SACC at Great Falls

Repeat violation

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for six months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #2, who’s been enrolled for 17 days, was missing immunization records.”

Rule 8VAC20-780-130-A.

Documentation shall be maintained of emergency evacuation drills.

“The emergency evacuation drill for August 2025 was not documented.”

Rule 8VAC20-780-550-G.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #1 was missing the following required components: Previous child day care and schools attended by the child, and the addresses of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Areas inside of the center were not maintained in a safe condition.

“There was an unlocked drawer containing a food knife, metal can opener, and metal handheld blender in a classroom occupied by children.”

Rule 8VAC20-780-270-A.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #5, who had been attending for 25 months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

Based on review of four children’s records, the facility did not obtain documentation of immunizations for a child prior to the child’s first attendance.

“Evidence: There was no documentation of an immunization record for Child #2. Child #2’s start date is 2/1/2024.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the facility did not ensure that any child for whom emergency medications have been prescribed is always in the care of a staff member or independent contractor who is MAT certified.

“Evidence: 1. Child #5 has emergency medication in the facility. 2. There are no staff currently MAT certified.”

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

Based on staff record review, staff who work directly with children did not complete the department’s health and safety update course.

“Evidence: There was no documentation of the 2022 annual health and safety update course for staff #3. The last annual health and safety update course completed by staff #3 was on 9/2021.”

Rule 8VAC20-790-600-F.

Based on record review, the center did not have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There was no documentation of daily health observation training (DHO) for Staff #1 and Staff #2. Staff #1 and Staff #2 DHO expired on 8/28/2019.”

Rule 8VAC20-780-245-L.

Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There were approximately ten containers of sanitizing wipes and one container of bleach located on a shelf in the classroom closet.”

Rule 8VAC20-780-280-B.

Based on record review, two of five children’s records did not have documentation of child updates and confirmation of up-to-date information in the child’s record

“Evidence: Child #3’s last annual update confirming the child’s information in the child’s record was up to date was signed on 11/16/2021. Child #4’s last annual update confirming the child’s information in the child’s record was up to date was signed on 8/23/2021.”

Rule 8VAC20-780-60-A.

Based on record review and staff interview, the facility did not obtain a physical examination by or under the direction of a physician prior to a child’s attendance; or within 30 days after the first day of attendance.

“Evidence: Child #3 did not have documentation of a physical examination prior to or within 30 days after the child’s first day of attendance.”

Rule 8VAC20-780-140-A.

Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Two containers of disinfectant wipes were located on a shelf next to a window.”

Rule 8VAC20-780-280-B.

Based on medication review and interview, the facility did not ensure that there is a written allergy care plan for each child with a diagnosed food allergy.

“Evidence: Child #6 did not have a written allergy care plan for diagnosed food allergies.”

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

22VAC40-185-60-A

“Based on record review, 1 of 2 children’s records checked did not contain all required documentation. Evidence: Child 2’s record did not contain documentation of child updates and confirmation of up-to-date information. The most recent update was completed in February 2020.”

Rule 22VAC40-185-60-A.