Great Bridge Children's Center

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. There was no tuberculosis screening documentation in the record for staff #5.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all the required documentation. The record for staff #5 did not contain proof of identification and two required references.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. There was less than 2" of resilient surfacing in the fall zones of the playground equipment.”

8VAC20-780-350-I

“For children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, the following rest period ratios are permitted children two years of age: one staff per 16 children. Staff #4 was observed supervising 23 children (youngest child two years old) from approximately 1:50-2:00pm.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. At approximately 1:50 pm there were 12 two year old and 11 three year old children napping in three separate adjacent classrooms. There was one staff member supervising all three classrooms. One staff member left for a van at 1:45 pm and the other staff member went on break at 1:00pm and did not return until 2:00 pm.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. There were three infants sleeping in infant seats. Blankets were hung over the side of the cribs or in the cribs with sleeping infants.”

8VAC20-780-350-K

“In addition to the staff required by rest period ratios, an additional staff member shall always be available on-site to offer immediate assistance. The staff required by rest period ratios shall be able to summon the additional staff member without leaving the room or area of the sleeping or resting children. There was no staff immediately available to assist during the rest period.”

8VAC20-780-40-E Complaint related: No

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center did not follow it's on policies on walking trips. The center's policy states that two staff must be on any walking trips with one staff person at the front of the group and one in the back of the group.”

8VAC20-780-340-F Complaint related: No

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 08/08/2025 staff #5 took six 3 year old children on a walk outside of the center. Staff #5 was positioned in front of the children who were walking behind her. Children were not in sight supervision during this walk due to the only staff present being in front of the children.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. There was no updated documentation of immunizations in the record for Child #3(under two years of age).”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There was a screw protruding from a board at the base of the chain link fence along the perimeter of the playground. There was peeling paint in the two toddler and the four year old class rooms. The molding around the bathroom door frame in the four year old room was rotted.”

8VAC20-780-40-E Complaint related: No

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center did not follow it's on policies on walking trips. The center's policy states that two staff must be on any walking trips with one staff person at the front of the group and one in the back of the group.”

8VAC20-780-340-F Complaint related: No

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 08/08/2025 staff #5 took six 3 year old children on a walk outside of the center. Staff #5 was positioned in front of the children who were walking behind her. Children were not in sight supervision during this walk due to the only staff present being in front of the children.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. There was no updated documentation of immunizations in the record for Child #3(under two years of age).”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There was a screw protruding from a board at the base of the chain link fence along the perimeter of the playground. There was peeling paint in the two toddler and the four year old class rooms. The molding around the bathroom door frame in the four year old room was rotted.”

8VAC20-780-400-C Complaint related: Yes

“When time out is used as a behavior guidance technique it should be used sparingly and shall not exceed one minute for each year of the child's age. Video footage dated 2/14/2025 of the three-year-old classroom was viewed by inspector and Program Director on 2/18/25. Video footage from 2/14/25 confirmed that staff #1 did not use time out sparingly and only one minute for each year of the child’s age. Child #1 a three-year-old was in time out for approximately 25 minutes. At several points during the period of observation there were 5-6 three-year-old children out of the 10 in this classroom in time out at the same time.”

8VAC20-780-400-B Complaint related: No

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. For several minutes 2 children were playing with the trash can and the back door while 2 other children were pushing each other. Staff #2 did not acknowledge or redirect their behaviors. Staff #1 did not use constructive, or stage appropriate behavioral guidance intended to redirect children to appropriate behavior and resolve conflict when she placed three-year-old children in time-out because they did not dance during an activity. Staff #1 sternly said the following to the children that were put in time-out: "Go ahead and test me? and "Not dancing because you don't like the music is silly." Staff used directives in a harsh tone instead of redirecting children to appropriate behavior. Staff #1 used her hand on a child’s head and sternly said, "Move? and "No, don't start" to child sitting against the wall. Staff #2 said "We're not going to have fun, you understand?" and "go sit down all of you" Staff #3 told four-year-old children "don't shout, come here, you yell again and you're out of here”

8VAC20-780-340-F Complaint related: No

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the video footage from 2/14/25 viewed by the inspector and director on 2/18/25, ten three-year-old children were unsupervised on two separate occasions for approximately 2 mins each occasion as staff #1 left the room.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. There was less than 2" of resilient surfacing in the fall zones of the playground equipment.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 10 days after their first day of employment. Staff #3 is currently working and has a TB screening that was dated 11 days after their first day of employment. Staff #4 is currently working and has a TB screening that was dated 2 days after their first day of employment. Staff #5 is currently working and has a TB screening that was dated 14 days after their first day of employment.”

8VAC20-780-400-C Complaint related: Yes

“When time out is used as a behavior guidance technique it should be used sparingly and shall not exceed one minute for each year of the child's age. Video footage dated 2/14/2025 of the three-year-old classroom was viewed by inspector and Program Director on 2/18/25. Video footage from 2/14/25 confirmed that staff #1 did not use time out sparingly and only one minute for each year of the child’s age. Child #1 a three-year-old was in time out for approximately 25 minutes. At several points during the period of observation there were 5-6 three-year-old children out of the 10 in this classroom in time out at the same time.”

8VAC20-780-400-B Complaint related: No

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. For several minutes 2 children were playing with the trash can and the back door while 2 other children were pushing each other. Staff #2 did not acknowledge or redirect their behaviors. Staff #1 did not use constructive, or stage appropriate behavioral guidance intended to redirect children to appropriate behavior and resolve conflict when she placed three-year-old children in time-out because they did not dance during an activity. Staff #1 sternly said the following to the children that were put in time-out: "Go ahead and test me? and "Not dancing because you don't like the music is silly." Staff used directives in a harsh tone instead of redirecting children to appropriate behavior. Staff #1 used her hand on a child’s head and sternly said, "Move? and "No, don't start" to child sitting against the wall. Staff #2 said "We're not going to have fun, you understand?" and "go sit down all of you" Staff #3 told four-year-old children "don't shout, come here, you yell again and you're out of here”

8VAC20-780-340-F Complaint related: No

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the video footage from 2/14/25 viewed by the inspector and director on 2/18/25, ten three-year-old children were unsupervised on two separate occasions for approximately 2 mins each occasion as staff #1 left the room.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. There was less than 2" of resilient surfacing in the fall zones of the playground equipment.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 10 days after their first day of employment. Staff #3 is currently working and has a TB screening that was dated 11 days after their first day of employment. Staff #4 is currently working and has a TB screening that was dated 2 days after their first day of employment. Staff #5 is currently working and has a TB screening that was dated 14 days after their first day of employment.”

8VAC20-780-330-B

“Repeat Violation Based on measurement and interview it was determined the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was less than 1 inch of resilient surfacing in the fall zones of the fixed outdoor play equipment, therefore not providing adequate impact attenuation and posing injury risks. 2. Staff confirmed that the resilient surfacing was not in the fall zones of fixed outdoor play equipment.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement practice evacuation drills every month. Evidence: 1. There was no evacuation drill for January 2024. 2. The director confirmed there was no evacuation drill practiced in January 2024.”

8VAC20-780-330-B

“Repeat Violation Based on measurement and interview it was determined the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was less than 1 inch of resilient surfacing in the fall zones of the fixed outdoor play equipment, therefore not providing adequate impact attenuation and posing injury risks. 2. Staff confirmed that the resilient surfacing was not in the fall zones of fixed outdoor play equipment.”

8VAC20-780-330-B

“Repeat Violation Based on measurement and interview it was determined the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was less than 1 inch of resilient surfacing in the fall zones of the fixed outdoor play equipment, therefore not providing adequate impact attenuation and posing injury risks. 2. Staff confirmed that the resilient surfacing was not in the fall zones of fixed outdoor play equipment.”

8VAC20-780-330-B

“Based on observation and interview the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: On the outdoor playground there was not the required 6" of resilient surfacing in the fall zones of the 4 swings and 2 Little Tikes Slides.”