Children’s Nest Learning Center, LLC

8VAC20-780-80-A

“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. There were 8 children present in Group 1, but only 7 were marked present on the attendance record. The attendance did not document arrival as it occurs.”

Rule 8VAC20-780-80-A.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The Notice Of Intent issued to the provider on 6/29/2026, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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. Staff #3, employed for 7 months, did not have documentation of requesting a central registry check from a different state.”

Rule 22.1-289.035-B-4.

Staff employed by a child day program who have reason to suspect that a child is abused or neglected shall report to the local departments tool-free child abuse and neglect hot-line.

“Staff became aware of a reportable offense and did not report it to the local department.”

Rule 63.2-1509-A.

Behavioral guidance shall be constructive in nature and age and stage appropriate.

“Staff 6 did not use appropriate behavior guidance to redirect Child 1 (age 23 months) who did not want to clean up. In response to the child’s behavior, Staff 6 carried Child 1 upside down from Classroom #1 to place Child 1 in time out in Classroom #2. There were no attempts to guide the child to assist with clean up.”

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: roughly handling a child.

“On 2/25/2026, Staff 6 carried Child 1 (age 23 months) upside down out of Classroom #1 into Classroom #2. Staff 6 swung Child 1 (age 23 months) horizontally to put them in a table bucket seat. Staff was unable to hold the child, and the child fell on their head on the tile floor.”

Rule 8VAC20-780-410-1.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the date of occurrence.

“Child 1 (23 months old) was dropped on their head to a tile floor while under the supervision of the center on 2/25/2026. Staff 6 gave the child an ice pack for the head. There was not a written record of the injury.”

Rule 8VAC20-780-550-P.

The center shall inform the departments representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“Child 1 (23 months old) was dropped on their head while under the supervision of the center on 2/25/2026. The parent took the child for medical attention on 3/4/2026. The center did not notify the department about the injury requiring outside medical attention.”

Rule 8VAC20-780-80-B-2.

For children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, rest period ratios are permitted to double if staff required by rest period ratios is within sight and sound at all times in the same space as the resting or sleeping children.

“One Staff Member was observed sitting in the hallway between two classrooms during rest period. There were ten 2-year old children in one classroom and ten 3-year old children in the classroom directly across the hallway. Staff Member was not within sight and sound of either classroom and was not in the same space as the resting or sleeping children.”

Rule 8VAC20-780-350-I.

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

“In the infant room refrigerator, there were 3 infant bottles containing prepared infant formula, that were not dated nor labeled with the child’s name.”

Rule 8VAC20-780-570-E.

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 3 TB was dated six months prior to date of employment.”

Rule 8VAC20-780-160-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff 2 completed the course 24 days late and Staff 4 completed the course over one month late.”

Rule 8VAC20-780-240-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“Chipped paint was observed in many areas on the rails of the crib assigned to Child 2.”

Rule 8VAC20-780-270-A.

The center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices and sudden infant death syndrome awareness.

“The written procedure for prevention of shaken baby syndrome did not include safe sleeping practices.”

Rule 8VAC20-780-40-K.

Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record for Staff 1 contained a documented hire date of 05/31/2024. The date on the tuberculosis screening in the record was 06/13/2024. The documentation was not received at the time of employment.”

Rule 8VAC20-780-160-A.

Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the infant room, there was (1) spray bottle labeled ?bleach and water? and (1) aerosol container of Febreze located on the changing table.”

Rule 8VAC20-780-280-B.

22.1-289.036-A

“Based on record review, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry on record for Agent 1 was dated 07/25/2017. There was not a repeat search of the central registry obtained in 2022.”

Rule 22.1-289.036-A.

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The blue flooring on the bridge and slide enclosure of the 2 Step plastic play structure was cracked; the cracks in the plastic material created a pinch point.”

Rule 8VAC20-780-270-A.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.