The Children's Nest

8VAC20-780-340-A

When staff are supervising children, they shall always ensure their care, protection, and guidance. On 6/11/26 two, young, 2 year old children were sitting on a toddler/preschool height table that they had climbed up on. Staff #1-#3 were engaged with other children in various tasks and gave verbal commands for the children to get down. Both children fell off of the table, child #1 hit their head resulting in a goose-egg on the forehead. Child #2 did not have any visible marks. Staff #1-#3 did not ensure the care, protection, and guidance of the children as they did not go over and assist the children with safely getting off of the table. Video showed the length of time the children were seen on the table was 2 minutes, before the children fell.

8VAC20-780-270-C

In inside areas occupied by children, the temperature shall be maintained no lower than 68?F. There were 2 classrooms that the thermostats were set below 68 degrees. The infant room and the 18mth-2yr room were set at 66 degrees during the entire complaint inspection. Complaint related: No

8VAC20-780-550-D

The center shall implement a monthly practice evacuation drill. Interviews with staff supported the complaint that fire drills were not being conducted monthly as required but were being documented as being conducted. All staff interviewed stated that it had been anywhere between 8 months and a year when the last drill was practiced. The LI also reviewed the drill log and it had been completed through September 2025 and staff verified in interviews that they were just documented but not practiced. Complaint related: Yes

8VAC20-780-510-E

The emergency medication, located in the "active" medication lock box, for child A had expired 3 months ago.

8VAC20-780-510-P

The authorization to administer the emergency medication to child A had expired 4 months ago.