SACC at Wakefield Forest

A written care plan is required 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.

“Child #A, who has been enrolled for approximately six months, has a diagnosed food allergy and did not have a written care plan in their file 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 .”

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

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: shall be current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration;.

“Staff #1 did not have current certification in cardiopulmonary resuscitation (CPR) and had been working for the center over the 90 day requirement..”

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

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval must have current certification in first aid appropriate to the ages of children in care.

“Staff #1 was did not have not current certification in first aid appropriate to the ages of children in care and had been employed more than 90 days..”

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

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 over one month, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #5, who had been enrolled for more than 30 days.”

Rule 8VAC20-780-140-A.

The required ratio for children ages School age eligible up to 9 years is one staff per 18 children.

“Staff #1 and Staff #2 were supervising 43 (School age eligible) children from approximately 10:30am-11:30am and 41 children from approximately 11:30am-12:10pm 40 children from approximately 12:10pm-12:46pm until a third staff person arrived..”

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

Staff and children’s records shall be treated confidentially.

“The Supplemental Page for inspections dated 10/18/2023, 6/26/2024 and 10/03/2024 were posted on the parent bulletin board and are considered a confidential page.”

Rule 8VAC20-780-50-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment . Staff #1 did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The certification expired 9/2024.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment . Staff #1 did not have current certification in first aid appropriate to the ages of children in care. The certification expired 9/2024.”

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

8VAC20-780-60-A

“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 enrolled for two days and Child #2 enrolled for three days, was missing the following required components: Work phone number for one parent.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

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

22.1-289.011-F

“Based on observation, the most recent Violation Notice and Inspection Summary were not posted. Evidence: The inspection report posted was dated 3/22/23. The most recent inspection was 10/18/23”

Rule 22.1-289.011-F.

8VAC20-780-420-E-3

“Based on a review of records, one child record was not updated annually. Evidence: 1 of 4 records reviewed was not updated annually. The record is dated 1/30/23. (Child 3).”

Rule 8VAC20-780-420-E-3.

8VAC20-780-550-C

“Based on observation and staff statement, the emergency evacuation and Shelter-in-place maps were not posted in a conspicuous location. Evidence: There were no posted maps showing evacuation routes from the SACC room, or showing the shelter-in-place procedures.”

Rule 8VAC20-780-550-C.

8VAC20-780-60-A-8

“Based on a review of records, child records did not contain documentation of instructions from a physician regarding the food to which a child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1 of 4 child records reviewed contained documentation of a diagnosed food allergy. There were no written instructions from a physician regarding what to do in the event of a suspected or confirmed allergic reaction. (Child #4)”

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

Based on records reviewed and information obtained from SACC administration, staff failed to follow the medication policies/procedures by not ensuring that an emergency medication was on-site where the child was in care.

“Evidence: 1. A medication authorization and emergency action plan belonging to Child #2 indicated that a prescription medication be given in an emergency but the medication was not on-site, as required.”

Rule 8VAC20-780-40-E.

8VAC20-780-60-A-8

“Based on a review of records, child records do not contain all required documentation. Evidence: 3 of 3 child records with a diagnosed food allergy, did not contain documentation of an allergy action plan with instructions from a physician for steps to take in an emergency. (Children #1, 2, 3).”

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