The Nest School

8VAC20-780-240-C

“Orientation training shall be appropriate to the age of the children in care and include facility specific topics. There was no documentation to support that all of the facility specific topics were covered in orientation for Staff 1, Staff 2, Staff 3, Staff 4, Staff 6, Staff 7, and Staff 8.”

8VAC20-780-270-A

“The center is responsible for areas and equipment, inside and outside, to be maintained in clean, safe, and operable condition. The threes room had a strong urine smell during rest time.”

8VAC20-780-450-A

“The center shall have linens consisting of a top and bottom cover for each child during the designated rest period. Two children had only a bottom cover and not a top cover during rest.”

8VAC20-780-240-C

“Orientation training shall be appropriate to the age of the children in care and include facility specific topics. There was no documentation to support that all of the facility specific topics were covered in orientation for Staff 1, Staff 2, Staff 3, Staff 4, Staff 6, Staff 7, and Staff 8.”

8VAC20-780-270-A

“The center is responsible for areas and equipment, inside and outside, to be maintained in clean, safe, and operable condition. The threes room had a strong urine smell during rest time.”

8VAC20-780-450-A

“The center shall have linens consisting of a top and bottom cover for each child during the designated rest period. Two children had only a bottom cover and not a top cover during rest.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff 1, who has been employed for more than a year and was working with children at the time of the inspection.”

8VAC20-780-510-B

“Medication shall be given to a child only with written authorization from the parent. Two emergency medications for one child did not have written authorization from the parent.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The center did not conduct a monthly evacuation drill in April 2024 or May 2024.”

8VAC20-780-500-B

“Based on observation, the facility failed to have a leakproof covered receptacle for soiled linens. Evidence: three classrooms had open laundry baskets with no lid or lining that contained soiled linens.”

8VAC20-780-510-B

“Based on review of five medications, the facility failed to have written authorization from the parent to administer one medication. Evidence: There was no written parent/guardian authorization to administer one medication to 1 child. Child B did not have a medication authorization form signed by the parent.”

8VAC20-780-500-B

“Based on observation, the facility failed to have a leakproof covered receptacle for soiled linens. Evidence: three classrooms had open laundry baskets with no lid or lining that contained soiled linens.”

8VAC20-780-510-B

“Based on review of five medications, the facility failed to have written authorization from the parent to administer one medication. Evidence: There was no written parent/guardian authorization to administer one medication to 1 child. Child B did not have a medication authorization form signed by the parent.”

8VAC20-780-320-B

“Based upon observation, the facility failed to have hand washing sinks that have warm water that does not exceed 120 degrees Fahrenheit. Evidence: The hot water temperature at the hand washing sink in the Duck A classroom reached 132 degrees Fahrenheit.”

8VAC20-780-140-A

“Based on review of six children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 2 (date of enrollment 6/05/2023) did not have documentation of a physical on file.”

8VAC20-780-60-A

“Based on review of 6 children's files, the facility failed to have 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: Child A has diagnosed food allergies, but did not have a completed allergy action plan on file.”