Nurtured in Nature, LLC

Repeat violation

“Children 10 years of age and older shall be within actual sight and sound supervision of staff. Two children were observed outside in the outdoor play kitchen area and one on the steps to go inside the building which is located along the side of the building. Staff members did not maintain consistent sight and sound supervision of these children during this inspection.”

Rule 8VAC20-780-340-G.

Repeat violation

“Staff records shall contain all of the required documentation. The staff records did not contain documentation for lead staff qualifications.”

Rule 8VAC20-780-70.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The record for child #5, in attendance during inspection, did not contain immunization documentation.”

Rule 8VAC20-780-130-A.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The record for child #2 did not contain documentation of additional immunizations, this was overdue by approximately four months.”

Rule 8VAC20-780-130-E.

Each child shall have a physical examination by or under the direction of a physician.

“the record for child #2, did not have documentation of a physical, this was overdue by approximately seven months.”

Rule 8VAC20-780-140-A.

REPEAT VIOLATION: Children 10 years of age and older shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information.

“The record for child #1, enrolled for approximately six months, did not contain contact information for the two required emergency contacts. The record for child #5 did not contain date of enrollment or proof of identification.”

Rule 8VAC20-780-60-A.

REPEAT VIOLATION: Staff records should contain all of the required information.

“The records for staff #1 did not contain 1 of the 2 required references(overdue by one month), and staff #2 did not have the 2 required references(overdue by eight months). The records for staff #1(overdue by one month), staff #2(overdue by one week), #3(overdue by seven months), and #4(overdue by eight months), did not contain documentation of qualifications.”

Rule 8VAC20-780-70.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #1, employed for more than 3 months, did not have documentation of requesting a central registry check or criminal history check from Indiana. Staff #2, employed for more than 4 months, did not have documentation of requesting a central registry check or criminal history check from New Hampshire .”

Rule 22.1-289.035-B-4.

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

“There was exposed rust on a toy truck on the playground. An opened box of gloves were accessible to children in care.”

Rule 8VAC20-780-270-A.

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

“Staff did not maintain sight and sound supervision of the children in acre at all times during this inspection. Staff were unable to see children as they went in and out of the second preschool room. Staff also left 5 children eating lunch unsupervised for approximately two minutes to attend to the behaviors of another child.”

Rule 8VAC20-780-340-G.

Staff records shall be kept for each staff person and contain all of the required documentation.

“The staff records did not contain proof of ID, 2 references, qualifications, and signed orientation documentation.”

Rule 8VAC20-780-70.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“There was no sworn statement for Staff #1 and #3, who were working during this inspection.”

Rule 22.1-289.035-B-1.

Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher’s lounge sinks, nurse’s office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption.

“Lead testing has not been implemented at this center.”

Rule 22.1-289.057-A.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening.

“There was no documentation of a negative tuberculosis screening for staff #3.”

Rule 8VAC20-780-160-A.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“None of the staff had documentation of completing the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“There were no staff members with Daily Health Observation training.”

Rule 8VAC20-780-245-L.

Staff records shall be kept for each staff person and contain all of the required documentation.

“The staff records did not contain date of hire, emergency contacts, proof of ID, 2 references, qualifications, and orientation documentation.”

Rule 8VAC20-780-70.