Great Beginnings Early Learning Center

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“Child #1 (age: 16 months) was observed eating cheerios off of the floor near the feeding table while Staff #1, Staff #2 & Staff #3 were in the classroom with nine children ages 11 month to 17 months.”

Rule 8VAC20-780-340-A.

The required ratio for children ages Birth up to 16 months is one staff per four children.

“Staff #1 and Staff #2 were observed supervising nine children (youngest child 11 months old) for approximately two minutes.”

Rule 8VAC20-780-350-B-1.

The required ratio for children ages 16 to 24 month is one staff per five children.

“Staff #1, Staff #2 and Staff #3 confirmed that on April 17, 2025, Staff #1 was left alone supervising six children (youngest Child #5, age 19 months) in classroom #2 for an undetermined amount of time.”

Rule 8VAC20-780-350-B-2. From a complaint.

Documentation shall be maintained of shelter-in-place drills.

“One of two required shelter-in-place drills were documented for 2025.”

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

When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.

“In classroom #1, Child #1 (age 17 months), Child #2 (age 15 months), Child #3 (age 15 months) and Child #4 (age 16 months), were all eating in high chairs at the feeding table and none of their safety belts were fastened.”

Rule 8VAC20-780-570-A. From a complaint.

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

“Containers, wipes and spray bottles of disinfectant and detergent with warning labels, ?Keep out of reach of children,? were in an unlocked closet in a three-year-old classroom, within reach of children.”

Rule 8VAC20-780-280-B.

The required first aid kits shall include at a minimum, triangular bandages.

“There was only one triangular bandage available at the center.”

Rule 8VAC20-780-540-C.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“Children in classroom #1 were observed near one uncovered electrical outlet that was within their reach.”

Rule 8VAC20-780-290-A-3.

The Licensee shall post the Notice of Intent dated March 24, 2025, any Violation Notice(s) attached to the Notice of lntent, and the Special Order in a prominent place at each public entrance.

“The violation notice dated January 13, 2025, was not posted in a prominent place at each public entrance. The violation notice dated January 13, 2025, was posted behind the inspection dated May 12, 2025, and was not attached to the Notice of Intent or the Special Order.”

Rule 22.1-289.023-A.

When an infant is able to easily turn over from the back (supine) to the belly (prone) position and he is placed in his crib, he shall still be put on his back (supine) but allowed to adopt whatever position he prefers.

“In classroom #2, child #3 (age: 13 months), was observed being laid to sleep on their belly by staff #2.”

Rule 8VAC20-780-370-1.

In order to promote the child’s physical, intellectual, emotional, and social well-being and growth, staff shall interact with children to provide needed help, comfort and support.

“During nap time in classroom #1, staff #1 did not provide needed comfort and support to child #1(age: 2 years). Staff #1 was observed telling child #1 “I can’t pick you up” and walked away when child #1 was crying and reaching for staff #1. Video footage on May 28, 2025, shows staff #1 pushing child #1 away directing the child from them and to their cot.”

Rule 8VAC20-780-400-A.

The following actions or threats thereof are forbidden: forcing of rest;

Rule 8VAC20-780-410-5.

Repeat Violation

“Pillows and filled comforters shall not be used by children under two years of age. Child #2 (age: 22 months) was observed sleeping on a pillow in classroom #1.”

Rule 8VAC20-780-440-L.

Repeat Violation and Systemic Deficiency

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Four cots used for nap time in classroom #1 were torn and fraying.”

Rule 8VAC20-780-270-A.

Pillows and filled comforters shall not be used by children under two years of age.

“Child #1 (age: 8 months) was observed sleeping on a boppy pillow on a classroom mat in classroom #2. The tag on the boppy pillow states “Do not use for sleeping”. Staff #1 and Staff #2 stated that the child does not sleep in a crib and regularly sleeps on the boppy pillow.”

Rule 8VAC20-780-440-L.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #5, employed for 3 days, did not have documentation of requesting a criminal history check from one state.”

Rule 22.1-289.035-B-4.

Repeat Violation and Systemic Deficiency

“The center shall ensure that areas and equipment of the center, inside, are maintained in a safe and operable condition. In classroom #3, located on the 2nd story, an open window had a tear in the screen. Child #4 (age: 3 years) was observed lifting one leg up on to the windowsill of the open window. The opening of the window measured approximately 2ft 3in in length, approximately 2ft 3in in width and the open window was approximately 2ft 1.5in from the ground to windowsill.”

Rule 8VAC20-780-270-A.

Repeat Violation

Rule 8VAC20-780-340-A.

Repeat Violation

Rule 8VAC20-780-400-B.

Repeat Violation

“The following actions thereof are forbidden: roughly handling a child. On 03/26/2025, video footage of a classroom transition showed staff #2 shove child #1 (age: 5 years). Staff #2 roughly grabbed child #1 by the left lower arm and pulled child #1 towards the children lining up at the classroom door. Staff #2 roughly grabbed child #1 from behind by grabbing both the child’s upper arms and held the child by their upper arms until the child exited the classroom.”

Rule 8VAC20-780-410-1.

Children’s hands shall be washed with soap and running water or disposable wipes before eating meals and children’s hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water before and after a diaper change and before preparing or serving food or beverages.

Rule 8VAC20-780-500-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

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

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications.

“Staff #1, who did not meet lead teacher qualifications, was alone with a group of toddler aged children at the time of inspection.”

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

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-B. From a complaint.

The following actions thereof are forbidden: roughly handling a child.

Rule 8VAC20-780-410-1. From a complaint.

Repeat Violation

“The center shall ensure that areas and equipment of the center, outside, are maintained in a clean, safe and operable condition. There was a Cozy Coupe on the playground with a missing door that exposed sharp plastic.”

Rule 8VAC20-780-270-A.

Children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“Children ages sixteen months to three years were served whole meatballs.”

Rule 8VAC20-780-560-F-4.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside, were maintained in a clean, safe, and operable condition. Evidence: 1) In the Lambs 2 Classroom, a plastic yellow toy bin on a lower toy shelf (accessible to children) had a cracked edge exposing sharp pieces of plastic.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“Based on observation and interview, the center did not ensure that electrical outlets had protective covers. Evidence: 1) In the Penguins classroom, one outlet was observed without a protective cover. 2) Staff #6 acknowledged that the outlet was missing a protective cover.”

Rule 8VAC20-780-290-A-3.

Based on record review, the center failed to ensure that all program leaders met the qualifications:

“Evidence: 1. Staff #1 stated that Staff #3, Staff #4 and Staff #5 were lead teachers. 2. Staff #3, Staff #4 and Staff #5 did not meet program leader qualifications.”

Rule 8VAC20-780-210-A.

Based on record review and staff interview, the center failed to obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system.

“Evidence: The center did not obtain approval from the health department for meeting requirements for water supply and sewage disposal system.”

Rule 8VAC20-780-260-B.

Repeat violation

“Based on observation, areas inside were not maintained in a safe and clean condition. Evidence: Mouse droppings were observed on the floor in the Penguins classroom.”

Rule 8VAC20-780-270-A.

Based on observation and record review, the center failed to ensure that each grouping of children had at least one staff member who meets the qualifications of a program leader.

Rule 8VAC20-780-340-D.

Based on observation, the center failed to ensure that children’s and staff hands were washed with soap and running water after a diaper change.

“Evidence: 1. Staff #13 was observed changing Child #6?s diaper. 2. Child #6?s hands were not washed after the diaper change. 3. Staff #13 was observed using hand sanitizer after the diaper change.”

Rule 8VAC20-780-500-A.

Based on observation, the center kept over-the-counter skin products beyond the expiration date of the product.

“Evidence: 1. A healing ointment located in the Ducks classroom expired September 2023. 2. A diaper rash cream located in the Ducks classroom expired May 2023.”

Rule 8VAC20-780-520-A.

Based on observation, the center failed to meet all requirements when diaper ointment was used.

“Evidence: A diaper ointment belonging to Child #1 was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on record review, the center failed to obtain all information for children’s records.

“Evidence: Child #4?s record did not contain a name, address and phone number of two designated people to call in an emergency.”

Rule 8VAC20-780-60-A.

Repeat violation

Rule 8VAC20-780-270-A. From a complaint.

Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years.

“Evidence: 1. Staff #1?s (start date: 10/26/2021) record indicated that they resided out of state in the preceding five years. 2. Staff #1?s record does not contain results of an out-of-state criminal history record check.”

Rule 22.1-289.035-B-4.

Based on record review, an employee of the center was employed before the center had the person’s completed sworn statement.

“Evidence: At the time of inspection, Staff #2 (start date 05/01/2023) did not have a sworn disclosure statement on file.”

Rule 8VAC20-770-60-B.

Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. Child #1?s (age: 13 months) most recent documentation of immunizations was dated 08/05/2022. 2. Child #3?s (age: 16 months) most recent documentation of immunizations was dated 04/26/2022. 3. Child #4?s (age: 23 months) most recent documentation of immunizations was dated 08/15/2022.”

Rule 8VAC20-780-130-E.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the Cubs classroom, there was a bottle of adhesive remover (warning label states to keep out of reach of children) at the bottom of an unlocked storage cabinet, accessible to children.”

Rule 8VAC20-780-280-B.

Based on observation, the staff-to-children ratios were not always maintained whenever children were in care.

“Evidence: The Cubs classroom (3-5 year olds) had a ratio of one staff member with eleven children from approximately 9:15 a.m. to approximately 10:30 a.m., leaving the classroom out of ratio.”

Rule 8VAC20-780-350-B-4.

Based on record review, the center did not obtain a copy of the results of a criminal history record check for a staff member from any state in which the individual has resided in the preceding five years.

“Evidence: 1. Staff #2 (start date: 05/12/2021) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained. 2. Staff #4 (start date: 08/26/2020) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained.”

Rule 22.1-289.035-B-4.

Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: Staff #4?s most recent tuberculosis screening on file was dated 03/16/2020.”

Rule 8VAC20-780-160-C.

Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.

“Evidence: 1. There were two spots of chipped purple paint located near the window in the ?Penguins? classroom. 2. There were five spots of chipped pink paint located on the half wall in the ?Lambs? classroom. 3. There was a broken piece of the vinyl gate with sharp edges, located towards the bottom of the gate door on the playground.”

Rule 8VAC20-780-270-A.

Based on observation, there was not 30 inches of space between service sides of occupied cribs and other furniture.

“Evidence: 1. At the time of inspection, a crib occupied by Child #5 and a crib occupied by Child #6 were approximately 4 inches apart. 2. At the time of inspection, a crib occupied by Child #6 and a crib occupied by Child #7 were approximately 2 inches apart. 3. At the time of inspection, a crib occupied by Child #3 and a crib occupied by Child #8 were approximately 1 inch apart.”

Rule 8VAC20-780-440-E.

Based on observation, bottles were used while the child was in their designated sleeping location.

“Evidence: 1. During the inspection, Child #2 was observed drinking a bottle while in their crib. 2. During the inspection, Child #8 was observed drinking a bottle while in their crib.”

Rule 8VAC20-780-570-B.

Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy.

“Evidence: 1. Child #1?s record indicates an allergy to dairy. There was no allergy care plan on file. 2. Child #4?s record indicates an allergy to eggs. There was no allergy care plan on file.”

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