Eagle Nest Center

8VAC20-780-550-F

“Based on interview and record review, the licensee did not ensure a lockdown drill was completed at least annually. Evidence: There was not documentation of a lockdown drill completed in 2023.”

8VAC20-790-600-F

“Based on record review, the vendor did not ensure health and safety update course was completed annually. Evidence: Staff #5 did not have documentation of completion of 2023 health and safety updated course.”

8VAC20-780-550-F

“Based on interview and record review, the licensee did not ensure a lockdown drill was completed at least annually. Evidence: There was not documentation of a lockdown drill completed in 2023.”

8VAC20-790-600-F

“Based on record review, the vendor did not ensure health and safety update course was completed annually. Evidence: Staff #5 did not have documentation of completion of 2023 health and safety updated course.”

8VAC20-780-270-A

“Based on observation , the licensee did not ensure the equipment outside was clean, safe and operabelcondition. Evidence: a steering wheel on the equipment outside was broken and had sharp edges.”

8VAC20-780-160-A

“REPEAT Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff #3 hire date 09/14/2022 the TB results were 09/20/2022. Which the date of results were recieved was after the date of employment.”

8VAC20-780-160-C

“Based on record review, the licensee did not ensure at least every two years a tuburculosis screening should be completed and obtain results. Evidence: Staff #1 most recent TB test provided during the inspection was 07/29/2021.”

22.1-289.035-A

“Based on record review and staff interview, the licensee did not ensure all applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check every five years thereafter the initial background check. Evidence: Staff #1 most recent fingerprint check was in Feburary 2018 which is more than 5 years old. Staff #5(applicant) fingerprint and central registry were more than 5 years old confirmed by staff.”

8VAC20-780-80-A

“Based on record review, the licensee did not ensure the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: In the school age room, the children were not marked when they departed to school in the AM and when they arrived in the PM. Confirmed with staff.”

8VAC20-780-270-A

“Based on observation , the licensee did not ensure the equipment outside was clean, safe and operabelcondition. Evidence: a steering wheel on the equipment outside was broken and had sharp edges.”

8VAC20-780-160-A

“REPEAT Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff #3 hire date 09/14/2022 the TB results were 09/20/2022. Which the date of results were recieved was after the date of employment.”

8VAC20-780-160-C

“Based on record review, the licensee did not ensure at least every two years a tuburculosis screening should be completed and obtain results. Evidence: Staff #1 most recent TB test provided during the inspection was 07/29/2021.”

22.1-289.035-A

“Based on record review and staff interview, the licensee did not ensure all applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check every five years thereafter the initial background check. Evidence: Staff #1 most recent fingerprint check was in Feburary 2018 which is more than 5 years old. Staff #5(applicant) fingerprint and central registry were more than 5 years old confirmed by staff.”

8VAC20-780-80-A

“Based on record review, the licensee did not ensure the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: In the school age room, the children were not marked when they departed to school in the AM and when they arrived in the PM. Confirmed with staff.”

8VAC20-780-350-B-1

“Based on staff interview and observation, the center did not maintain required staff to child ratios, 1 staff for every 5 children, as an extension of a temporary staff-to-child ratio variance granted by the Office of Child Care Health and Safety on June 27, 2023. Evidence: During the inspection conducted on August 30, 2023, in the infant room, Staff #1 was observed alone with 12 children from approximately 1:55pm until 2:20pm. The staff-to-child ratio for children birth to 16 months is 1:4 but the center had an approved variance for 1:5.”

8VAC20-780-340-A

“Based on review of video footage and interview with staff, the licensee did not ensure care, protection and guidance. Evidence: The center's video footage in the infant classroom on 08/15/2023, there were four children sitting in bucket seats at the feeding/activity table. Staff #1 pushed the table while children were sitting in the seats and the leg collapsed on the opposite side. Staff #1 confirmed she was trying to slide the table. Injury report and staff interview stated Child #1 had a foot fracture.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure a health inspection is conducted annually. Evidence: The most recent health inspection was September 22, 2021, which is more than a year old.”

8VAC20-780-160-A

“Based on staff interview and record review, the licensee did not ensure a negative tuberculosis screening results were submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1 employment date 04/03/2023 the negative tuberculosis screening was 04/05/2023.”

22.1-289.035-B-4

“Based on staff interview and record review, the licensee did not ensure obtain a copy of the results of a a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Staff #3 hire date 11/30/2022 lived in Florida in the past five years the center was unable to provide documentation that the out of State Child Abuse and Neglect Search Request results.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure a health inspection is conducted annually. Evidence: The most recent health inspection was September 22, 2021, which is more than a year old.”

8VAC20-780-160-A

“Based on staff interview and record review, the licensee did not ensure a negative tuberculosis screening results were submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1 employment date 04/03/2023 the negative tuberculosis screening was 04/05/2023.”

22.1-289.035-B-4

“Based on staff interview and record review, the licensee did not ensure obtain a copy of the results of a a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Staff #3 hire date 11/30/2022 lived in Florida in the past five years the center was unable to provide documentation that the out of State Child Abuse and Neglect Search Request results.”

8VAC20-780-40-M

“Based on record review and staff interview, the licensee did not ensure the allergy list was dated. Evidence: During the inspection the allergy list posted confidential in the infant room with out a date.”

8VAC20-780-160-A

“Based on record review, the licensee did not ensure staff had tuberculosis screening test within 30days prior to employment. Evidence: Staff #2 (employment date 09/14/2022) did not have tuberculosis screen 30days prior to employment. Tuberculosis test for staff #2 was completed 09/20/2022.”

8VAC20-780-260-B

“Based on record review and staf finterview, the licensee did not ensure a health inspection was conducted annually. Evidence: The most recent Health inspection was 06/24/2021. Staff #1 did state and provided document the center contacted Health department for inspection in June. Center owner was able to schedule inspection while inspector was present.”

8VAC20-790-600-D-2

“Based on record review and staff interview, the licensee did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: During the inspection Staff #3 (employment date 06/13/2022) did not have a current certification in First Aid with in 90 days from employment.”

8VAC20-790-600-D-1

“Based on record review and staff interview, the licensee did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary reuscitiation appropriate to the ages of children in care. Evidence: During the inspection Staff #3 (employment date 06/13/2022) did not have a current certification in CPR with in 90 days from employment.”

8VAC20-780-40-M

“Based on record review and staff interview, the licensee did not ensure the allergy list was dated. Evidence: During the inspection the allergy list posted confidential in the infant room with out a date.”

8VAC20-780-160-A

“Based on record review, the licensee did not ensure staff had tuberculosis screening test within 30days prior to employment. Evidence: Staff #2 (employment date 09/14/2022) did not have tuberculosis screen 30days prior to employment. Tuberculosis test for staff #2 was completed 09/20/2022.”

8VAC20-780-260-B

“Based on record review and staf finterview, the licensee did not ensure a health inspection was conducted annually. Evidence: The most recent Health inspection was 06/24/2021. Staff #1 did state and provided document the center contacted Health department for inspection in June. Center owner was able to schedule inspection while inspector was present.”

8VAC20-790-600-D-2

“Based on record review and staff interview, the licensee did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: During the inspection Staff #3 (employment date 06/13/2022) did not have a current certification in First Aid with in 90 days from employment.”

8VAC20-790-600-D-1

“Based on record review and staff interview, the licensee did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary reuscitiation appropriate to the ages of children in care. Evidence: During the inspection Staff #3 (employment date 06/13/2022) did not have a current certification in CPR with in 90 days from employment.”