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The Nest Academy

Inspection · 2022-05-24

Date
2022-05-24
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted today from 11:30am-1:00pm. There were 39 children (infants-5yrs.) directly supervised by 8 staff. The physical plant, 4 staff records, 5 children?s records, medications, evacuation drills, emergency supplies, and policies were inspected. Children were observed participating in group play, reading books, playing outside, and eating snack. There was an abundant supply of materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized.
Areas of non-compliance are identified on the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Soto at maria.soto@doe.virginia.gov or (571) 835-5058.

Violations

6
Standard 8VAC20-780-130-A
Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
Child #5's record does not contain documentation to verify that the child has received the immunizations required prior to their first day of attendance.
Plan of Correction: We have requested the child's parents to present the Physical and Immunization Records the following day.
Standard 8VAC20-780-140-A
Based on record review, the center did not obtain a physical examination for a child in care, within 30 days of attendance.

Evidence:
Child #5's record does not contain a physical examination. The child's first day of attendance was documented as 9/12/2022.
Plan of Correction: We have requested the child's parents to present the Physical and Immunization Records the following day.
Standard 8VAC20-780-160-A
Based on record review, the center did not obtain for each staff member, documentation of a negative tuberculosis (TB) screening that was completed within 30 days of employment.

Evidence:
Staff #3's TB screening was completed on 5/24/2022. The staff member first day of employment was documented as 7/15/2022.
Plan of Correction: Moving forward, we will make sure that the TB Test Result will be obtained within the correct time frame.
Standard 8VAC20-780-350-I
Based on observation and interview, the center did not maintain the correct staff-to-children ratio in the toddler class.
Evidence:
1. From approximately 11:30 am to 12:10pm, there were 9 children napping in the toddler classroom and 1 staff present. The staff stated the ages of the children present and four were children under the age of 16 months.
2. Ratios may double at nap time in the toddler group, for children 16 months and up, but infants, (children under 16 months) do not have a double ratio at nap time.
Plan of Correction: We have made sure that the ratio is now compliant with the age of the youngest child inside the aforementioned classroom.
Standard 8VAC20-780-570-E
Based on observation, prepared infant formula was not dated.

Evidence:
Six out of ten bottles of prepared infant formula were labeled with the child's name, but without a date.
Plan of Correction: We have spoken to the parents concerned and reminded to label the bottles properly.
Standard 8VAC20-780-60-A-8
Based on record review, a written care plan was not obtained 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 #3's physical form indicates that the child has an allergy to sesame seeds, their record did not contain a written allergy care plan.
Plan of Correction: We have requested an Allergy Care plan for the child in question.
Parents have submitted it the following day.
View original record on Virginia Department of Social Services