SACC-Riverside

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present.

“At the time of the inspection, Child #8, who has diagnosed food allergies, was not listed on the current written list of all children’s allergies.”

Rule 8VAC20-780-40-M.

[Note: 8VAC20-780-(2)-140.D] Pursuant to the Code of VA, physical exams are not required for any child whose parents objects on religious grounds. The parent must submit a signed statement noting that the parent objects on religious grounds and certifying that to the best of the parents knowledge the child is in good health and free from communicable or contagious disease.

“The religious exemption signed by the parent of Child #6 referenced immunizations, but made no refence to a physical exam and did not state that the child is in good health and free from communicable or contagious disease.”

Rule 8VAC20-780-140-A.

The license and other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The inspection report, dated 8/6/20-8/20/24, was not posted on the premises.”

Rule 22.1-289.011-F.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A storage closet containing multiple cleaning supplies was not locked in one of the classrooms where children were in care.”

Rule 8VAC20-780-280-B.

Based on records reviewed and staff interviewed, staff did not ensure the care and protection of a child having an allergic reaction to a known food allergen.

Rule 8VAC20-780-340-A.

Based on records reviewed and interviews conducted, it was determined that a long-term medication was on-site and administered to a child not in accordance with SACC written medication policies and State standards.

“Evidence: 1. The SACC written medication procedures state, that a physicians signature and written instructions are required for any medication administered more than 10 consecutive days, or on an as-needed basis. 2. On 6/17/24, the parent of Child #1 signed a written medication authorization form for Medication #1 (an over the counter medication) however, the physician did not sign the authorization form. 3. On 8/1/24, Medication #1 was given to Child #1 by Staff #2.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-N

“Based on records reviewed, the record of medication given to a child did not include required information. Evidence: The SACC Medication Administration Record did not include the time that medication #1 was given to Child #1 on 8/1/24.”

Rule 8VAC20-780-510-N.

Based on records reviewed and staff interviewed, staff did not ensure that food was prepared, to which a child in care is allergic, in a manner to avoid cross contamination to prevent an allergic reaction.

“Evidence: 1. SACC staff prepared and served a snack they thought was “no-nuts trail mix” but it contained ingredients that had a nut based allergen. 2. SACC staff stated they served the snack to Child #1 who had a nut allergy. 3. Measures to ensure there were no nuts in the trail mix was not followed, and the child had an allergic reaction after eating the snack served.”

Rule 8VAC20-780-560-O.

8VAC20-780-130-A

“Repeat violation. Based on records reviewed, staff failed to ensure that 1 of 2 children’s records included required information. Evidence: The record for Child #7 did not include documentation of immunizations prior to the child attending. To-date immunizations were not on-file.”

Rule 8VAC20-780-130-A.

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 allergy action plan belonging to Child #7 (attending from SACC Woodley Hills) indicated that a prescription emergency medication be given in an emergency but the medication was not on-site, as required. 2. Staff #8 reported the medication to be in the nurses office at Woodley Hills ES and not accessible by SACC staff today.”

Rule 8VAC20-780-40-E.

8VAC20-780-130-A

“Based on records reviewed, it was determined that 1 of 2 children’s records did not include documentation of immunizations. Evidence: The record for Child #6 did not include immunizations. The child attends another nearby school and access to health records is not at this location.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on records reviewed, it was determined that 1 of 2 children’s records did not include documentation of a physical exam. Evidence: The record for Child #6 did not include a physical exam. The child attends another nearby school and access to health records is not at this location.”

Rule 8VAC20-780-140-A.

8VAC20-780-280-B

“Based on observations made, it was determined that a hazardous substance was not kept in a locked place. Evidence: A can of spray disinfectant was found to be sitting on a storage container located in the bathroom used by children in one classroom. The product was sprayed and determined to have disinfectant in the can.”

Rule 8VAC20-780-280-B.