Children’s Nest Learning Center - Hollins

SYSTEMIC DEFICIENCY Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“2 Cans of disinfectant spray, sanitizing solution and spray cleaner were unlocked in Classroom 1.”

Rule 8VAC20-780-280-B.

SYSTEMIC DEFICIENCY Cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food.

“Sanitizing solution, disinfectant spray and a can of shaving cream were located above food in Classroom 2.”

Rule 8VAC20-780-280-D.

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 10/15/2026, there were 10 children present in Classroom 2, but only 9 were marked present on the attendance record.”

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 license was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The yellow metal climbing structure had rust and holes on the bottom rung with sharp exposed edges.”

Rule 8VAC20-780-270-A.

When an infant is placed in his crib, he shall be placed on his back.

“Four infants were observed in cribs sleeping on their bellies. Staff in the infant building advised that the infants are placed in their cribs on their bellies.”

Rule 8VAC20-780-370-1.

When staff are supervising children they shall always ensure their care, protection and guidance.

“On 9/8/2025, Child 1 (3 years old) was left alone and unsupervised outside of the center playground for approximately 10-15 minutes. The center is in a residential area next to other homes and businesses. A passer-by observed the child walking alone towards the road (speed limit of 25 mph). The passer-by stopped their vehicle and then walked the child back to the program. Center staff were unaware that the child was missing.”

Rule 8VAC20-780-340-A. From a complaint.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On 9/8/2025, Staff 1 left Child 1 (3 years old) alone, outside the center for approximately 10-15 minutes. The child was not within the actual sight and sound supervision of center staff.”

Rule 8VAC20-780-340-F. From a complaint.

Centers shall be in compliance with the center’s own policies and procedures required by these standards.

“The center’s policy is that teachers will always know how many children they have and who they are at any given time. Child 1 (3 years old) was left alone and unsupervised outside for approximately 10-15 minutes.”

Rule 8VAC20-780-40-E. From a complaint.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #2, who is currently working, was not completed.”

Rule 22.1-289.035-B-1. From a complaint.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2, employed for two weeks, did not have a central registry search requested.”

Rule 22.1-289.035-B-3. From a complaint.

8VAC20-780-70

“The following staff records shall be kept for each staff person: documentation to demonstrate orientation. Staff #2, employed for 2 weeks, did not have documentation of orientation.”

Rule 8VAC20-780-70. From a complaint.

Before leaving on a fieldtrip, a schedule of the trip’s events and location shall be posted and visible at the center site.

“Administration at the center stated there was no information posted about the trip’s event or location at the center.”

Rule 8VAC20-780-580-I. From a complaint.

If a blanket permission is used instead of a separate written permission, the parent shall be notified of the field trip; and given the opportunity to withdraw their children from the field trip.

“There was a blanket permission slip in children’s record but parents were not notified of the fieldtrip or given the opportunity to withdraw.”

Rule 8VAC20-780-580-M. From a complaint.

The required ratio for children birth to 16 month is one staff per four children.

“On 4/22/2025, one staff member was observed supervising eight children (youngest child 12 months old) for approximately 6 minutes.”

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

When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 4/22/2025 during morning drop off, Staff 1 was observed supervising up to 19 children, ages 18 months to two and a half years old. The required staff ratio for this group of children was 1:5 and maximum group size was 15. Four staff would be required.”

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

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature and age and stage appropriate. Staff #1 did not use appropriate behavior guidance to redirect Child #1 (age 4). Staff #1 used harsh tones and pushed the left arm of the child to move the child away from the area.”

Rule 8VAC20-780-400-B. From a complaint.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, child 1, 3 years old, was observed leaving class 1 unsupervised, walking approximately 10 feet down the hall, and entering restroom 1. Child 1 was not within sight and sound supervision of staff.”

Rule 8VAC20-780-340-F.

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: An aerosol can of Lysol disinfectant, Clorox wipes, and a bottle labeled ?bleach/water? were in an unlocked cabinet in the 2-year-old room.”

Rule 8VAC20-780-280-B.

Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: The record for Staff 3 documented a hire date of 03/26/2024. The record for Staff 3 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 10 confirmed this information was not available.”

Rule 8VAC20-780-70.

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: 1. Staff 1 had a hire date of 07/31/2023. The tuberculosis screening was 08/10/2023. Staff 1 was observed providing care to children. 2. Staff 2 had a hire date of 07/31/2023. The tuberculosis screening was 08/22/2023. Staff 2 was observed providing care to children.”

Rule 8VAC20-780-160-A. From a complaint.

Based on record review, interviews with staff, and observation, the center failed to ensure program leaders meet the program leader qualifications.

“Evidence: Staff 1 was promoted to the role of program leader in the 2-year-old room on 8/10/2023. Staff 3 confirmed staff 1 was the program leader. The record for Staff 1 did not have documentation to show the staff persons, experience or training to meet the requirement of the role of program leader.”

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

Based on record review and staff interviews, the center failed to ensure that 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.

“Evidence: 1. Staff 1 had a hire date of 7/31/2023. There was no documentation to verify that Staff 1 had completed orientation training in the required timeframe. Staff 3 verified that Staff 1 had not completed orientation. Staff 1 was observed providing care to children. 2. Staff 2 had a hire date of 7/31/2023. There was no documentation to verify that Staff 2 had completed orientation training in the required timeframe. Staff 3 verified that Staff 2 had not completed orientation. Staff 2 was observed providing care to children.”

Rule 8VAC20-780-240-B. From a complaint.

Based on interviews with staff and document review, the center failed to ensure that when a center chooses to provide meals or snacks, the center shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United Stated Department of Agriculture.

“Evidence: All of the required components for snack were not provided on 8/16/2023. Snack requires 2 of the following 5 components: fluid milk, meat/meat alternate, vegetables, fruits, and grains. Staff 1 confirmed, and the menu indicated that on 8/16/2023 the children were served a ?snack cake and juice?. Staff 1 confirmed the ?snack cake? was a ?Twinkie?. A Twinkie does not meet one of the components.”

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

Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: Children in the Toddler (2) room were observed eating morning snack without washing their hands or using a disposable wipe before eating. Staff 6 confirmed the children did not wash hands or use a disposable wipe.”

Rule 8VAC20-780-500-A.

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.

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for Child 3 documented the child’s first date of attendance was 11/04/2020. No physical was available for review during the inspection.”

Rule 8VAC20-780-140-A. From a complaint.

8VAC20-780-470-E

“Based on observation and discussion with staff, the center failed to ensure children who are not toilet trained may not use portable wading pools. Evidence: During the inspection, children were observed using three (3) wading pools. Staff 6 confirmed one child in care was not toilet trained and wearing a ?swimming diaper.?”

Rule 8VAC20-780-470-E.

8VAC20-780-540-E

“Based on observation and discussion with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: During the inspection, a working battery-operated radio was not available.”

Rule 8VAC20-780-540-E.

8VAC20-780-60-A-8

“Based on record review and discussion with staff, the center failed to ensure 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: The child record review and medication review for Child 3 indicated a diagnosed food allergy. No allergy care plan was available for review during the inspection.”

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

8VAC20-780-440-L

“Based on observation and discussion with staff, the center failed to ensure pillows and filled comforters shall not be used by children under two years of age. Evidence: An infant was observed in a crib with a pillow.”

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