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The Nest Academy
2609 Mount Vernon Avenue
Alexandria, VA 22301
(703) 549-1549

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Nov. 7, 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 Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Discussed with the center Director, staff qualifications, written allergy list and record requirements, ratios, TB test requirements.

Comments:
An unannounced renewal inspection was conducted today from 11:30am-1:00pm. There were 39 children (infants-5yrs.) directly supervised by 8 staff. The physical plant, 4 staff records, 5 children?s records, medications, evacuation drills, emergency supplies, and policies were inspected. Children were observed participating in group play, reading books, playing outside, and eating snack. There was an abundant supply of materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized.
Areas of non-compliance are identified on the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Soto at maria.soto@doe.virginia.gov or (571) 835-5058.

Violations:
Standard #: 8VAC20-780-130-A
Description: Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
Child #5's record does not contain documentation to verify that the child has received the immunizations required prior to their first day of attendance.

Plan of Correction: We have requested the child's parents to present the Physical and Immunization Records the following day.

Standard #: 8VAC20-780-140-A
Description: Based on record review, the center did not obtain a physical examination for a child in care, within 30 days of attendance.

Evidence:
Child #5's record does not contain a physical examination. The child's first day of attendance was documented as 9/12/2022.

Plan of Correction: We have requested the child's parents to present the Physical and Immunization Records the following day.

Standard #: 8VAC20-780-160-A
Description: Based on record review, the center did not obtain for each staff member, documentation of a negative tuberculosis (TB) screening that was completed within 30 days of employment.

Evidence:
Staff #3's TB screening was completed on 5/24/2022. The staff member first day of employment was documented as 7/15/2022.

Plan of Correction: Moving forward, we will make sure that the TB Test Result will be obtained within the correct time frame.

Standard #: 8VAC20-780-60-A-8
Description: Based on record review, a written care plan was not obtained 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:
Child #3's physical form indicates that the child has an allergy to sesame seeds, their record did not contain a written allergy care plan.

Plan of Correction: We have requested an Allergy Care plan for the child in question.
Parents have submitted it the following day.

Standard #: 8VAC20-780-350-I
Description: Based on observation and interview, the center did not maintain the correct staff-to-children ratio in the toddler class.
Evidence:
1. From approximately 11:30 am to 12:10pm, there were 9 children napping in the toddler classroom and 1 staff present. The staff stated the ages of the children present and four were children under the age of 16 months.
2. Ratios may double at nap time in the toddler group, for children 16 months and up, but infants, (children under 16 months) do not have a double ratio at nap time.

Plan of Correction: We have made sure that the ratio is now compliant with the age of the youngest child inside the aforementioned classroom.

Standard #: 8VAC20-780-570-E
Description: Based on observation, prepared infant formula was not dated.

Evidence:
Six out of ten bottles of prepared infant formula were labeled with the child's name, but without a date.

Plan of Correction: We have spoken to the parents concerned and reminded to label the bottles properly.

Disclaimer:

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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