The Nest Academy

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff in a toddler classroom cleaned and sanitized the diaper changing surface , but did not allow it to dry for a period of at least two minutes.”

Rule 8VAC20-780-500-B.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Two bottles in an infant room refrigerator were not labeled with the date.”

Rule 8VAC20-780-570-E.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #3 and child #4 were not signed.”

Rule 8VAC20-780-150-B.

SYSTEMIC DEFICIENCY For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“On 5/6/2025, in infant room #1 only 6 children were marked “ arrived” , there were 7 children present at the time of inspection. On 5/2/2025 and 4/17/2025 room #3 one child did not have departure marked on attendance sheet.”

Rule 8VAC20-780-80-A.

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 5/20/2024, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 TB screening was dated 49 days prior to date of employment and has been employed for over four months.”

Rule 8VAC20-780-160-A.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. 2:6 bottles with milk brought from home were not dated, in the infant room.”

Rule 8VAC20-780-560-G.

8VAC20-780-80-A

“REPEAT VIOLATION For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 10:30am on 12/2/24, there were 14 children present in the twos room, but only 10 were marked present on the written attendance records.”

Rule 8VAC20-780-80-A.

8VAC20-780-290-A-3

“Based on observation, electrical outlets in preschool classrooms did not have protective covers that are of a size that cannot be swallowed by children. Evidence: Toddlers classroom had two electrical outlets that were not in use and not covered.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-550-A

“Based on document review, the center did not review the emergency preparedness plan annually. Evidence: Date of last emergency plan review 1/27/23.”

Rule 8VAC20-780-550-A.

8VAC20-780-550-G

“Based on review of documentation, the center did not have all required information on drill records. Evidence: 1. Emergency evacuation, shelter-in-place, and lockdown drills did not document the method used for notification of the drill. 2. Emergency evacuation, shelter-in-place, and lockdown drills did not document the number of staff participating.”

Rule 8VAC20-780-550-G.

8VAC20-780-80-A

“The center did not have record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Based on record review, interview and observation toddlers classroom had 7 children in the room and only 2 children were marked present on attendance record.”

Rule 8VAC20-780-80-A.

Based on record review and staff interviews, the center failed to ensure that the staff-to-child ratios are required whenever children are in care.

Rule 8VAC20-780-350-B-1. From a complaint.

Based on record review, the facility did not ensure staff identified as program leaders met program leader qualifications.

“Evidence: Staff #1’s (DOH: 10/2/2023) record does not contain all the documentation necessary to verify that they have the required education/experience and/or training for the job position of program leader. Staff #3’s (DOH: 5/2/2023) record does not contain all the documentation necessary to verify that they have the required education/experience and/or training for the job position of program leader. Staff #4’s (DOH: 3/6/2023) record does not contain all the documentation necessary to verify that they have the required education/experience and/or training for the job position of program leader.”

Rule 8VAC20-780-210-A.

Based on observation, behavioral guidance was not constructive in nature, age and stage appropriate, and intended to redirect a child to appropriate behavior.

“Evidence: During the inspection, the Licensing Inspector heard Staff #5 yelling at a child: “Look the other way.” The staff member used a rough and loud tone of voice with the child, as all the children were lying down on their cots to rest.”

Rule 8VAC20-780-400-B.

Based on observation, the findings of the most recent inspection of the facility were not posted.

“Evidence: The Violation Notice issued on 7/14/2023 was not posted. The inspection posted was issued on 5/4/2023.”

Rule 22.1-289.011-F. From a complaint.

Based on record review and interview, an out-of-state child abuse and neglect search was not requested for an employee who currently resides outside of the State of Virginia.

“Evidence: 1.Staff #2’s record contains a form of ID from another state, an out-of-state search was not completed for the state where they currently reside. 2.Staff #2 was interviewed and confirmed that they currently reside outside the State of Virginia, but they moved after the center had completed their background check searches.”

Rule 22.1-289.035-B-4. From a complaint.

Based on record review and interview, it was determined the center did not ensure that there was a program leader qualified with each group of children in care.

“Evidence: 1. Staff #1 was the assigned lead teacher in the Preschool classroom. 2. Staff #3 was the assigned lead teacher in the Toddlers classroom. 3. The records for staff #1 and staff #3 did not contain documentation to demonstrate program leader qualifications.”

Rule 8VAC20-780-210-A-4-a. From a complaint.

Repeat Violation Based on observations and interviews, the facility did not ensure that when children are in mixed age groups, the staff-to-children ratio applicable to the youngest child in the group is applied to the entire group.

“Evidence: At approximately 11:50am, 11 children between the ages of 21 months and 2 years were observed in the Twos classroom with 2 staff members. The required ratio based on the youngest child was 1 staff for every 5 children.”

Rule 8VAC20-780-350-C. From a complaint.

Based on observation, the center did not keep 12 inches of space between occupied cots.

“Evidence: During the inspection there were 4 occupied cots that were less than 12 inches apart.”

Rule 8VAC20-780-440-E. From a complaint.

Based on observation, the center did not ensure that there shall be at least thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib.

“Evidence: 1. Four occupied cribs lacked 30 inches of space on the service side. a. The service side for crib 1 measured 12 inches. b. The service side for crib 2 measured 4 inches. c. The service side for crib 3 measured 16 inches. c. The service side for crib 4 measured 18 inches”

Rule 8VAC20-780-440-J. From a complaint.

8VAC20-780-350-L

“Based on observation, the 1:10 ratio for children ages 3-5 was not maintained on 7/14/2023. Evidence: In the combined caterpillar and butterflies classroom, 19 children were laying on their mats with 1 staff member for approximately 2-3 minutes but the ratios could not double yet as 14 children were still awake. The children were not resting or in an inactive state.”

Rule 8VAC20-780-350-L. From a complaint.

8VAC20-780-380-A

Rule 8VAC20-780-380-A. From a complaint.

8VAC20-780-380-A-2

“Based on observation and staff statements, the designated rest time exceed the maximum of 2 hours in the 4 older classrooms. Evidence: 1. All 4 classrooms have daily schedules that list rest time from 12:00-2:30 (2 1/2 hours). 2. On 7/14/2023 and 7/17/2023 the children were already laying down at approximately 11:45 and staff stated that rest time would be until 2:30.”

Rule 8VAC20-780-380-A-2. From a complaint.

8VAC20-780-560-L

“Based on staff statements, the staff are not sitting with children during meal times. Evidence: 1. The Licensing Inspector asked the staff administration if staff were sitting with the children during lunch time. The staff stated that children are not allowed to talk or socialize. At least one teacher is putting out rest mats rather than sitting with the children during meal time”

Rule 8VAC20-780-560-L. From a complaint.

Based on observation, cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the Two’s classroom a spray bottle labeled “Bleach” was observed unlocked on a top shelf in the classroom’s bathroom.”

Rule 8VAC20-780-280-B.

Based on observations and interviews, the facility did not ensure that when children are in mixed age groups, the staff-to-children ratio applicable to the youngest child in the group is applied to the entire group.

Rule 8VAC20-780-350-C.

Based on observation, the center did not ensure that one staff member shall not supervise more than one room or area during rest time.

“Evidence: 1.One staff was observed supervising 20 children (3-5 years old) during nap time from the doorway between the Caterpillars and the Butterflies classrooms. 2.One classroom would have been left unattended if this staff had to attend to a child in one of the classrooms during nap.”

Rule 8VAC20-780-350-M.

Based on observations and interviews, it was determined that children in the Caterpillars classroom are being reassigned from their regularly assigned classroom to the Tender Times classroom repeatedly and causally, which is disruptive to a child’s schedule and attachment to their staff members and group.

“Evidence: Observations and interviews revealed that three children in the Caterpillar classroom are routinely and often moved to the Tender Times classroom during lunch time in an attempt to maintain ratios.”

Rule 8VAC20-780-350-Q.

Based on record review, required records were not kept for each staff person.

“Evidence: Staff #2’s record did not include documentation of a translated education diploma needed to qualify the staff member for their current position. The diploma on-file has not been translated into English, as required.”

Rule 8VAC20-780-70.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: Child #5’s record does not contain documentation to verify that the child has received the immunizations required prior to their first day of attendance.”

Rule 8VAC20-780-130-A.

Based on record review, the center did not obtain a physical examination for a child in care, within 30 days of attendance.

“Evidence: Child #5’s record does not contain a physical examination. The child’s first day of attendance was documented as 9/12/2022.”

Rule 8VAC20-780-140-A.

Based on record review, the center did not obtain for each staff member, documentation of a negative tuberculosis (TB) screening that was completed within 30 days of employment.

“Evidence: Staff #3’s TB screening was completed on 5/24/2022. The staff member first day of employment was documented as 7/15/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-350-I

“Based on observation and interview, the center did not maintain the correct staff-to-children ratio in the toddler class. Evidence: 1. From approximately 11:30 am to 12:10pm, there were 9 children napping in the toddler classroom and 1 staff present. The staff stated the ages of the children present and four were children under the age of 16 months. 2. Ratios may double at nap time in the toddler group, for children 16 months and up, but infants, (children under 16 months) do not have a double ratio at nap time.”

Rule 8VAC20-780-350-I.

Based on observation, prepared infant formula was not dated.

“Evidence: Six out of ten bottles of prepared infant formula were labeled with the child’s name, but without a date.”

Rule 8VAC20-780-570-E.

Based on record review, a written care plan was not obtained 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 #3’s physical form indicates that the child has an allergy to sesame seeds, their record did not contain a written allergy care plan.”

Rule 8VAC20-780-60-A-8.

Based on record review and interview, the center did not obtain out-of-state child abuse and neglect findings for an employee that has resided outside the state of Virginia within the last 5 years.

“Evidence: Staff#1 (DOH: 02/14/2022) has resided outside the state of Virginia within the last 5 years, their records did not contain documentation to verify that an out-of-state child abuse and neglect search was completed.”

Rule 22.1-289.035-B-4.

Based on observation and interview, the center was not equipped with at least one carbon monoxide detector.

“Evidence: The center was not equipped with at least one carbon monoxide detector during the inspection.”

Rule 22.1-289.058.