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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: March 13, 2017

Complaint Related: No

Areas Reviewed:

An unannounced annual subsidy inspection was conducted in the Center on March 13, 2017. A total of 49 children were in attendance during the program day. The ages of the children ranged from toddler (22 months) to school-age (12 years). The LI observed the children during varied activities to include: teacher directed activities (staff read a book to the children), outdoor free play, the lunch meal, afternoon snack and dismissal at the end of the program day. A sample of 6 records was reviewed, 4 children's and 2 staff records. Documentation for the VA Preservice training and First aid/CPR certifications were reviewed for all staff. A child's prescribed medication was observed in the Center. Several staff have current medication administration training (MAT), documentation was reviewed. The Center's annual fire and health inspections was current. The LI reviewed the subsidy requirements with the Program Director and consultation was provided. The PD reported that the center's emergency plan is under review with consultation from local authorities. Findings of the subsidy inspection were reviewed at exit and the Center's plan of correction was provided. If you have any questions, please contact the Licensing Inspector. The on site inspection was conducted from approximately 10:40am to 5:00pm. Thank you.

Standard #: VENDSUB-000-033-E
Description: Based on staff report, the Center's food policies/procedures do not include steps to avoid cross contamination in order to prevent an allergic reaction.

Plan of Correction: The PD will ensure the Center's food policy addresses cross contamination and steps to prevent an allergic reaction.

Standard #: VENDSUB-000-033-F
Description: Based on reviewed documentation, the Center could not provide documentation to verify that staff who prepare and serve food to children, or supervise meals, are aware of the food allergies, sensitivities, and dietary restrictions for each child. Evidence: A list of children with food allergies is posted in the kitchen for the cook, other staff are responsible for supervising the children during meal times.

Plan of Correction: A training will be conducted for all center staff to review the center's food policies and to inform staff of food allergies, sensitivities and dietary restrictions for each applicable child.

Standard #: VENDSUB-000-035-D-5
Description: Based on reviewed documentation and staff report, written documentation of children's allergy care plans are not currently available on the vehicle during transport.

Plan of Correction: The PD and other responsible staff member will copy allergy plans and will include documentation in the transportation binder on each vehicle.

Standard #: VENDSUB-000-031-B-2
Description: Based on reviewed documentation of the Center's emergency shelter-in-place plan, procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child were not identified.

Plan of Correction: The PD will ensure all procedures are addressed in the shelter-in-place plan. Staff will be trained in the Center's procedures.

Standard #: VENDSUB-000-031-B-3
Description: Based on review of the Center's lock down procedures, the procedures did not address the following procedures: (b. methods to secure the the facility and designated lockdown locations; (e.) accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during lockdown; (f.) procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: The Program Director will consult with local safety and law officers to revise the center's emergency plans to address and include all required components.

Standard #: VENDSUB-000-031-B-4
Description: Based on review of the Center's emergency plan, the written plan did not address the following: staff training requirement, drill frequency, and plan review and update. The reviewed document noted revised in 2012. Staff listed as responsible for certain functions of the plan are no longer employed in the center.

Plan of Correction: The PD will ensure the center's emergency plan is revised to include training requirements, drill frequency and plan review and update.

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.


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