: Documentation of viewing proof of the child’s identity and age.

“Child # 3 and Child #4 did not have documentation of viewing proof of the child’s identity and age in their record.”

Rule 8VAC20-780-60-A.

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met: written parent authorization noting any known adverse reactions shall be obtained. Two diaper ointment creams in Room#1 did not have written authorization from parents available. (Children #1, #2).”

Rule 8VAC20-780-520-C.

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. Staff A, employed for more than 4months, and working at the center did not have documentation of requesting a criminal history check from a state in which they had resided in the past 5 years.”

Rule 22.1-289.035-B-4.

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician, within 30 days after the first day of attendance. Child #4’s physical was overdue by 2 months when it was received by the center.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“At least every two years from the date of the first initial screening. Staff B’s subsequent TB screening result when received by the center, was overdue by 6 days.”

Rule 8VAC20-780-160-C.

8VAC20-780-510-B

“Prescription and nonprescription medication shall be given to a child only with written authorization from a parent. There was no written parent or physician authorization to administer non prescription medication to child #7. Medication had been administered to child #7 nine times since June 6, 2025.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Child #6’s long term medication authorization form available for review, had been altered after the physician signed the form.”

Rule 8VAC20-780-510-F.

8VAC20-780-60-A-8

Rule 8VAC20-780-60-A-8.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recently issued inspection report was not posted (9/24/24).”

Rule 22.1-289.011-F.

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. Staff #1, did not have a central registry search requested prior to employment. Search was request was overdue by 4 days. Staff #2, did not have a central registry search requested prior to employment. Search request was overdue by 4 days.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening and shall have been completed within the last 30 calendar days of the date of employment. Staff #1’s negative result was overdue by 7 days.”

Rule 8VAC20-780-160-A.

8VAC20-780-440-J

“There shall be at least thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Child A’’s crib had less than 6 inches of space between their occupied crib and another piece of furniture.”

Rule 8VAC20-780-440-J.

8VAC20-780-70

“The following staff records shall be kept for each staff person that contain documentation of two or more references having been checked prior to employment. Staff #2’s references were overdue by 1 day.”

Rule 8VAC20-780-70.

8VAC20-780-240-C

“Based on a review of records, one staff record did not contain all required documentation for orientation. Evidence: Staff A’s record did not contain documentation of completion for recognizing and reporting child abuse and neglect.”

Rule 8VAC20-780-240-C.

8VAC20-780-550-P

“Repeat Violation Based on a review of injury reports, all required information is not documented. Evidence: 2 of 2 reports reviewed did not contain documentation of either a parent and staff signature or two staff signatures. (Child #1)”

Rule 8VAC20-780-550-P.

8VAC20-780-80-B-2

“Based on a review of documentation and provider statement, the center failed to inform the department’s representatives as soon as practicable, but not exceeding 2 business days of an injury that occurred while the child was under the supervision of the center, that required outside medical attention. Evidence: Child #1 sustained an injury on 12/28/2023 that required outside medical attention. The Department of Education was not notified of the injury until 1/4/ 2024.”

Rule 8VAC20-780-80-B-2.

8VAC20-780-510-E

“Based on a review of medications, one child’s medication authorizations were past the duration of the authorization signed by the physician. Evidence: Child #1: Two emergency medication authorizations expired on 10/31/23.”

Rule 8VAC20-780-510-E.

8VAC20-780-550-P

“Based on a review of injury reports, reports do not contain all required components. Evidence: 6 injury reports were reviewed. Missing documentation includes: *6 of 6 reports reviewed were missing future action to prevent recurrence. The online form in use by the facility does not include this component. *2 of 6 reviewed were missing signature of the parent or 2 staff signatures. *2 of 6 were missing time of parent notification.”

Rule 8VAC20-780-550-P.

8VAC20-780-350-M

“Based on observation, there was one staff member supervising two areas during rest time. Evidence: One staff member was supervising the 2’s-1 and the 2’s -2 room during rest time at approximately 2:00 PM.”

Rule 8VAC20-780-350-M.

8VAC20-780-40-J

“Based on staff statement, there is no injury prevention plan update available for review. Evidence: The injury prevention plan could not be located during the inspection to review for updates.”

Rule 8VAC20-780-40-J.

8VAC20-780-510-P

“Based on observation, medication was not returned to a parent within 14 days when no longer being administered to the child. Evidence: One Over-The-Counter (OTC) medication was in the Infant suite when no longer being administered. The authorization for the medication expired 9/2021. (Child 1)”

Rule 8VAC20-780-510-P.

8VAC20-780-70

“Based on a review of records, staff records do not contain all required documentation for references. Evidence: 2 of 3 records reviewed had phone references on file. The date of the reference and the signature of the person completing the phone reference were not documented. (Staff A,B)”

Rule 8VAC20-780-70.