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The Nurtury

Inspection · 2024-08-08

Date
2024-08-08
Complaint Related
No
Licensing Inspector
Katie Gifford
(276) 698-9981
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 8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 08/08/2024. The inspection began at 10:30am and ended at 12:35. The inspector reviewed compliance in the areas listed above. There were 22 children and 7 staff present.

The inspector reviewed 5 children?s records and 4 staff records. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program

Violations

5
Standard 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.
Plan of Correction: School-age children will use the bathroom that has a door and a standard size toilet.
Standard 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
Plan of Correction: Bags of mulch have been purchased and will be spread to the required depth this week.
Standard 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.
Plan of Correction: Staff will purchase batteries for the radio.
Standard 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.
Plan of Correction: Staff will get the missing information from the parents.
Standard 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 .
Plan of Correction: The staff will get a allergy plan from the parent and physician.