SACC at Terra Centre

Repeat Violation 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 #B, who has been enrolled for seven 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.

8VAC20-780-60-A-8

“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 #3, who has been enrolled for over two months, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-790-600-D-1

“Based on a review of records, one staff did not have documentation of current certification in Cardiopulmonary Resuscitation (CPR). Evidence: Staff A’s record did not contain current certification in CPR. Certification available for review was dated as expiring 8/2023. Staff stated they have been employed for 2 years.”

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

8VAC20-790-600-F

“Based on a review of records, one staff member did not have documentation of required annual training. Evidence: Staff A did not have documentation of completing the department’s health and safety update course.”

Rule 8VAC20-790-600-F.

8VAC20-780-60-A

“Repeat Violation Based on a review of records, child records did not contain all required information. Evidence: 3 child records were reviewed. *2 of 3 records were missing father’s work information. (Children #1, 2) *1 of 3 records was missing an allergy action plan for a diagnosed food allergy. (Child 1)”

Rule 8VAC20-780-60-A.

8VAC20-780-160-A

“Based on a review of records, one staff record did not contain documentation of a negative Tuberculosis (TB) screening result at the time of employment and completed within the last 30 calendar days. Evidence: The date of the documented TB results available for review is 9/27/2022. (Staff A: Date of Hire (DOH) is 9/26/22.)”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on a review of documentation, orientation for one staff was not completed prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The orientation document provided for review is dated 10/11/22. (Staff A DOH: 9/26/22)”

Rule 8VAC20-780-240-B.

8VAC20-780-240-C

“Based on a review of orientation documentation provided, all required components were not covered/included. Evidence: The documentation available for review was missing the following components: *Emergency Preparedness and Response plan *Prevention of Abusive Head trauma *Prevention and Response to emergencies due to food and other allergic reactions.”

Rule 8VAC20-780-240-C.

8VAC20-780-240-I

“Based on a review of documentation of orientation provided, the form used does not include all required components. Evidence: The orientation document available for review does not include the training delivery method. (Staff A)”

Rule 8VAC20-780-240-I.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-340-G

Rule 8VAC20-780-340-G.

8VAC20-780-130-A

“Based on a review of records, one child record does not contain documentation of an immunization record. Evidence: 1 of 2 child records reviewed was missing documentation of an immunization record prior to the first day of attendance. No immunization record is available for review. (Child 2: Date of enrollment 11/2022)”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on a review of records, one child’s record does not contain documentation of a completed physical within 30 days of enrollment. Evidence: 1 of 2 records reviewed did not contain documentation of a completed physical. (Child 2; Date of enrollment: 11//11/2022).”

Rule 8VAC20-780-140-A.

8VAC20-780-340-G

Rule 8VAC20-780-340-G.

8VAC20-780-40-E

“Based on multiple staff statements, the center failed to follow the policy for knowing where children are at all times. Evidence: On 12/05/2022, Staff A did not follow the SACC policy for accountability when they left the playground area to go into the SACC rooms with a group of 16 children. As the group prepared to go into the SACC rooms, the children started down the stairs with out a roster check/head count being conducted as a second staff member arrived.”

Rule 8VAC20-780-40-E.

8VAC20-780-60-A

“Based on a review of records, child records do not contain all required information. Evidence: 2 of 2 child records reviewed did not contain complete information for emergency contacts. (Children 1,2)”

Rule 8VAC20-780-60-A.

22VAC40-665-580-B

“Based on a review of records, one staff record did not include documentation of completing the required pre-service training (10 hours) within 90 days of employment. Evidence: The record for Staff #1 did not include documentation of the 10 hour pre-service training within 90 days of employment. (Date of Employment: March 2020) Staff began working in September 2020, when schools reopened. The course was not completed until October 2021.”

Rule 22VAC40-665-580-B.

22VAC40-665-580-H

“Base on a review of records, staff records are incomplete. Evidence: 2 of 4 staff records did not contain annual documentation of the Virginia update Health and Safety training. Documentation available for review was dated 2019, and 2021. Training should have been completed in 2020 as staff were working at that time. (Staff #2, 3).”

Rule 22VAC40-665-580-H.