Great Bridge Child Care Ltd.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Staff records shall contain all required elements. The record for staff 1 lacked written documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. There were 2 staff with a total of 12 children in a classroom with a mixed age group of toddler and two-year old children. 3 staff were needed as the youngest child in the group was 21 months. The ratio for toddlers is 1:5.”

Rule 8VAC20-780-350-C.

8VAC20-780-70

“Staff records shall contain all required elements. There was not sufficient documentation in the record of staff 1 to demonstrate how she met program leader qualifications. Staff 1 was observed functioning as a program leader during the inspection.”

Rule 8VAC20-780-70.

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with disposable towels or an air dryer within reach of children. The sink used for handwashing in the school age classroom lacked disposable towels or an air dryer within reach of children for approximately 2 days during the early part of August 2025.”

Rule 8VAC20-780-320-B. From a complaint.

8VAC20-780-270-A

“Outside areas shall be maintained in a safe condition. Two exposed nails were observed protruding from the bottom of the wooden fence structure surrounding the HVAC unit on the toddler playground. A cable type cord was observed on the sidewalk near the walk way used for entrance/exit to the outdoor play area.”

Rule 8VAC20-780-270-A.

8VAC20-780-560-G

“When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identifies the owner. 12 water bottle lacked any type of name label and 5 lunch containers were not dated or labeled in a way to identify the owner.”

Rule 8VAC20-780-560-G.

All applicants for employment and employees shall undergo a background check every five years.

“The central registry check and criminal record check for staff 1 was conducted more than five years ago.”

Rule 22.1-289.035-A.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Such sharing of information shall be documented.

“4 of 5 children’s records reviewed lacked documentation of annual review by the parent.”

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

Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment.

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that When food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner.

“Evidence: 1. 9 of 18 lunch containers reviewed lacked a name and date label. 2. 4 of 18 lunch containers reviewed were not dated. 3. 8 water bottles reviewed lacked a name label.”

Rule 8VAC20-780-560-G.

Based on record review and interview, the center failed to maintain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: 1. Staff 1, hire date 06/17/2024, lacked written documentation of two reference checks. 2. Administrative staff stated that both reference checks had been conducted but not documented in the employment record.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

“Evidence: 1. Areas of peeling paint was observed on two of the outside exit doors from the facility to children’s playground. a. The peeling paint was on the door frames in areas accessible to children. 2. Three door mats located at the front door, under the water fountain and at one playground exit door has areas of fray that create a trip hazard.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that the diapering area shall have a nonabsorbent surface for diapering or changing of children.

“Evidence: 1. The diaper changing pad, in the toddler classroom, has two rips measuring approximately two inches in length. a. These tears result in the pad no longer being nonabsorbent.”

Rule 8VAC20-780-500-B.

Based on medication review, the center failed to ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Evidence: 1. The written authorization for one over-the-counter medication expired 09/26/2022. a. This medication was in the facility locked medication box. b. The program director confirmed that an updated authorization had not been obtained because the medication was not being administered.”

Rule 8VAC20-780-510-P.

Based on record review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. Attendance had not been taken for the toddler II class when the attendance record was reviewed at 10:00 am. a. six toddlers were in care at this time and the teacher for this class confirmed she had not taken attendance yet.”

Rule 8VAC20-780-80-A.