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Bright Horizons at Short Pump

Inspection · 2025-04-11

Date
2025-04-11
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced, on-site monitoring inspection was completed on 04/11/2025. The on-site inspection began at 10:41 a.m. and ended at 5:02 p.m. The inspector reviewed compliance in the areas listed above. There were 60 children present and 12 staff. The inspector reviewed 8 children?s records and 9 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 06/10/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-780-240-C
Staff orientation training shall include the policies and procedures required by 8VAC20-780-420.A.1-14. The documentation in staff record for S1 did not document this policy and procedure orientation. The record for S5 did not include the orientation form documenting the orientation and training required by 8VAC20-240.C.
Plan of Correction: In response to the 8VAC20-780-(3)-240-C violation, S1 received the proper
orientation and completed the proper form. The form was completed on June 6, 2025 and placed in S1's personnel file. S5is no longer employed by Bright Horizons effective May 15, 2025.
Center Director will ensure that staff complete required orientation trainings before their staff date. Center Director and/or Assistant Director will also calendar the due dates of required staff orientation trainings that need to be completed and provide staff with time to complete them. The documentation of completed training will be placed in the appropriate staff files.
Standard 8VAC20-780-240-E
Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation. The staff records for S1 and S2 did not document this orientation.
Plan of Correction: In response to the 8VAC20-780-(3)-240-E violation, the administrative team reviewed S1 and S2 training files and located their CPR/FA certifications.
S2 had her CPR/FA completed on June 11, 2024 and her first day of
employment was May 28, 2024. S1 had her CPR/FA completed on July 9, 2024 and her first day of employment was June 18, 2024. Both were within their 30 day window from their date of hire of receiving their certificates.
Ongoing Corrective Action Steps:
Each corrective action was taken immediately and with prompt response. Our center?s longer-term approach to preventing future occurrences will include ongoing monitoring by center leadership and the Regional Manager and ongoing utilization of staff personnel file checklists.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean condition. The refrigerators in the Infant I and II rooms had spilled liquids in the refrigerator compartment and in the baskets used for individual infant bottles.
Plan of Correction: In response to the 8VAC20-780-(4)-270-A violation, infant teachers immediately cleaned out the refrigerators and bottle bins in the infant classrooms.
Moving forward, once per week, infant teachers will wipe out the refrigerators and bottle bins as well as put them in the sanitizer. The Center Director will do a check of the refrigerators during their weekly walk through the Center.
Standard 8VAC20-780-270-C
The inside area occupied by children shall be maintained no lower than 68 degrees Fahrenheit. The thermostat in the Kindergarten room showed the temperature in the classroom at 65 degrees.
Plan of Correction: In response to the 8VAC20-780-(4)-270-C violation, a work order was immediately placed for the thermostat in the Kindergarten Prep classroom to be set at 68 degrees. The work order was completed on April 21, 2025.
Teachers have been reminded by the Center Director to report any issues so that a work order could be put in immediately and the issue could be taken care of. The Center Director and/or Assistant Director will also do a weekly walk through to identify potential issues that require attention.
Standard 8VAC20-780-560-G
When food is brought from home the food container must be clearly dated. Multiple
thermos bottles brought from home were not dated in the Toddler I room.
Plan of Correction: In response to the 8VAC20-780-(8)-560-G violation, the Toddler 1 teacher immediately put dates on all water bottles from home.
Standard 8VAC20-780-70
Information shall be kept at the center, about any health problems that staff may have that may interfere with fulfilling the job responsibilities. The record for S3 did not document this information.
Plan of Correction: In response to the 8VAC20-780-(2)-70 violation, the Center Director promptly notified S3 of the missing response on the Health Screen-Post Offer/Pre-Employment for Centers/Schools form. S3 has been asked to have a physician at the location where she received her original physical complete the form within 30 days from the receipt of the Summary, Violation and Supplemental Report provided to the center administrative team via email on June 5, 2025.
Going forward the Center Director will ensure that any health problems that staff may have, are properly documented in accordance with the licensing regulations. The Regional Manager will follow up on this with the Center Director during their monthly visits.
View original record on Virginia Department of Social Services