Children's Nest Learning Center - Hollins

8VAC20-780-70 Complaint related: No

“The following staff records shall be kept for each staff person: documentation to demonstrate orientation. Staff #2, employed for 2 weeks, did not have documentation of orientation.”

22.1-289.035-B-3 Complaint related: No

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, employed for two weeks, did not have a central registry search requested.”

22.1-289.035-B-1 Complaint related: No

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #2, who is currently working, was not completed.”

8VAC20-780-70 Complaint related: No

“The following staff records shall be kept for each staff person: documentation to demonstrate orientation. Staff #2, employed for 2 weeks, did not have documentation of orientation.”

22.1-289.035-B-3 Complaint related: No

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, employed for two weeks, did not have a central registry search requested.”

22.1-289.035-B-1 Complaint related: No

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #2, who is currently working, was not completed.”

8VAC20-780-580-M Complaint related: Yes

“If a blanket permission is used instead of a separate written permission, the parent shall be notified of the field trip; and given the opportunity to withdraw their children from the field trip. There was a blanket permission slip in children’s record but parents were not notified of the fieldtrip or given the opportunity to withdraw.”

8VAC20-780-580-I Complaint related: Yes

“Before leaving on a fieldtrip, a schedule of the trip’s events and location shall be posted and visible at the center site. Administration at the center stated there was no information posted about the trip’s event or location at the center.”

8VAC20-780-350-B-1 Complaint related: Yes

“The required ratio for children birth to 16 month is one staff per four children. On 4/22/2025, one staff member was observed supervising eight children (youngest child 12 months old) for approximately 6 minutes.”

8VAC20-780-350-C Complaint related: Yes

“When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group. On 4/22/2025 during morning drop off, Staff 1 was observed supervising up to 19 children, ages 18 months to two and a half years old. The required staff ratio for this group of children was 1:5 and maximum group size was 15. Four staff would be required.”

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

“Behavioral guidance shall be constructive in nature and age and stage appropriate. Staff #1 did not use appropriate behavior guidance to redirect Child #1 (age 4). Staff #1 used harsh tones and pushed the left arm of the child to move the child away from the area.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, child 1, 3 years old, was observed leaving class 1 unsupervised, walking approximately 10 feet down the hall, and entering restroom 1. Child 1 was not within sight and sound supervision of staff.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, child 1, 3 years old, was observed leaving class 1 unsupervised, walking approximately 10 feet down the hall, and entering restroom 1. Child 1 was not within sight and sound supervision of staff.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: An aerosol can of Lysol disinfectant, Clorox wipes, and a bottle labeled ?bleach/water? were in an unlocked cabinet in the 2-year-old room.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 3 documented a hire date of 03/26/2024. The record for Staff 3 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 10 confirmed this information was not available.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: An aerosol can of Lysol disinfectant, Clorox wipes, and a bottle labeled ?bleach/water? were in an unlocked cabinet in the 2-year-old room.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 3 documented a hire date of 03/26/2024. The record for Staff 3 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 10 confirmed this information was not available.”

8VAC20-780-160-A Complaint related: No

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1 had a hire date of 07/31/2023. The tuberculosis screening was 08/10/2023. Staff 1 was observed providing care to children. 2. Staff 2 had a hire date of 07/31/2023. The tuberculosis screening was 08/22/2023. Staff 2 was observed providing care to children.”

8VAC20-780-210-A-4 Complaint related: Yes

“Based on record review, interviews with staff, and observation, the center failed to ensure program leaders meet the program leader qualifications. Evidence: Staff 1 was promoted to the role of program leader in the 2-year-old room on 8/10/2023. Staff 3 confirmed staff 1 was the program leader. The record for Staff 1 did not have documentation to show the staff persons, experience or training to meet the requirement of the role of program leader.”

8VAC20-780-240-B Complaint related: Yes

“Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 1 had a hire date of 7/31/2023. There was no documentation to verify that Staff 1 had completed orientation training in the required timeframe. Staff 3 verified that Staff 1 had not completed orientation. Staff 1 was observed providing care to children. 2. Staff 2 had a hire date of 7/31/2023. There was no documentation to verify that Staff 2 had completed orientation training in the required timeframe. Staff 3 verified that Staff 2 had not completed orientation. Staff 2 was observed providing care to children.”

8VAC20-780-560-F Complaint related: Yes

“Based on interviews with staff and document review, the center failed to ensure that when a center chooses to provide meals or snacks, the center shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United Stated Department of Agriculture. Evidence: All of the required components for snack were not provided on 8/16/2023. Snack requires 2 of the following 5 components: fluid milk, meat/meat alternate, vegetables, fruits, and grains. Staff 1 confirmed, and the menu indicated that on 8/16/2023 the children were served a ?snack cake and juice?. Staff 1 confirmed the ?snack cake? was a ?Twinkie?. A Twinkie does not meet one of the components.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children in the Toddler (2) room were observed eating morning snack without washing their hands or using a disposable wipe before eating. Staff 6 confirmed the children did not wash hands or use a disposable wipe.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children in the Toddler (2) room were observed eating morning snack without washing their hands or using a disposable wipe before eating. Staff 6 confirmed the children did not wash hands or use a disposable wipe.”

22.1-289.036-A

“Based on record review, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry on record for Agent 1 was dated 07/25/2017. There was not a repeat search of the central registry obtained in 2022.”

22.1-289.036-A

“Based on record review, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry on record for Agent 1 was dated 07/25/2017. There was not a repeat search of the central registry obtained in 2022.”

8VAC20-780-140-A Complaint related: No

“Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for Child 3 documented the child’s first date of attendance was 11/04/2020. No physical was available for review during the inspection.”

8VAC20-780-470-E

“Based on observation and discussion with staff, the center failed to ensure children who are not toilet trained may not use portable wading pools. Evidence: During the inspection, children were observed using three (3) wading pools. Staff 6 confirmed one child in care was not toilet trained and wearing a ?swimming diaper.?”

8VAC20-780-60-A-8

“Based on record review and discussion with staff, the center failed to ensure a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The child record review and medication review for Child 3 indicated a diagnosed food allergy. No allergy care plan was available for review during the inspection.”

8VAC20-780-540-E

“Based on observation and discussion with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: During the inspection, a working battery-operated radio was not available.”

8VAC20-780-470-E

“Based on observation and discussion with staff, the center failed to ensure children who are not toilet trained may not use portable wading pools. Evidence: During the inspection, children were observed using three (3) wading pools. Staff 6 confirmed one child in care was not toilet trained and wearing a ?swimming diaper.?”

8VAC20-780-60-A-8

“Based on record review and discussion with staff, the center failed to ensure a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The child record review and medication review for Child 3 indicated a diagnosed food allergy. No allergy care plan was available for review during the inspection.”

8VAC20-780-540-E

“Based on observation and discussion with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: During the inspection, a working battery-operated radio was not available.”

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

“Based on observation and discussion with staff, the center failed to ensure pillows and filled comforters shall not be used by children under two years of age. Evidence: An infant was observed in a crib with a pillow.”