SACC at Greenbriar East

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for the past year, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care should be maintained for all staff.

“A current certification in CPR for Staff #1 was not available for review. The certification on file at the facility had expired over 1 month ago.”

Rule 8VAC20-790-600-D-1.

Current certification in first aid appropriate to the ages of children in care should be maintained for all staff.

“A current certification in first aid appropriate to the ages of children in care for Staff #1 was not available for review. The certification on file at the facility had expired over 1 month ago.”

Rule 8VAC20-790-600-D-2.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The two medications being stored on site for Child #1 displayed expiration dates that indicated that they were both expired.”

Rule 8VAC20-780-510-E.

Based on record review, 1 of 5 children’s records did not contain the address for each custodial parent’s place of employment.

“Evidence: 1. The record for Child #5 did not contain the address for each custodial parent’s place of employment.”

Rule 8VAC20-790-540-B-3.

Based on medication and medication documentation review, the center did not ensure that when an authorization for medication expired, the parent be notified that the medication needed to be picked up within 14 days or the medication was disposed of by the center.

“Evidence: 1. Medication in the center for Child #8 had an authorization dated 8/21/2023. The authorization did not contain a signature from the physician. The authorization expired 10 business days from 8/21/2023. 2. Medication in the center for Child #2 had an authorization dated 8/24/2023. The authorization did not contain a signature from the physician. The authorization expired 10 business days from 8/24/2023.”

Rule 8VAC20-780-510-P.

Based on record review, 2 of 5 children’s records reviewed did not contain all required information.

“Evidence: 1. The records for Child #1 and Child #2 did not contain documentation of the child’s first date of attendance. 2. The record for Child #1 did not contain the placed of employment and telephone number for place of employment for each parent.”

Rule 8VAC20-780-60-A.

Based on record review, the center did not obtain a written care plan 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: 1. Child #8 has a diagnosed food allergy. The care plan in the record does not 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.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-510-P

Rule 8VAC20-780-510-P.

Based on record review, practice drills were not maintained for one year.

“Evidence: Documentation of emergency drills completed prior to 8/2023 were not available for review.”

Rule 8VAC20-780-550-H.

Based on record review, 1 injury report did not contain all required components.

“Evidence: 1. An injury report completed for Child #6 on 1/22/2024 did not contain a combination of staff and parent signatures or two staff signatures as required. The report only contained the signature of one staff.”

Rule 8VAC20-780-550-P.

Based on record review, the staff record for 1 of 6 staff did not contain all required information.

“Evidence: 1. The record for Staff #6 did not contain the address of a person to be notified in an emergency which shall be kept at the center.”

Rule 8VAC20-780-70.

Based on record review, 2 of 6 staff did not complete the department’s health and safety update course annually.

“Evidence: 1. The most recent health and safety update course in the record for Staff #1 was dated 07/23/2021. 2. The most recent health and safety update course in the record for Staff #2 was dated 04/4/2021”

Rule 8VAC20-790-600-F.

Based on record review, the center did not obtain documentation that each child has received immunizations before the child can attend the center.

“Evidence: 1. Child #1 began attending the center on 2/16/2023. 2. The record for Child #1 did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on record review, the center did not obtain documentation that each child has a physical within 30 days after the first day of attendance.

“Evidence: 1. Child #1 began attending the center on 2/16/2023. The record for Child #1 did not contain documentation of a physical exam. 2. Child #2 began attending the center on 8/22/2022. The record for Child #2 did not contain documentation of a physical exam.”

Rule 8VAC20-780-140-A.

Based on staff interview and record review, one child age 10 or older was not within actual sight and sound supervision.

Rule 8VAC20-780-340-G.

Based on record review, 1 of 5 records reviewed did not contain all required information.

“Evidence: 1. The record for Child #1 did not contain the address of one of two designated people to call in an emergency if a parent cannot be reached”

Rule 8VAC20-780-60-A.