VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children's Nest Learning Center - Hollins
504, 520, 524 Dexter Road
Roanoke, VA 24019
(540) 563-4333

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: July 13, 2022

Complaint Related: 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 Provision and Emergencies 8VAC20-780 Special Services 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 07/13/2022. There were 62 children, ages 4 months- 5 years, 11 staff members providing direct supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, special care provisions and emergencies and special services. The children were observed during arrival, free choice activities, outdoor time, teacher directed activities and lunch time. The inspector discussed the following with the provider: children?s records, emergency numbers, labeling of personal belongs and background checks. A total of 5 children?s records, 5 staff records and 1 medication was reviewed. The inspector arrived for the inspection at 9:30 am and departed at 12:30 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and discussion with staff, the center failed to ensure 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. Evidence: The child record review and medication review for Child 3 indicated a diagnosed food allergy. No allergy care plan was available for review during the inspection.
Plan of Correction:	Staff will provide parents with allergy care plan form to be fill out by physician by 7/13/2022.
Standard #:	8VAC20-780-470-E
Description:	Based on observation and discussion with staff, the center failed to ensure children who are not toilet trained may not use portable wading pools. Evidence: During the inspection, children were observed using three (3) wading pools. Staff 6 confirmed one child in care was not toilet trained and wearing a ?swimming diaper.?
Plan of Correction:	Center will prohibit wading pools with children not toilet trained beginning 7/14/2022.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and discussion with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: During the inspection, a working battery-operated radio was not available.
Plan of Correction:	Center will obtain the necessary batteries by 7/15/2022.