The Nest Learning Center

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A nonabsorbent surface for diapering or changing shall be used for children younger than three years, this surface shall be a changing table or countertop designated for changing. Staff #1 and Staff #2 were observed lifting the trashcan lids with their hands to throw away soiled diapers. Staff #1 was observed diaper changing child #1, age 2 while they were standing up.”

22.1-289.035-B-2

“Providers must obtain a complete national criminal background check prior to the employee's first day of employment. Staff #5 had been working for over 1 week before obtaining the results of the check.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. Child #3 has a documented dietary restriction, and it was not on the written allergy/sensitivity list for staff to view.”

22.1-289.035-B-4

“Repeat Violation The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment. Staff 2, did not have documentation requesting a child protective service check and a sex offender check from a different state prior to hire. Staff #2 has been working for more than 3 weeks.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and have been completed within the last 30 days of the date of employment. Staff #2 has been working for more than 3 weeks and does not have the results of a TB screening.”

8VAC20-780-240-D

“Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center's information. Staff #2 has been working for more than 2 months and did not have documentation acknowledging receiving the following information. 1. Procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun; 2. Procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center; 3. Procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center; 4. Procedures for action in case of lost or missing children, ill or injured children, medical emergencies, and general emergencies; 5. Policy for any administration of medication 6. Emergency evacuation, relocation, shelter-in-place, and lockdown procedures; and 7. Precautions in transporting children, if applicable.”

8VAC20-780-240-B

“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. Staff #2 does not have documentation of completed orientation training and has been working for more than 2 months.”

8VAC20-780-70

“All required documentation shall be maintained for staff records. 1. Staff #2, does not have documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff #2 has been employed for more than 2 months. 2 Staff #2 does not have documentation to demonstrate that they possessed the education, certification, and experience required by the job position. Staff #2 was a designated program lead. 3.Staff #2 did not have their name, address, verification of age requirement, job title, and date of employment. 4. Staff #1 and #2 did not have information related to any health issues that may interfere with the job and an emergency contact name and information.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. 1.Child #1 who had been enrolled for over 2 months, did not have documentation of one parents employment phone number 2.Child #3, who had been enrolled for over 2 months, did not have documentation of one parents employment phone number and the address for the 2nd emergency contact listed. 3.Child #5, who had been enrolled for over 2 weeks, did not have documentation of the home address for one parent listed and a 2nd emergency contact name, address and phone number.”

8VAC20-780-570-E

“The center is required to ensure bottles were labeled with child's name and dated. There was 1 bottle observed with no name and no date.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #1, Child #2 and Child #5, who had been attending for more than 2 months, did not have documentation of immunizations.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1 and Child #2, who had been enrolled for more than 2 months.”

8VAC20-780-540-C

“The required first aid kits shall include at a minimum triangular bandages and the center did not have any on site..”

8VAC20-780-550-C

“Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. There were no maps or an emergency pal posted in the center.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The following equipment was observed and could be unsafe. A power drill sitting on bookshelf, a hot glue gun plugged sitting on a chair, box of garden staples near the playground exit door and rakes and a pitch forks were on the playground.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a 1.Bottles of soap labeled were on the bathroom counters 2.Containers of paint and deodorizer were in an unlocked closet The items all had a warning and were labeled ?Keep out of reach of children,? were unlocked in the four-year-old classroom, within reach of children.”

8VAC20-780-310-F

“Centers licensed for the care of infants and toddlers shall provide a separate playground area for these children that has at least 25 square feet of unpaved surface per infant/toddler on the outdoor area at any one time. There was not a designated outdoor space for infants and toddlers.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120?F; soap, disposable towels, and single use gloves such as surgical or examination gloves. The infant diapering station did not include the required items and the toddler diapering station did not have gloves.”

22.1-289.035-B-4

“Authorize the child day center to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and 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. Applicant #2 did not have documentation of criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry for two states where they had resided in the past 5 years.”