Nanda Learning Center

Immunization records shall be signed by a physician, their designee, or an official of a local health department.

“The immunization records dated April and May 2026 were not signed by the physician/designee for child A. This was overdue by 19 weeks.”

Rule 8VAC20-780-150-B.

Each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“Staff A’s tuberculosis test was dated 1 year and 6 months prior to employment.”

Rule 8VAC20-780-160-A.

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.

“The doors to the kitchen which leads to the laundry rooms were both open. There were over 20 hazardous agents in the unlocked laundry room.”

Rule 8VAC20-780-280-B.

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 required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“1. Child B’s allergy to pork was not listed on the 7/626 allergy list at the center. 2. Child B’s allergies to 3 additional foods were not listed on the posted kitchen allergy list. 3. The kitchen’s allergy list was dated 10/8/25 however the most recent allergy list is dated 7/6/26.”

Rule 8VAC20-780-40-M.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of date of employment.

“Staff A’s tuberculosis test was 5 months prior to employment and staff B’s tuberculosis test was 5.5 months prior to employment.”

Rule 8VAC20-780-160-A.

Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

“A tricycle on the preschool playground was missing hand grips, which presented finger entrapment hazard.”

Rule 8VAC20-780-270-A.

Repeat Violation: Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacle.

“The portable climber/slide was within 2 feet of the metal awning pole. The standards require at least 6 feet clearance.”

Rule 8VAC20-780-330-B.

Each report shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“The immunization record for child A was not signed by a physician/designee. This was overdue by one month.”

Rule 8VAC20-780-150-B.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“There was a broken picnic table seat on the preschool playground.”

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety’s “Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground,” February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“On the Infant/Toddler/Twos playground the following was observed or measured: 1. A climber was touching the wooden border. The climber required 6 feet of clearance from any obstacle including the wooden border. 2. A climber was within 4 feet of the fence in the rear and within 1 foot of the sidewalk on the side. The climber requires a 6 foot free zone of all obstacles. On the Preschool playground was pink slide within 1 foot of the sidewalk, this slide required a 6 foot free zone of all obstacles.”

Rule 8VAC20-780-330-B.

8VAC20-780-150-B

“Immunizations shall be signed by a physician, his designee, or an official of a local health department. The immunization record for child A was not signed by a physician/designee or health department official. This signed report is 1 year and 8 months overdue.”

Rule 8VAC20-780-150-B.

The heating system shall be installed to prevent accessibility of children to the system and have appropriate barriers to prevent children from being injured from the heating equipment.

“The door to the electric room and the heating system was unlocked and the wires from the unit did not have barriers to prevent access.”

Rule 8VAC20-780-270-B.

The center’s procedures for administering medication shall Include duration of the parent’s authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent.

“The authorization form used by the center for emergency medication for child A does not identify the center as having the authorization to administer the medication.”

Rule 8VAC20-780-510-E.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR. Staff A’s CPR expired 2 weeks ago.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current First Aid certification. Staff A’s First Aid certification expired 2 weeks ago.”

Rule 8VAC20-790-600-D-2.

As of 7/1/24, out of state sex offender registry searches for board officers/agents are required for each state the individual has resided in the past 5 years.

“There was no out of state sex offender registry search on file for Person #1, which is 6 months overdue.”

Rule 22.1-289.035-B-4.

22.1-289.036-A

“Every applicant for licensure shall have a repeat background check within 5 years from the original background check. Person A’s out of state central registry search has not been repeated every 5 years from the original background check, this background check is 18 months overdue.”

Rule 22.1-289.036-A.

Each child day program that is licensed shall develop and implement a plan to test potable water from sources identified by the EPA.

“The center has not developed or implemented a plan to test potable water.”

Rule 22.1-289.057-A.

At least every two years from the date of the first initial screening or test, staff shall obtain and submit the results of a follow-up tuberculosis screening/test.

“Staff #1’s tuberculosis test was 23 months past due.”

Rule 8VAC20-780-160-C.

Annual approval from the health department shall be provided.

“The most recent health inspection report was dated 1/30/24, which is 4 days overdue.”

Rule 8VAC20-780-260-B.

8VAC20-780-280-B

“Repeat Violation: Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Three containers of hazardous substances were in an unlocked cabinet in classroom #16.”

Rule 8VAC20-780-280-B.

Repeat Violation: 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. This list shall be dated and kept confidential in each room or area where children are present.

“The allergy, sensitivity and dietary restriction list posted in each classroom was not dated.”

Rule 8VAC20-780-40-M.

Medication shall be given to a child only with written authorization from the parent.

“There was no parental authorization to administer over the counter medication for child # 1. The center has been administering this medication for 5 months.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Over the counter medication for child #1 was stored in an unlocked cabinet in room # 16.”

Rule 8VAC20-780-510-L.

8VAC20-780-510-N

“Centers shall keep a record of medication given to children. Child #1 is being administered over hte counter medication once a day for the last 5 months. There was no record to show the medication was administered for the last 4 months.”

Rule 8VAC20-780-510-N.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The center practiced one of the required two shelter in place drill in 2024.”

Rule 8VAC20-780-550-E.

8VAC20-780-80-A

“Repeat Violation: For each group of children, the center shall maintain written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 16 children present in classroom #8 , however 14 children were marked as being present on the attendance log.”

Rule 8VAC20-780-80-A.

22.1-289.011-F

“The findings from the most recent inspection shall be posted in a conspicuous place on the licensed premises. The most recent findings dated 3/13/24 was not posted on the premises.”

Rule 22.1-289.011-F.

22.1-289.035-B-2

“Fingerprint background checks are required prior to employment. The fingerprint background check was obtained 5 days after employment for staff A.”

Rule 22.1-289.035-B-2.

Central registry background check findings are required within 30 days of employment.

“There was no central registry background check on file for staff A, who has been employed approximately 80 days.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-280-B

“Repeat Violation: Hazardous substances shall be kept locked using a safe locking method to prevent access by children. There were cleaning agents in an unlocked closet above the sink in the 4/5 year old classroom. There were over 15 cleaning agents, insecticides and paints stored on shelves in reach of children in the unlocked laundry room.”

Rule 8VAC20-780-280-B.

Repeat Violation: Playground equipment must maintain use zones for equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles,

“The 3 portable slides were between 1 to 5 feet from the concrete on the playground. The fall zones required for these slides are a minimum of 6 feet clearance.”

Rule 8VAC20-780-330-B.

The ratio for children between 16 months to 23 months is 1 staff to 5 children.

“On two occasions during the inspection, the Licensing inspector observed 6 children with 1 staff, the youngest child was 17 months of age for approximately 5 minutes on each occasion.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-40-M

“Repeat Violation: 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 care plan. This list shall be dated and kept confidential in each room or area where children are present. There was no current written list to include the egg and peanut allergy for child B or the penicillin allergy for child A.”

Rule 8VAC20-780-40-M.

The center may administer prescription medication that would normally be administered by a parent to a child provided the center administers only those drugs that were dispensed forma pharmacy and maintained in the original abeled container.

“The emergency medication for child A was not maintained in the original labeled container.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-P

“Repeat Violation: The center shall maintain a written record of children’s serious and minor injures and the record shall include the time of day parents were informed of those injuries. The written injury record does not include the time of day parents are informed of injuries to their child(ren).”

Rule 8VAC20-780-550-P.

A written care plan for each child with a diagnosed food allergy to include instructions from the physician regarding the food to which the child is allergic and the steps to be take in the event of a suspected or confirmed allergic reaction.

“There were no allergy care plans on file for child A, who has a diagnosed peanut allergy., for child B who has a diagnosed egg and peanut allergy and for child C who has a diagnosed pineapple allergy.”

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

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 was no attendance record maintained in the 4/5 year old classroom. There were 13 children present.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“Based on interview and a review of staff files, it was determined that staff A and B did not have CPR certification to include in-person competency demonstration within 90 days from their date of employment. Staff A was hired on 10/31/23 and staff B was hired on 9/24/18.”

Rule 8VAC20-790-600-D-1.

8VAC20-780-240-C

Rule 8VAC20-780-240-C.

8VAC20-780-260-A

“Based on a review of recordkeeping, it was determined that the center had not obtained an annual fire inspection report as the last inspection report was dated 3/14/22”

Rule 8VAC20-780-260-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: There were unlocked hazardous substances in the cabinet in the two year old room and the toddler room. The hazardous substances were labeled with cautions and warnings.”

Rule 8VAC20-780-280-B.

8VAC20-780-290-A-3

“Based on observation, it was determined that an outlet was uncovered near the diapering area in the Infant room.”

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

8VAC20-780-330-B

“Based on observation and measurements, it was determined that the play equipment did not maintain adequate use zones nor was the resilient surfacing maintained. Evidence: 1. On the two year old playground the poured-in-place resilient surfacing contained divots, therefore was no longer an acceptable resilient surface. the three portable climbing/slide structures were on bare grass or located over the concrete, non of which are acceptable resilient surfaces. 2. There were divots at the end of the poured in place surfacing on the PreK playground in front of the slide.”

Rule 8VAC20-780-330-B.

8VAC20-780-40-M

“Based on a review of children’s files and interview, it was determined that child A has a diagnosed allergy to formula, however that allergy was not posted on the allergy,sensitivity, dietary restrictions list.”

Rule 8VAC20-780-40-M.

8VAC20-780-490-E

“Based on observation, it was determined that a surface was contaminated with body fluids and it was not cleaned or sanitized. Evidence: The Licensing Inspector observed a two year old child being diapered while standing up. The teacher cleaned the two year old with wipes and then proceeded to place the soiled diaper and wipes on the floor in the bathroom. The teacher failed to clean or sanitize the bathroom floor.”

Rule 8VAC20-780-490-E.

8VAC20-780-500-B

“Based on observation, it was determined that a two year old child was diapered while standing up and the staff failed to use a nonabsorbent surface for diapering children younger than 3 years of age.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based on interview and a review of recordkeeping it was determined that the center failed to obtained authorization for administering medication. Evidence: There was no medication authorization for an emergency medication for child C. The authorization provided by the center was illegible.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-L

“Based on observation, it was determined that medication for child B was not kept locked. The emergency medication for child B was stored unlocked in a book bag in a cabinet in classroom Preschool 1.”

Rule 8VAC20-780-510-L.

8VAC20-780-550-F

“Based on interview, it was determined that there was no lockdown procedures practiced at least annually. Evidence: There was no lockdown drill practiced for 2023.”

Rule 8VAC20-780-550-F.

8VAC20-780-550-P

“Repeat Violation: Based on a review of injury/accident reports and interview, it was determined that the center ‘s form does not contain and area to document ways to prevent recurrence of injuries/accidents.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Based on a review of staff records, it was determined that staff A ( hired 2/12/24) and staff B ( hired 8/21/23) did not have references on file at the time of hire.”

Rule 8VAC20-780-70.

8VAC20-780-80-B-2

“Based on interviews it was determined that the center failed to inform the department’s representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/30/2023 Child A (age 3 years) sustained an injury to their eyebrow in the preschool classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.”

Rule 8VAC20-780-80-B-2. From a complaint.

8VAC20-780-340-A

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

8VAC20-780-550-P

“Based on interview it was determined that the center failed to maintain a written record of children’s serious injuries on the day of occurrence. Evidence: On 06/15/2023 Child A (age 15 months) sustained an injury to the inside portion of their left thigh that was later determined by medical staff to be a burn. The facility reported the injury to the parent over the telephone however a written injury report was not created to document the incident.”

Rule 8VAC20-780-550-P. From a complaint.

8VAC20-780-80-B-2

“Based on interviews it was determined that the center failed to inform the department’s representative within two business days when an injury to a child occurs while under the supervision of the center that requires outside medical attention. Evidence: On 6/15/2023 child A (age 15 months) sustained a burn to the inside portion of their left thigh. Child A was taken to urgent care by their parents for treatment. This incident was not reported to the office of child care health and safety as required.”

Rule 8VAC20-780-80-B-2. From a complaint.

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening prior to coming into contact with children. Evidence: The record for staff A (start date: 2/8/23) did not contain documentation of a TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) The foot operated mechanism on the trash can in the infant room and the two year old room was not functional. 2.) There is a rip on the bottom right corner of the changing pad in the toddler room making the changing pad absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based on review of medication it was determined that not all procedures for administering medication in regards to ensuring methods to prevent use of outdated medication were followed. Evidence: The emergency medication on site for child A had an expiration date of 03/25/2023.”

Rule 8VAC20-780-510-E.

8VAC20-780-570-E

“Based on observation in the infant room it was determined that not all prepared infant formula was dated and labeled with the child’s name. Evidence: 1.) Three bottles for Child A were not labeled with the child’s name. 2.) One bottle for child B was not labeled with their name or date.”

Rule 8VAC20-780-570-E. From a complaint.

8VAC20-780-80-B-2

“Based on interviews it was determined that the center failed to inform the department’s representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/14/2023 Child A (age 23 months) sustained a broken arm in the toddler classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.”

Rule 8VAC20-780-80-B-2. From a complaint.

8VAC20-780-260-B

“Based on review of documentation it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection is dated 02/08/2022.”

Rule 8VAC20-780-260-B.

22.1-289.035-B-4

“Based on review of five staff records it was determined that not all records contained documentation of an out of state central registry check for staff who have resided outside of Virginia within the last five years. Evidence: The record for staff A (start date: 05/09/2022) did not have documentation of an out of state central registry check for the states listed on staff A’s sworn statement form.”

Rule 22.1-289.035-B-4.

8VAC20-780-180-A

Rule 8VAC20-780-180-A.

8VAC20-780-340-A

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A’s toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description “my man a freak.” This photo was later reported to center administration.”

Rule 8VAC20-780-340-A.