Bright Horizons at Old Town Alexandria

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.”

Rule 8VAC20-780-60-A.

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.”

Rule 8VAC20-780-350-B-4. From a complaint.

8VAC20-780-380-A-1

Rule 8VAC20-780-380-A-1. From a complaint.

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.”

Rule 8VAC20-780-550-P. From a complaint.

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.”

Rule 8VAC20-780-150-B.

8VAC20-780-60-A

“Centers are required to keep a separate record for each child enrolled which shall contain all required information. The record for Child #2 did not contain the phone number for 1 of 2 designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

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.”

Rule 22.1-289.035-B-4.

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1, who has been enrolled for twelve weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

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

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.”

Rule 8VAC20-780-130-E.

8VAC20-780-340-D

“Based on record review and staff interview, at least one staff member who meets the qualifications of a program leader was not present in each group of children. Evidence: 1. Staff #6 identified staff #2 as the program leader in the twos classroom. 2. Staff #2’s record did not contain documentation of qualifications of a program leader.”

Rule 8VAC20-780-340-D.

Based on record review, 1 of 3 written records of injury did not contain all required information.

“Evidence: 1. An injury report dated 05/01/2024, did not contain future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Based on records review , 1 of 5 staff records did not contain all required information. Evidence: 1. Staff #3 was promoted to program lead on 02/10/2022. 2. The record for Staff #3 did not contain documentation to demonstrate that the individual possessed the education, certification, and experience required by the job position at the time of promotion. 3. Documentation to demonstrate the individual is qualified as a program leader was obtained on 5/24/2024.”

Rule 8VAC20-780-70.

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.”

Rule 8VAC20-780-150-B.

Based on record review, 1 of 5 staff reviewed did not submit documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The tuberculosis screening in the record for Staff #1 (employment date 5/1/2023) was dated 2/14/2023. More than 30 days prior to the date of employment.”

Rule 8VAC20-780-160-A.

Based on record review and staff interview, an orientation training including facility specific topics was not completed for 1 staff member.

“Evidence: 1. Staff #2 began working at the center in August 2023. 2. The record for Staff #2 did not contain documentation of an orientation training including facility specific topics.”

Rule 8VAC20-780-240-C.

Based on record review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: 1. The most current documentation of a fire inspection completed for the center was dated 02/08/2022.”

Rule 8VAC20-780-260-A.

Based on record review, the center did not meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia.

“Evidence: 1. Child #1 began attending the center on 12/11/2023. 2. Child #1’s proof of identity and age document was viewed on 1/16/2024 3. The center did not view the documentation within 7 days from the first date of attendance as required by the Code of Virginia.”

Rule 8VAC20-780-40-G.

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.

Rule 22.1-289.035-B-4.

Based on staff interview and record review, at least one staff member who meets the qualifications of a program leader was not present in one grouping of children.

“Evidence: 1. Staff #2 was identified as a lead teacher in the twos classroom. 2. The record for Staff #2 did not contain documentation that the staff meets qualifications of a program leader.”

Rule 8VAC20-780-340-D.

Based on record review, prescription medication was given to a child without written authorization from the parent.

“Evidence: 1. Documentation in the record for Child #1 indicates medication was administered to the child on 1/5/23-1/7/23, 1/9/23-1/13/23. 1/17/23-1/18/23 and on 2/27/23. 2. The authorization for the medication in the record for Child #1 was dated 12/5/22-12/19/22.”

Rule 8VAC20-780-510-B.

Based on record review, the center did not implement a practice evacuation drill monthly as required.

“Evidence: 1. The center did not practice a fire drill during the month of January 2022.”

Rule 8VAC20-780-550-D.

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.”

Rule 8VAC20-780-340-F. From a complaint.

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.”

Rule 8VAC20-770-60-C-2.

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.

Rule 22.1-289.035-B-4.

Based on record review, the child day center did not obtain a sworn statement of affirmation prior to employment for 4 of 6 staff.

“Evidence: 1. The sworn statement in the record for Staff #2 (date of employment 3/28/22) was dated 4/5/22. 2. The sworn statement in the record for Staff #3 (date of employment 11/15/21) was dated 11/21/21. 3. The sworn statement in the record for Staff #4 (date of employment 11/8/21) was dated 11/16/21. 4. The sworn statement in the record for Staff #5 (date of employment 8/4/21) was dated 8/11/21.”

Rule 8VAC20-770-60-B.

Based on record review, the center did not have a central registry finding within 30 days of employment for 1 staff.

“Evidence: 1. Staff #5 began employment on 8/4/21. 2. Documentation of central registry results in the record for Staff #5 were dated 10/26/21. 3. Documentation in the record for Staff #5 indicated the central registry check was mailed out on 9/23/21.”

Rule 8VAC20-770-60-C-2.

Based on record review, a tuberculosis test was not completed within the last 30 calendar days of the date of employment for 1 of 6 staff.

“Evidence: 1. The tuberculosis document in the record for Staff #1 (date of employment 3/21/22) was dated 11/09/2021.”

Rule 8VAC20-780-160-A-2.

Based on record review, the center did not maintain a record of the dates of the practice emergency drills for one year.

“Evidence: 1. The center was not able to provide documentation of emergency drills practiced prior to January 2022 during inspection.”

Rule 8VAC20-780-550-H.