Old Bridge KinderCare Learning Center # 301107

A tuberculosis (TB) screening is required every two years from the last screening.

“The repeat TB screening for Staff A was due six months ago and had not yet been completed.”

Rule 8VAC20-780-160-C.

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

Rule 8VAC20-780-340-A.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by these standards.

“The center’s policy regarding unacceptable child guidance states, certain discipline methods are simply not acceptable, including: Isolation or separation as punishment, including “time-outs.” On the afternoon of 03/17/2026 in the Pre-School Classroom, Staff A placed Child A (age 6 years) alone in a closet as a means of behavioral guidance.”

Rule 8VAC20-780-40-E.

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.

When timeout is used as a behavior guidance technique the child shall be in a safe, lighted, well-ventilated place, and within actual sight and sound of a staff member; and the child shall not be left alone inside or outside the center.

“On the afternoon of 03/17/2026 in the Pre-School Classroom, Staff A placed Child A (age 6 years) alone in a closet as a means of behavioral guidance. The closet door was closed and the light was turned off.”

Rule 8VAC20-780-400-C.

It is a forbidden action to put a child in an enclosure in a small confined space or any space that the child cannot freely exit themselves.

“Staff A placed Child A (age 6 years) in a closet in the Pre-School Classroom for approximately one to three minutes as punishment.”

Rule 8VAC20-780-410-2.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe condition.

“There is peeling paint on the window sill in the two year old classroom.”

Rule 8VAC20-780-270-A.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The medication for child A has been expired for ten months.”

Rule 8VAC20-780-510-E.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Two medications for Child A were onsite, but the medication authorizations had expired over six months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

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

“Staff reported that the toddler classroom regularly goes over ratio between the hours of 8:00 a.m. - 9:00 a.m.”

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

The required ratio for children age 2 years is one staff per eight children.

“Staff reported that the two year old classroom was regularly over ratio between the hours of 8:00 a.m. - 9:00 a.m. during the month of February 2025.”

Rule 8VAC20-780-350-B-3. From a complaint.

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. It was reported through interviews that on 09/25/2024, Staff A lifted Child A (age 4) off the ground by one arm and carried them across the room and roughly placed them onto the ground.”

Rule 8VAC20-780-410-1.

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. 1. It was reported that on 09/16/2024 staff A struck child A on the back of the head to prevent the child from continuing to climb on the sink. 2. It was reported that on 09/16/2024 staff A requested that staff B spank child A to prevent them from climbing on the sink.”

Rule 8VAC20-780-400-B.

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. It was reported through interviews that on 09/16/24, Staff A struck Child A (age 3 years) on the back of the head.”

Rule 8VAC20-780-410-1.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Several cleaning agents were observed in an unlocked closet located in the preschool classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointment or cream was inaccessible to children. Evidence: In the toddler classroom, there were several diaper creams in a low unlocked cabinet below the changing table accessible to children.”

Rule 8VAC20-780-520-C.

8VAC20-780-60-A-8

“Based on review of ten children’s records and interviews it was determined that not all children with diagnosed food allergies had documentation of a written care plan on file as required. Evidence: The current allergy list provided disclosed Child A was listed with a food allergy. Staff stated the parents had not provided a written care plan for Child A’s documented allergy.”

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

8VAC20-780-340-F

“Based on interviews it was determined that children under 10 years of age did not always remain in sight and sound supervision of staff. Evidence: On 09/13/2023 two staff were outdoors on the playground with three children. At approximately 5:58 pm the toddler classroom was lining up to come inside from the playground. Child A (Age 20 months) was left outside on the playground. Approximately three minutes later staff heard the child crying on the playground and retrieved the child.”

Rule 8VAC20-780-340-F.

8VAC20-780-80-A

“Based on interviews and review of attendance records it was determined that the arrival and departure of children in each group was not documented as it occurred. Evidence: There were 23 children observed in the three’s/four’s age classroom however, 20 children were documented on the attendance record. It took approximately seven minutes to determine who the three children were that needed to be added to the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-780-140-A

“Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #3 (date of first attendance: 3/1/2023) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-450-A

“Based on observation, the facility failed to ensure that all cots used by children during the designated rest period have linens consisting of a top cover and a bottom cover. Evidence: approximately 9/16 children in the preK classroom were resting/napping on cots that did not have a bottom cover.”

Rule 8VAC20-780-450-A.

8VAC20-780-440-L

“Based on multiple interviews, the facility failed to ensure that pillows shall not be used by children under two years of age. Evidence: interviews revealed that staff sometimes placed infant #1 (DOB: 10/24/2022) in the crib on a boppy pillow so that the infant would remain asleep.”

Rule 8VAC20-780-440-L. From a complaint.

8VAC20-780-130-A

“Based on review of five child records, the facility did not obtain documentation that each child has received immunizations prior to the child’s first attendance. Evidence: the record for child #3 (date of first attendance: 1/2/2022) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #3 (date of first attendance: 1/2/2022) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on review of five staff records, the facility did not obtain documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children. Evidence: the record for staff #3 (date of hire: 5/16/2022) did not have documentation of a TB test/screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on review of five staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #5 had a TB test/screening dated 9/6/2020.”

Rule 8VAC20-780-160-C.

22.1-289.058

“Based on observation and an interview with staff, the facility is not equipped with at least one carbon monoxide detector as required. Evidence: per staff, there was no carbon monoxide detector in the facility.”

Rule 22.1-289.058.

8VAC20-780-130-A

“Based on a review of four children’s records, the center did not obtain documentation that each child has received immunizations prior to the child’s first attendance. Evidence: the record for child #1 (date of first attendance: 8/23/21) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on a review of four children’s records, the center did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 8/23/21) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.