Nanda Learning Center

8VAC20-790-600-D-1

“Based on interview and a review of staff files, it was determined that staff A and B did not have CPR certification to include in-person competency demonstration within 90 days from their date of employment. Staff A was hired on 10/31/23 and staff B was hired on 9/24/18.”

8VAC20-780-490-E

“Based on observation, it was determined that a surface was contaminated with body fluids and it was not cleaned or sanitized. Evidence: The Licensing Inspector observed a two year old child being diapered while standing up. The teacher cleaned the two year old with wipes and then proceeded to place the soiled diaper and wipes on the floor in the bathroom. The teacher failed to clean or sanitize the bathroom floor.”

8VAC20-780-500-B

“Based on observation, it was determined that a two year old child was diapered while standing up and the staff failed to use a nonabsorbent surface for diapering children younger than 3 years of age.”

8VAC20-780-240-C

“Based on a review of staff files and interview, it was determined that orientation training did not cover all of the required areas for all staff. Evidence: Staff A was hired on 2/12/24, staff B was hired on 8/21/23 and staff C was hired on 9/25/23 and they were all missing the following orientation training components: * Confidential treatment of information about the child and their families; * Emergency preparedness to include human- caused events such as violence at a child care facility; * Prevention of abusive head trauma , coping with crying babies or distraught children; * Prevention and response to emergencies due to food and other allergic reactions.”

8VAC20-780-510-L

“Based on observation, it was determined that medication for child B was not kept locked. The emergency medication for child B was stored unlocked in a book bag in a cabinet in classroom Preschool 1.”

8VAC20-780-510-E

“Based on interview and a review of recordkeeping it was determined that the center failed to obtained authorization for administering medication. Evidence: There was no medication authorization for an emergency medication for child C. The authorization provided by the center was illegible.”

8VAC20-780-260-A

“Based on a review of recordkeeping, it was determined that the center had not obtained an annual fire inspection report as the last inspection report was dated 3/14/22”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: There were unlocked hazardous substances in the cabinet in the two year old room and the toddler room. The hazardous substances were labeled with cautions and warnings.”

8VAC20-780-550-F

“Based on interview, it was determined that there was no lockdown procedures practiced at least annually. Evidence: There was no lockdown drill practiced for 2023.”

8VAC20-780-270-A

“Based on observation, it was determined that the areas and equipment were not maintained in a clean, safe and operable condition. Evidence: 1. Throughout the Pre-K playground the poured-in-place resilent surfacing was in disrepair with the top layer worn away. 2. On the two year old playground, there were bolts on the fence gate and fence which were more than 2 threads, these protrusions present a laceration hazard. 3. On the two year old playground, there was a head entrapment hazard between the fence posts and chain link fence. 4.The electrical closet was unlocked and contained accessible wires.”

8VAC20-780-550-P

“Repeat Violation: Based on a review of injury/accident reports and interview, it was determined that the center 's form does not contain and area to document ways to prevent recurrence of injuries/accidents.”

8VAC20-780-330-B

“Based on observation and measurements, it was determined that the play equipment did not maintain adequate use zones nor was the resilient surfacing maintained. Evidence: 1. On the two year old playground the poured-in-place resilient surfacing contained divots, therefore was no longer an acceptable resilient surface. the three portable climbing/slide structures were on bare grass or located over the concrete, non of which are acceptable resilient surfaces. 2. There were divots at the end of the poured in place surfacing on the PreK playground in front of the slide.”

8VAC20-780-40-M

“Based on a review of children's files and interview, it was determined that child A has a diagnosed allergy to formula, however that allergy was not posted on the allergy,sensitivity, dietary restrictions list.”

8VAC20-780-70

“Based on a review of staff records, it was determined that staff A ( hired 2/12/24) and staff B ( hired 8/21/23) did not have references on file at the time of hire.”

8VAC20-780-290-A-3

“Based on observation, it was determined that an outlet was uncovered near the diapering area in the Infant room.”

8VAC20-790-600-D-1

“Based on interview and a review of staff files, it was determined that staff A and B did not have CPR certification to include in-person competency demonstration within 90 days from their date of employment. Staff A was hired on 10/31/23 and staff B was hired on 9/24/18.”

8VAC20-780-490-E

“Based on observation, it was determined that a surface was contaminated with body fluids and it was not cleaned or sanitized. Evidence: The Licensing Inspector observed a two year old child being diapered while standing up. The teacher cleaned the two year old with wipes and then proceeded to place the soiled diaper and wipes on the floor in the bathroom. The teacher failed to clean or sanitize the bathroom floor.”

8VAC20-780-500-B

“Based on observation, it was determined that a two year old child was diapered while standing up and the staff failed to use a nonabsorbent surface for diapering children younger than 3 years of age.”

8VAC20-780-240-C

“Based on a review of staff files and interview, it was determined that orientation training did not cover all of the required areas for all staff. Evidence: Staff A was hired on 2/12/24, staff B was hired on 8/21/23 and staff C was hired on 9/25/23 and they were all missing the following orientation training components: * Confidential treatment of information about the child and their families; * Emergency preparedness to include human- caused events such as violence at a child care facility; * Prevention of abusive head trauma , coping with crying babies or distraught children; * Prevention and response to emergencies due to food and other allergic reactions.”

8VAC20-780-510-L

“Based on observation, it was determined that medication for child B was not kept locked. The emergency medication for child B was stored unlocked in a book bag in a cabinet in classroom Preschool 1.”

8VAC20-780-510-E

“Based on interview and a review of recordkeeping it was determined that the center failed to obtained authorization for administering medication. Evidence: There was no medication authorization for an emergency medication for child C. The authorization provided by the center was illegible.”

8VAC20-780-260-A

“Based on a review of recordkeeping, it was determined that the center had not obtained an annual fire inspection report as the last inspection report was dated 3/14/22”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: There were unlocked hazardous substances in the cabinet in the two year old room and the toddler room. The hazardous substances were labeled with cautions and warnings.”

8VAC20-780-550-F

“Based on interview, it was determined that there was no lockdown procedures practiced at least annually. Evidence: There was no lockdown drill practiced for 2023.”

8VAC20-780-270-A

“Based on observation, it was determined that the areas and equipment were not maintained in a clean, safe and operable condition. Evidence: 1. Throughout the Pre-K playground the poured-in-place resilent surfacing was in disrepair with the top layer worn away. 2. On the two year old playground, there were bolts on the fence gate and fence which were more than 2 threads, these protrusions present a laceration hazard. 3. On the two year old playground, there was a head entrapment hazard between the fence posts and chain link fence. 4.The electrical closet was unlocked and contained accessible wires.”

8VAC20-780-550-P

“Repeat Violation: Based on a review of injury/accident reports and interview, it was determined that the center 's form does not contain and area to document ways to prevent recurrence of injuries/accidents.”

8VAC20-780-330-B

“Based on observation and measurements, it was determined that the play equipment did not maintain adequate use zones nor was the resilient surfacing maintained. Evidence: 1. On the two year old playground the poured-in-place resilient surfacing contained divots, therefore was no longer an acceptable resilient surface. the three portable climbing/slide structures were on bare grass or located over the concrete, non of which are acceptable resilient surfaces. 2. There were divots at the end of the poured in place surfacing on the PreK playground in front of the slide.”

8VAC20-780-40-M

“Based on a review of children's files and interview, it was determined that child A has a diagnosed allergy to formula, however that allergy was not posted on the allergy,sensitivity, dietary restrictions list.”

8VAC20-780-70

“Based on a review of staff records, it was determined that staff A ( hired 2/12/24) and staff B ( hired 8/21/23) did not have references on file at the time of hire.”

8VAC20-780-290-A-3

“Based on observation, it was determined that an outlet was uncovered near the diapering area in the Infant room.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews it was determined that the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/30/2023 Child A (age 3 years) sustained an injury to their eyebrow in the preschool classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: On 06/15/2023 staff could not explain how child A (age 15 months) sustained an injury to the inside portion of their left thigh which was later determined by medical staff to be a burn. Staff observed the injury around 11:20 am during a diaper change after children returned to the infant classroom from outdoor play. Staff reported that they initially thought the injury was a bug bite, which was reported to the parent of child A via a phone call. The facility requested that the parent pick up the child from the facility. The parent subsequently took the child to an urgent care facility for diagnosis and treatment where the injury was determined to be a burn. The parent later inquired with administration as to how their child sustained the burn. Administration could not determine, but could only speculate that the injury could have potentially occurred on a hot surface on the playground such as a slide, pour in place surface, or from a tarp that the children were sitting on for a group activity. The reported temperature on 06/15/2023 was mostly sunny with a high of 83 degrees.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews it was determined that the center failed to inform the department's representative within two business days when an injury to a child occurs while under the supervision of the center that requires outside medical attention. Evidence: On 6/15/2023 child A (age 15 months) sustained a burn to the inside portion of their left thigh. Child A was taken to urgent care by their parents for treatment. This incident was not reported to the office of child care health and safety as required.”

8VAC20-780-550-P Complaint related: Yes

“Based on interview it was determined that the center failed to maintain a written record of children's serious injuries on the day of occurrence. Evidence: On 06/15/2023 Child A (age 15 months) sustained an injury to the inside portion of their left thigh that was later determined by medical staff to be a burn. The facility reported the injury to the parent over the telephone however a written injury report was not created to document the incident.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews it was determined that the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/14/2023 Child A (age 23 months) sustained a broken arm in the toddler classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.”

8VAC20-780-570-E Complaint related: Yes

“Based on observation in the infant room it was determined that not all prepared infant formula was dated and labeled with the child's name. Evidence: 1.) Three bottles for Child A were not labeled with the child's name. 2.) One bottle for child B was not labeled with their name or date.”

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening prior to coming into contact with children. Evidence: The record for staff A (start date: 2/8/23) did not contain documentation of a TB screening.”

8VAC20-780-510-E

“Based on review of medication it was determined that not all procedures for administering medication in regards to ensuring methods to prevent use of outdated medication were followed. Evidence: The emergency medication on site for child A had an expiration date of 03/25/2023.”

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) The foot operated mechanism on the trash can in the infant room and the two year old room was not functional. 2.) There is a rip on the bottom right corner of the changing pad in the toddler room making the changing pad absorbent.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews it was determined that the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/14/2023 Child A (age 23 months) sustained a broken arm in the toddler classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.”

8VAC20-780-570-E Complaint related: Yes

“Based on observation in the infant room it was determined that not all prepared infant formula was dated and labeled with the child's name. Evidence: 1.) Three bottles for Child A were not labeled with the child's name. 2.) One bottle for child B was not labeled with their name or date.”

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening prior to coming into contact with children. Evidence: The record for staff A (start date: 2/8/23) did not contain documentation of a TB screening.”

8VAC20-780-510-E

“Based on review of medication it was determined that not all procedures for administering medication in regards to ensuring methods to prevent use of outdated medication were followed. Evidence: The emergency medication on site for child A had an expiration date of 03/25/2023.”

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) The foot operated mechanism on the trash can in the infant room and the two year old room was not functional. 2.) There is a rip on the bottom right corner of the changing pad in the toddler room making the changing pad absorbent.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews it was determined that the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/14/2023 Child A (age 23 months) sustained a broken arm in the toddler classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.”

8VAC20-780-570-E Complaint related: Yes

“Based on observation in the infant room it was determined that not all prepared infant formula was dated and labeled with the child's name. Evidence: 1.) Three bottles for Child A were not labeled with the child's name. 2.) One bottle for child B was not labeled with their name or date.”

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening prior to coming into contact with children. Evidence: The record for staff A (start date: 2/8/23) did not contain documentation of a TB screening.”

8VAC20-780-510-E

“Based on review of medication it was determined that not all procedures for administering medication in regards to ensuring methods to prevent use of outdated medication were followed. Evidence: The emergency medication on site for child A had an expiration date of 03/25/2023.”

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) The foot operated mechanism on the trash can in the infant room and the two year old room was not functional. 2.) There is a rip on the bottom right corner of the changing pad in the toddler room making the changing pad absorbent.”

8VAC20-780-260-B

“Based on review of documentation it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection is dated 02/08/2022.”

8VAC20-780-260-B

“Based on review of documentation it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection is dated 02/08/2022.”

8VAC20-780-260-B

“Based on review of documentation it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection is dated 02/08/2022.”

8VAC20-780-340-A

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." This photo was later reported to center administration.”

8VAC20-780-180-A

“Based on interviews it was determined that not all staff met the general requirements pertaining to being of good character and reputation. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." When questioned by administration staff A initially denied taking and posting the photo, however later admitted to taking and posting the photo on the social media platform.”

22.1-289.035-B-4

“Based on review of five staff records it was determined that not all records contained documentation of an out of state central registry check for staff who have resided outside of Virginia within the last five years. Evidence: The record for staff A (start date: 05/09/2022) did not have documentation of an out of state central registry check for the states listed on staff A's sworn statement form.”

8VAC20-780-340-A

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." This photo was later reported to center administration.”

8VAC20-780-180-A

“Based on interviews it was determined that not all staff met the general requirements pertaining to being of good character and reputation. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." When questioned by administration staff A initially denied taking and posting the photo, however later admitted to taking and posting the photo on the social media platform.”

22.1-289.035-B-4

“Based on review of five staff records it was determined that not all records contained documentation of an out of state central registry check for staff who have resided outside of Virginia within the last five years. Evidence: The record for staff A (start date: 05/09/2022) did not have documentation of an out of state central registry check for the states listed on staff A's sworn statement form.”

8VAC20-780-340-A

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." This photo was later reported to center administration.”

8VAC20-780-180-A

“Based on interviews it was determined that not all staff met the general requirements pertaining to being of good character and reputation. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." When questioned by administration staff A initially denied taking and posting the photo, however later admitted to taking and posting the photo on the social media platform.”

22.1-289.035-B-4

“Based on review of five staff records it was determined that not all records contained documentation of an out of state central registry check for staff who have resided outside of Virginia within the last five years. Evidence: The record for staff A (start date: 05/09/2022) did not have documentation of an out of state central registry check for the states listed on staff A's sworn statement form.”