Old Bridge KinderCare Learning Center # 301107

8VAC20-780-350-B-2 Complaint related: Yes

“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.”

8VAC20-780-350-B-3 Complaint related: Yes

“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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

8VAC20-780-440-L Complaint related: No

“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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”