The Nurtury

This is a repeat violation. A TB screening is required every two years from the last screening.

“Staff #5 had a Tb screening on 6/15/26 which was approximately 3 months after it was due.”

Rule 8VAC20-780-160-C.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff #6 did not have any annual training hours documented.”

Rule 8VAC20-780-245-A.

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

“1. There are wooden pieces on the playground that are splintered and cracked. 2. Paint is peeling on the wall across from the bathrooms.”

Rule 8VAC20-780-270-A.

This is a repeat violation. When playground equipment is provided, resilient surfacing is required in the fall zone climbing equipment. The required depth of resilient surfacing is 6 inches.

“The fall zones of the monkey bars and the slide had mulch of approximately 2 inches.”

Rule 8VAC20-780-330-B.

Centers are required to keep for each staff person documentation to demonstrate that the person has the education, and experience for the position.

“Staff person #4 was acting as a lead teacher and did not have qualifications documented and had been employed for approximately 3 weeks. Staff #1 was acting as a lead teacher and did not have qualifications documented.”

Rule 8VAC20-780-70.

Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #6 did not have a current certification.”

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

All staff must have current certification in first aid appropriate to the ages of children in care.

“Staff #6 did not have current certification in first aid and had been employed for over 10 years.”

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

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Staff #3 had not had a repeat Tb screening and was overdue for approximately 5 months.”

Rule 8VAC20-780-160-C.

When playground equipment is provided, resilient surfacing is required in the fall zone of climbing equipment.

“The area under the monkey bars was approximately 3 inches.”

Rule 8VAC20-780-330-B.

For each infant, the center shall post a daily record which can be easily accessed by both the parent and the staff working with the child. The record shall contain for infants, who are awake and cannot turn over themselves, the amount of time spend on their stomachs.

“Staff reported having infants complete tummy time but had not been recording it.”

Rule 8VAC20-780-420-E-1.

The center shall provide to the licensing representative an annual fire inspection.

“The last fire inspection was dated 06/2024.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept on a locked place using a safe locking method that prevents access by children. Cleaning products were being stored on a shelf behind a curtain in the school-age bathroom.”

Rule 8VAC20-780-280-B.

When playground equipment is provided, resilient surfacing is required in the fall zone of climbing equipment.

“The mulch was approximately 3 inches thick in the fall zone of the monkey bars.”

Rule 8VAC20-780-330-B.

8VAC20-780-40-M

“The center is required to keep a current list of all know allergies, sensitivities and dietary restriction in each room or area where children are present and it must be kept dated and confidential. The list in the infant rom was posted on the refrigerator with no cover sheet and the list in the kitchen was not up to date.”

Rule 8VAC20-780-40-M.

One working, battery-operated radio is required at each center.

“The radio at the center was not working and or did not have the correct batteries.”

Rule 8VAC20-780-540-E.

Center must for each group of children, maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“The center was keeping attendance on Brightwheel but not a hard copy.”

Rule 8VAC20-790-530-C.

Equipment inside and outside shall be maintained in a safe and operable condition.

“The climbing wall on the playground has a screw separating from the main structure that could cause clothing or skin to snag.”

Rule 8VAC20-780-270-A.

Centers are required to keep information for each staff person in the record.

“The center did not have information about any health problems that interfere with fulfilling the job responsibilities and emergency addresses for staff #1and #2.”

Rule 8VAC20-780-70.

8VAC20-780-320-G

“Based on observation and interview, the center did not meet this standard. Evidence: 1. The inspector observed a school -age child go into a restroom to use the restroom that did have a toilet enclosed. The director was also present and observed this.”

Rule 8VAC20-780-320-G.

8VAC20-780-330-B

“Based on observation, the playground equipment did not have the required resilient surfacing. Evidence: The climbing equipment and slide had approximately 2-4 inches of mulch in the fall zones”

Rule 8VAC20-780-330-B.

8VAC20-780-540-E

“Based on observation and interview, the center did not have a working battery operated radio. Evidence: 1. The center radio did not have batteries and the director verified this.”

Rule 8VAC20-780-540-E.

8VAC20-780-60-A

“Based on record review, the center did not have all the required information for each child enrolled. Evidence: 1. Child #5 did not have information on allergies, and intolerance to medication or any other substance, and actions to take in an emergency. There was no name of the physician and phone number.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

“Based on record review, 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 shall be in the child record. Evidence: 1. Child #1 had a documented allergy but there was not an allergy plan in the file .”

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

8VAC20-780-340-D

“Based on record review, the center failed to have in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: A classroom had a teacher who did not have the documentation that meets lead teacher qualifications.”

Rule 8VAC20-780-340-D.

8VAC20-780-350-B-1

“Based on observation, the center failed to meet the ratio requirement in a classroom. Evidence: 1. In a classroom there were 7 children and one teacher with the youngest being 1 yr. 11 months. The ratio requirement is 1 to 4.”

Rule 8VAC20-780-350-B-1.

8VAC20-790-600-D-1

“Based on record review, staff did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff record #1 (DOH 10/31/23) did not have current cpr certification. Staff record # 2 (DOH 9/1/23) did not have current cpr certification.”

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

8VAC20-790-600-D-2

“Based on record review, staff did not have first aid certification within 90 days of hire. Evidence: 1. Staff #1 (DOH 10/31/2023) and staff #2 (DOH 9/1/2023) did not have first aid certification.”

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

22.1-289.035-B-2

“This is a repeat violation. Based on record review, the center failed to have a fingerprint check completed before an employee’s hire date. Evidence: 1. Staff #4 DOH was 11/29/2023 and the fingerprint results were dated 6/16/2023 which had been completed under the previous licensee. Fingerprint results are to be completed before an employee’s hire date. Staff # 7 was hired 9/1/2023 and fingerprints had not been completed which staff #7 verified.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to have a central registry finding within 30 days of employment. Evidence: 1. Staff #4 was hired 11/29/2023 and there were no central registry findings in the file. Staff #6 verified they were not in the file. Staff #7 was hired 9/1/2024 and there were no central registry results documentation. Staff #7 verified they had not been completed.”

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

8VAC20-780-160-A

“Based on record review, the center failed to have documentation of staff members completing TB screening within the last 30 days of the date of employment. Evidence: Staff #1 was hired 10/31/2023 and the TB screening was completed 4/16/2022. Staff #4 was hired 11/29/2023 and the TB screening was completed 06/05/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“This is a repeat violation. Based on observation, the center failed to maintain equipment in a safe and operable condition Evidence: 1. There is a yellow chair on the back porch with a crack in it causing a pinch point. 2. There is a green tryicycle with the white times broken and sticking out.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“This is a repeat violation. Based on observation and measurement, the center failed where playground equipment is provided, to provide resilient surfacing that complies with minimum safety standards that complies with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: 1. Mulch measured between 4-5 inches in the fall zone of slide and monkey bars. The required depth is 6 inches.”

Rule 8VAC20-780-330-B.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-70

Rule 8VAC20-780-70.

22.1-289.035-B-2

“Based on record review, the center failed to have a fingerprint check completed before an employee’s hire date. Evidence: Staff #6 hire date was 8/30/2023. Due to new ownership, fingerprints need to be repeated. There are fingerprint results on file dated 01/23/2023 however these were completed under the previous owner.”

Rule 22.1-289.035-B-2.

8VAC20-780-270-A

“Based on observation, the center did not keep equipment maintained in a safe condition. Evidence: The tank lid in one of the child’s bathroom is cracked.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on observation and measurement, the center failed where playground equipment is provided, to provide resilient surfacing that complies with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: The mulch in the fall zone on the side of the slide and under the monkey bars measured between 3-4 inches. The required depth is 6 inches.”

Rule 8VAC20-780-330-B.

8VAC20-780-340-F

“Based on interviews, the center did not always maintain sight and sound supervision of children under 10 years of age. Evidence: 1. Witness #1 stated that on 10/24/23, a preschool age child was observed alone on the playground at approximately 2:00pm. The witness then took the child back to her classroom. Staff #1 verified that child #1 was left alone on the playground for approximately 1-2 minutes.”

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

8VAC20-780-270-A

“Based on observation, the center did not maintain the center is a safe condition. Evidence: 1. On the playground, there was an exposed screw approximately one inch long between two pieces of wood being used as a barriers for resilient surfacing. 2. The fence at the back of the playground had two places where wood missing at the bottom that are splinter hazards. 3. A toilet set that the children use is worn and wood is showing.”

Rule 8VAC20-780-270-A.