VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Nurtury
1206 Lawrence Avenue
Bristol, VA 24201
(276) 466-4873

Current Inspector: Katie Gifford (276) 698-9981

Inspection Date: Feb. 15, 2024

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 Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

An unannounced renewal inspection was completed on 2/15/2024 by two licensing inspectors from 12:30pm until 2:10. There were 20 children present between the ages of infant and 4 yrs. old. Five staff were present. The inspectors reviewed compliance in the areas of administration physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 staff records, one board agent's file and 4 children's records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Repeat violations are noted. This violation is a revised violation notice that was previously issued to the provider. Please complete the ?plan of correction? and date to be corrected? for each violation cited on the violation notice and return it to me within five (5) business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring gain; and 3) person or person(s) responsible for implementation.

Violations:

Standard #:	22.1-289.035-B-2
Description:	This is a repeat violation. Based on record review, the center failed to have a fingerprint check completed before an employee's hire date. Evidence: 1. Staff #4 DOH was 11/29/2023 and the fingerprint results were dated 6/16/2023 which had been completed under the previous licensee. Fingerprint results are to be completed before an employee's hire date. Staff # 7 was hired 9/1/2023 and fingerprints had not been completed which staff #7 verified.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center failed to have a central registry finding within 30 days of employment. Evidence: 1. Staff #4 was hired 11/29/2023 and there were no central registry findings in the file. Staff #6 verified they were not in the file. Staff #7 was hired 9/1/2024 and there were no central registry results documentation. Staff #7 verified they had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center failed to have documentation of staff members completing TB screening within the last 30 days of the date of employment. Evidence: Staff #1 was hired 10/31/2023 and the TB screening was completed 4/16/2022. Staff #4 was hired 11/29/2023 and the TB screening was completed 06/05/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on observation and record review, the center failed to have documentation that staff members possess the education, certification, and experience required by the job description. Evidence: 1. Staff #2 (DOH 9/5/23) was working during the inspection as the program lead in the 2 yr. old classroom and does not have qualifications documentation. 2. Staff # 3 (DOH 2/12/24) was working during the inspection as the program lead in the infant classroom and did not have qualifications documentation. 3. Staff #4 (DOH 11/29/23) arrived at 1:30 the day of the inspection and was acting as the program lead in the pre-k classroom and did not have qualifications documentation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	This is a repeat violation. Based on observation, the center failed to maintain equipment in a safe and operable condition Evidence: 1. There is a yellow chair on the back porch with a crack in it causing a pinch point. 2. There is a green tryicycle with the white times broken and sticking out.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	This is a repeat violation. Based on observation and measurement, the center failed where playground equipment is provided, to provide resilient surfacing that complies with minimum safety standards that complies with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: 1. Mulch measured between 4-5 inches in the fall zone of slide and monkey bars. The required depth is 6 inches.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	This is a repeat violation. Based on observation, the center failed to maintain children under 10 years of age always within actual sight and sound supervision of staff. Evidence: 1. During the inspection, staff #5 left the classroom and went to the kitchen leaving four toddlers who were napping out of sight and sound supervision for approximately 2 minutes. 2. During the inspection, staff #4 was sitting in the middle of the class area in the preschool room with 7 children napping; one preschool age child was behind a bookcase and not in sight and sound supervision for approximately 4 minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.