The Nest Academy

8VAC20-780-570-E

Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Two bottles in an infant room refrigerator were not labeled with the date.

8VAC20-780-150-B

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #3 and child #4 were not signed.

8VAC20-780-80-A

SYSTEMIC DEFICIENCY For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 5/6/2025, in infant room #1 only 6 children were marked " arrived" , there were 7 children present at the time of inspection. On 5/2/2025 and 4/17/2025 room #3 one child did not have departure marked on attendance sheet.

8VAC20-780-500-B

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff in a toddler classroom cleaned and sanitized the diaper changing surface , but did not allow it to dry for a period of at least two minutes.

8VAC20-780-160-A

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 TB screening was dated 49 days prior to date of employment and has been employed for over four months.

8VAC20-780-80-A

REPEAT VIOLATION For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 10:30am on 12/2/24, there were 14 children present in the twos room, but only 10 were marked present on the written attendance records.

8VAC20-780-560-G

When food is brought from home the food container must be clearly dated. 2:6 bottles with milk brought from home were not dated, in the infant room.