Nest Nature School

• Critical Immunization Exception or Exemption on File and Verified
  Inspector's note: Two out of six child files evaluated did not have copies of current vaccinations. Risk level: Medium High. Corrected by 2026-07-10.
• Critical Food Allergy Emergency Plan Signed by Parents and Health Care Professional
  Inspector's note: One child's allergy plan on file was missing a parent signature. Risk level: Medium High. Corrected by 2026-06-26.
• Non-critical Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS
  Inspector's note: A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS. Risk level: Medium. Corrected by 2026-07-10.

• Critical AP Background check results - Must receive notification prior to allowing subject to be present at your operation
  Inspector's note: 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. Risk level: High. Corrected by 2025-12-01.
• Critical Food Allergy Emergency Plan Signed by Parents and Health Care Professional
  Inspector's note: A food allergy plan on file was missing the parent and doctor signature. Risk level: Medium High. Corrected by 2025-12-19.

• Critical Immunization Records, Exceptions, and Exemptions Current
  Inspector's note: One out of eight child files evaluated was missing a varicella vaccination. Risk level: Medium High. Corrected by 2025-04-18.
• Critical Training Requirements for Employees, Caregivers, and Directors - Orientation
  Inspector's note: One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date. Risk level: Medium High. Corrected by 2025-04-11.
• Non-critical Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
  Inspector's note: Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed. Risk level: Medium. Corrected by 2025-04-18.
• Non-critical Required Admission Information - Date of Admission
  Inspector's note: 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. Risk level: Medium Low. Corrected during the inspection.
• Critical Annual Sanitation Inspection
  Inspector's note: The operation's last Health inspection was conducted on 11/28/2024. Risk level: Medium High. Corrected by 2025-04-25.
• Non-critical Required Records Maintained and Made Available - Liability Insurance
  Inspector's note: A current copy of the operation's liablity insurance was not available for inspection. Risk level: Medium. Corrected by 2025-04-11.

• Critical AP Background check results - Must receive notification prior to allowing subject to be present at your operation
  Inspector's note: 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. Risk level: High. Corrected by 2024-08-27.

• Non-critical Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
  Inspector's note: Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training. Risk level: Low. Corrected by 2024-05-15.
• Critical AP Background check results - Must receive notification prior to allowing subject to be present at your operation
  Inspector's note: A caregiver was in direct care of children without a submitted background check or eligibility letter on file. Risk level: High. Corrected by 2024-05-13.
• Non-critical Children's Records - Immunizations
  Inspector's note: One out of 10 child files evaluated did not have a copy of the child's immunization records on file. Risk level: Medium. Corrected by 2024-05-15.

No infractions recorded at this inspection.

• Non-critical Required Personnel Records- signed dated statement that employee attended abuse/neglect training
  Inspector's note: 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file. Risk level: Medium. Corrected by 2023-06-16.
• Critical Administering Medication - Original Container with Child's Name, Date
  Inspector's note: A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription. Risk level: Medium High. Corrected by 2023-06-23.