Bright Horizons at National Landing

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors are required to obtain and submit the results of a follow-up tuberculosis screening.

“Staff #1 had a TB screening that expired approximately two weeks ago.”

Rule 8VAC20-780-160-C.

Each staff member and individual from an independent contractor is required to submit documentation of a negative tuberculosis screening by day one of employment or no more than 30 days prior.

“Staff #1 did not have a current tuberculosis screening on file by day one of employment or no more than 30 days prior.”

Rule 8VAC20-780-160-A.

Cribs, cots, rest mats, and beds are required to be identified for use by a specific child.

“In the Toddler classroom there were 4 cots in use that were not identified for use by a specific child.”

Rule 8VAC20-780-440-B.

Areas and equipment of the center, inside and outside, are required to be maintained in a clean, safe and operable condition.

“A corner of the wall in the movement matters room was broken and the blue drywall was breaking off.”

Rule 8VAC20-780-270-A.

The diapering area is required to have a nonabsorbent surface for diapering or changing. For children younger than three years, this surface shall be a changing table or countertop designated for changing.

“The changing pad used for diapering in the Infant room had a rip in it and was no longer nonabsorbent.”

Rule 8VAC20-780-500-B.

Prepared infant formula is required to be refrigerated, dated and labeled with the child’s name.

“There were 3 bottles in the infant room refrigerator that were not labeled with the date for the day.”

Rule 8VAC20-780-570-E.

Based on review of staff records, there is no documentation of staff completing Daily Health observation training.

“Evidence There were no staff on site who completed Daily Health observation training during the inspection. No staff have completed a daily health training observation training.”

Rule 8VAC20-780-245-L.

Based on review of children’s records, staff did not request at least annually parent confirmation that the required information in the child’s record is up to date.

“Evidence The record for child 2 not have an annual parental review of the child’s record. Last review of the record was 10/18/2021.”

Rule 8VAC20-780-420-E-3.

Based on review of the written record of children’s serious and minor injuries did not contain all the required information.

“Evidence The documentation of children’s serious and minor injuries did not include any future action to prevent recurrence of the injury;”

Rule 8VAC20-780-550-P.

8VAC20-780-560-G

“Based on observation, when food was brought from home, not all items were clearly labeled with date Evidence In the 2’s room, lunch that was brought from home was not labeled with a date.”

Rule 8VAC20-780-560-G.

8VAC20-780-500-B

“Based on discussion with staff and observation, the diapering surface is not being cleaned and sanitized according to licensing standards. Evidence: The diapering surface in the infant classroom was being sanitized but not cleaned with soap and water. The procedure according to licensing standards, includes spray or dip with a solution of soap and water, pat dry and then spray or dip with a solution of bleach and water and allow to air dry.”

Rule 8VAC20-780-500-B.