Nanda Learning Center

8VAC20-780-160-A · Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of date of employment.

Staff A's tuberculosis test was 5 months prior to employment and staff B's tuberculosis test was 5.5 months prior to employment.

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8VAC20-780-150-B · Each report shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

The immunization record for child A was not signed by a physician/designee. This was overdue by one month.

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8VAC20-780-150-B · Immunizations shall be signed by a physician, his designee, or an official of a local health department.

The immunization record for child A was not signed by a physician/designee or health department official. This signed report is 1 year and 8 months overdue.

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8VAC20-780-270-B · The heating system shall be installed to prevent accessibility of children to the system and have appropriate barriers to prevent children from being injured from the heating equipment.

The door to the electric room and the heating system was unlocked and the wires from the unit did not have barriers to prevent access.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR.

Staff A's CPR expired 2 weeks ago.

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22.1-289.035-B-4 · As of 7/1/24, out of state sex offender registry searches for board officers/agents are required for each state the individual has resided in the past 5 years.

There was no out of state sex offender registry search on file for Person #1, which is 6 months overdue.

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22.1-289.011-F · The findings from the most recent inspection shall be posted in a conspicuous place on the licensed premises.

The most recent findings dated 3/13/24 was not posted on the premises.

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8VAC20-790-600-D-1 · Based on interview and a review of staff files, it was determined that staff A and B did not have CPR certification to include in-person competency demonstration within 90 days from their date of employment. Staff A was hired on 10/31/23 and staff B was hired on 9/24/18.

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8VAC20-780-40-M · Based on a review of children's files and interview, it was determined that child A has a diagnosed allergy to formula, however that allergy was not posted on the allergy,sensitivity, dietary restrictions list.

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8VAC20-780-80-B-2 · Based on interviews it was determined that the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the

supervision of the center and requires outside medical attention. Evidence: On 06/30/2023 Child A (age 3 years) sustained an injury to their eyebrow in the preschool classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.

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8VAC20-780-80-B-2 · Based on interviews it was determined that the center failed to inform the department's representative within two business days when an injury to a child occurs while under the supervision of the center that requires outside medical attention. Evidence: On 6/15/2023 child A (age 15 months) sustained a burn to the inside portion of their left thigh. Child A was taken to urgent care by their parents for treatment. This incident was not reported to the office of child care health and safety as required.

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8VAC20-780-80-B-2 · Based on interviews it was determined that the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 06/14/2023 Child A (age 23 months) sustained a broken arm in the toddler classroom that required outside medical attention. This incident was not reported by the facility to the office of child care health and safety.

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8VAC20-780-160-A · Based on review of four staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening prior to coming into contact with children. Evidence: The record for staff A (start date: 2/8/23) did not contain documentation of a TB screening.

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8VAC20-780-260-B · Based on review of documentation it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection is dated 02/08/2022.

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8VAC20-780-180-A · Based on interviews it was determined that not all staff met the general requirements pertaining to being of good character and reputation. Evidence: Staff A was seated next to child A (Age: 9 Months). Child A put their mouth on staff A's toe. Staff A then took a picture of this interaction. Staff A later posted the picture on a social media platform with the description "my man a freak." When questioned by administration staff A initially denied taking and posting the photo, however later admitted to taking and posting the photo on the social media platform.

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