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.”

Rule 8VAC20-780-240-C.

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.”

Rule 8VAC20-780-270-A.

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.”

Rule 8VAC20-780-450-A.

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.”

Rule 22.1-289.035-B-4.

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.”

Rule 8VAC20-780-510-B.

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.”

Rule 8VAC20-780-550-D.

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.”

Rule 8VAC20-780-500-B.

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.”

Rule 8VAC20-780-510-B.

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.”

Rule 8VAC20-780-140-A.

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.”

Rule 8VAC20-780-320-B.

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.”

Rule 8VAC20-780-60-A.

22.1-289.036-B-2

“Based on review of the background checks for the applicant, the facility failed to have documentation of fingerprint results at the time of inspection. Evidence: The record for the licensee did not contain a fingerprint-based background check as required. A member of management confirmed the fingerprint-based background check results for the licensee had not been returned.”

Rule 22.1-289.036-B-2.

8VAC20-780-320-G

“Based on observation and staff interview, the restrooms designated for school age children did not have at least one toilet enclosed. Evidence: In the school age room (gym), there were 3 individual toilets designated for school age children. The bathrooms each had one 1/2 door, which did not allow privacy for children ages 5 to 12 years of age while toileting.”

Rule 8VAC20-780-320-G.

8VAC20-780-550-A

“Based on review of the emergency preparedness plan and staff interview, the facility failed to develop the plan in consultation with local or state authorities. Evidence: the emergency preparedness plan did not have documentation that the local or state authorities had reviewed the plan.”

Rule 8VAC20-780-550-A.