Nest Nature School

One child's allergy plan on file was missing a parent signature.

Two out of six child files evaluated did not have copies of current vaccinations.

A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.

A food allergy plan on file was missing the parent and doctor signature.

Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.

One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.

Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.

One out of eight child files evaluated was missing a varicella vaccination.

Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.

The operation's last Health inspection was conducted on 11/28/2024.

A current copy of the operation's liablity insurance was not available for inspection.

A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.

Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.

A caregiver was in direct care of children without a submitted background check or eligibility letter on file.

One out of 10 child files evaluated did not have a copy of the child's immunization records on file.

A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.

4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.