SACC at Armstrong

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“The center did not maintain a written record of Child #1 injury stemming from an accident that occurred on March 18 2026.A written record of the injury was unable to be presented to the licensing official at the time of the inspection.”

Rule 8VAC20-780-550-P.

The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“The licensing office was notified of an injury that required outside medical attention on April 9th 2026. The documentation stated that the incident occurred on March 18 2026. The center was out of compliance for 20 days.”

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

Each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“The center did not ensure that Staff #1 submit their negative tuberculosis documentation within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

The staff-to-children ratios for school age eligible children up to 9 years- ratio 1:18 (staff:children) are required whenever children are in care.

“At 10:22AM ? staff #3 left the classroom that staff #3 was supervising leaving staff #2 with 25 children over 2 classrooms. Staff 3 left to search for staff 4. Both Staff returned at 10:24am. The center was out of ratio for 2 minutes.”

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

The following staff records shall be kept for each staff person: The name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

“For Staff # 3. An emergency contact was not documented.”

Rule 8VAC20-780-70.

Each child shall have a physical examination by or under the direction of a physician: 1. Before the child’s attendance; or 2. Within 30 days after the first day of attendance.

“The record for child #3 did not have documentation of a physical conducted by or under the direction of a physician. The center is approximately 7 months out of compliance.”

Rule 8VAC20-780-140-A.

Based on observation, the center did not ensure that cleaning materials were kept in a locked place using a safe locking method.

“Evidence: Cleaning materials were located in an unlocked cabinet underneath the sink”

Rule 8VAC20-780-280-B.

8VAC20-780-40-E

“Based on records reviewed and information obtained from SACC management, staff failed to follow the medication policies/procedures by not ensuring that an emergency medication was on-site. Evidence: A medication authorization belonging to Child #3 indicated specific medication be given in an emergency, but the medication was not on-site, as required.”

Rule 8VAC20-780-40-E.

8VAC20-780-60-A

“Based on records reviewed, staff failed to ensure that 1 of 2 children’s records reviewed included required information. Evidence: The record for Child #4 did not include the name, address and phone number of 2 of 2 emergency contact persons. The parents were listed.”

Rule 8VAC20-780-60-A.

Based on record review, the center did not ensure all staff had repeat background checks every 5 years.

“Evidence: Staff 1 has a fingerprint based background check last conducted on 03/12/2018.”

Rule 22.1-289.035-A.

8VAC20-780-540-E

“Based on interview conducted, it was determined that a working battery-operated radio was available as a non-medical emergency supply item. Evidence: Staff #1 indicated that the center did not have the required radio.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-P

“Based on records reviewed, it was determined that 1 of 2 written injury reports did not include required information. Evidence: A report written on 2/27/23 did not include date , time and how parents were notified, treatment given, and 2 signatures.”

Rule 8VAC20-780-550-P.