Great Bridge Children's Center

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.

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8VAC20-780-40-E · 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.

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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).

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8VAC20-780-340-F · 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.

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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.

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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.

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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.

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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.

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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.

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8VAC20-780-130-E · Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. The record for child #1 did not contain documentation of additional immunizations every six months until the age of two. The documentation in the record was dated 8/28/18 when the child was 1 year and 3 months old. 2. The record for child #3 did not contain documentation of additional immunizations every six months until the age of two. The documentation in the record was dated 3/27/19 when the child was 2 months old.

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8VAC20-780-270-A · Based on observation and interview it was determined the center did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence: 1. There was peeling paint in areas used for childcare throughout the building. 2. Staff #4 confirmed that they were aware of the peeling paint and it is on the maintenance list.

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22VAC40-185-130-B · Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. The record for child #2(under two years of age) did not contain documentation of updated immunizations. The last immunization documentation was dated 2/19/20. 2. The director confirmed that this documentation was not available during this inspection.

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