SACC at Willow Springs

Repeat violation:

Rule 8VAC20-780-340-A.

Medication, including refrigerated medication and staff’s personal medication, must be kept in a locked place using a safe locking method that prevents access by children.

“On July 8, 2025, during a field trip, Child A’s medication was stored in a Ziploc bag inside a backpack without a lock. Staff #1 placed the backpack under their seat and at times left it unattended and accessible to children while assisting students. The medication was reported lost by the center on July 9, 2025.”

Rule 8VAC20-780-510-L.

Centers must keep a record of medication given to children including any medication errors.

“On July 9, 2025, Staff # 2 attempted to administer medication to Child A but was unable to locate the medication, and reported it lost by the center. The center did not record this medication error on the medication log maintained on site as required.”

Rule 8VAC20-780-510-N.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On 7/1/2025, Child #1 (age 7) left the cafeteria alone during meal time, walked up the ramp, proceeded down the hallway, and entered the administrative offive without the awareness of staff. Staff #1 and 2, who were the assigned staff to supervise the children in their care, did not notice the child exiting the room unsupervised.”

Rule 8VAC20-780-340-A.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“On 7/01/2025, Child #1 (age 7) was out of sight and sound supervision for an estimated two to three minutes. The child exited the cafeteria alone, walked down the hallway, and entered the office room. An office staff member observed the child and returned them to Staff #3.”

Rule 8VAC20-780-340-F.

8VAC20-790-600-F

“Based on a review of staff records, the center did not ensure annually training requirements were met. Evidence: Staff #3 did not have an updated health and safety course. The safety course available was dated 06/12/2022.”

Rule 8VAC20-790-600-F.

8VAC20-780-550-G

“Based on a review of emergency evacuation drills, the center did not ensure documentation was maintained. Evidence: There was not an emergency evacuation drill documented for January 2024.”

Rule 8VAC20-780-550-G.

8VAC20-780-350-B-5

“Based on observation, the CDC did not ensure required staff:child ratios were met. Evidence: There were 40 children (age range 5 - 11 years) observed with 2 staff members.”

Rule 8VAC20-780-350-B-5.

8VAC20-780-60-A

“Based on a review of child records, the CDC did not maintain a record for each child containing the required information. Evidence: Child #4 was missing an emergency contact address.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-B

“Based on record review, all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: Staff #1 (date of hire 10/1/2018) did not have the 10 hour Preservice Training for Child Care Staff on file during the inspection.”

Rule 8VAC20-790-600-B.

8VAC20-780-510-E

“Based on a review of medication, they did not include duration of the parent’s authorization for medication, provided that it shall expire or be renewed after 10 work days. Evidence: Child #1 had a medical authorization form that did not include effective dates.”

Rule 8VAC20-780-510-E.

8VAC20-780-550-I

“Based on observation, 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center were not posted in a visible place at each telephone. Evidence: Emergency numbers were not posted by the phone during the inspection.”

Rule 8VAC20-780-550-I.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-245-J-3

“Based on a review of records, a child with an emergency medication on site is not always in the care of a staff member or independent contractor who meets the requirements for administering medication. Evidence: There is no staff member present at the center that has current certification in Medication Administration Training (MAT). There is one Epi-Pen medication at the center.”

Rule 8VAC20-780-245-J-3.

22VAC40-665-580-H

“Based on a review of documentation, staff did not complete the required annual update training in 2020. Evidence: 4 of 4 staff records reviewed did not include documentation of completing the annual update Health and Safety training. All 4 staff did work during 2020. Training has been completed in 2021.”

Rule 22VAC40-665-580-H.

8VAC20-780-245-J-1-b

“Based on a review of available documentation, Medication Administration Training (MAT) certification was not renewed within the allowable 3 year time frame. Evidence: MAT certification for Staff A (only staff certified) expired 12/4/21. The recertification class was not taken until 12/9/21. There are emergency medications on site.”

Rule 8VAC20-780-245-J-1-b.

8VAC20-780-80-B-2

Rule 8VAC20-780-80-B-2.