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Bright Horizons at Commerce Metro Center

Inspection · 2023-07-25

Date
2023-07-25
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was conducted today from 11:10am-3:20pm. There were 51 children directly supervised by 12 staff. The physical plant, 5 staff records, 5 children?s records, medications, evacuation drills, injury reports, and emergency supplies, were inspected. Children were observed participating in free play, playing outside, and eating lunch. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations

7
Standard 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.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-780-240-I
Based on record review, 1 of 5 staff records reviewed did not contain documentation of orientation training.

Evidence:
1. Staff #4 began employment on 7/5/2023. The record for Staff #4 did not contain documentation of orientation training.
2. Administration reported that staff completed the training but the documentation was misplaced.
Plan of Correction: We will complete another form.
Standard 8VAC20-780-420-E-3
Based on record review, 1 of 5 children's records reviewed did not contain parent confirmation that the required information in the child's record is up to date annually.

Evidence:
1. The most recent parent confirmation of up to date information in the record for Child #2 was dated 7/18/2021.
Plan of Correction: We will audit the children's files to see which need updated.
Standard 8VAC20-780-510-L
Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. Medication was observed inside of a ziplock bag in an unlocked emergency bag located in a classroom.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-780-540-C
Based on obervation, the required first aid did not include all minimum requirements.

Evidence:
1. The first aid kit located upstairs did not contain tweezers and the first aid instruction manual.
Plan of Correction: The tweezers and instruction manual will be added today.
Standard 8VAC20-780-550-D
Based on record review, evacuation drills were not practiced monthly.

Evidence:
1. An Evacuation drill was not completed in May 2023.
Plan of Correction: We will complete two evacuation drills during the month of July.
Standard 8VAC20-780-70
Based on record review, 4 of 5 staff records reviewed did not contain all required information.

Evidence:
1. The records for Staff #2 and #4 did not contain the name, address, and telephone number of a person to be notified in an emergency.
2. The records for Staff #3 and #5 did not contain documentation of verification of age.
Plan of Correction: The missing information will be obtained and placed in the staff records.