SACC at Daniels Run

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 #2, enrolled for 3 years, was missing the following required components: Addresses for the two emergency contacts that were listed.”

Rule 8VAC20-780-60-A.

Hazardous substances must be in a locked place that prevents access by children.

“In the second classroom, the cabinet storing cleaning materials was unlocked and within reach of the children.”

Rule 8VAC20-780-280-B.

Current certification in cardiopulmonary resuscitation (CPR) training shall include an in-person competency demonstration.

“Staff 2 had CPR training on file that did not include and in-person competency training.”

Rule 8VAC20-780-530-A-1.

The center’s procedures for administering medication shall include maintaining methods to prevent expired medications.

“Child E had a medication on-hand that has been expired for four months.”

Rule 8VAC20-780-510-E.

Based on record review of 4 child files, it was determined that the center did not ensure that the separate record for each child enrolled contained all of the required information.

“Evidence: The record for child #2 did not contain documentation of work phone numbers for each parent.”

Rule 8VAC20-780-60-A.

8VAC20-780-245-J-1

“Based on a review of records, staff records do not contain documentation of having completed the Medication Administration Training (MAT) course with medication present at the center. Evidence: 3 of 3 staff records were reviewed. None of the 3 records contained documentation of current certification in MAT training, with emergency medications present at the center. MAT training for staff #1 expired on 03/06/2024.”

Rule 8VAC20-780-245-J-1.

8VAC20-780-245-J-3

“Based on a review of staff records, the CDC did not ensure children whom had emergency medications and epinephrine were in the care of a staff member who meets the requirements. Evidence: Staff #1 MAT training expired on 03/06/2024. 3 Children onsite had epinephrine prescribed in their allergy action plan.”

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

8VAC20-780-40-M

“Based on a review of documentation and staff interview, the CDC did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: There was no allergy list documented for 3 children that had emergency medication on site. The director confirmed they did not have a written allergy list available.”

Rule 8VAC20-780-40-M.

8VAC20-780-40-M

“Based on a review of documentation and staff interview, the CDC did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: There was no allergy list documented for 3 children that had emergency medication on site. The director confirmed they did not have a written allergy list available.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-G

“Based on a review of the emergency evacuation log, the CDC did not ensure documentation was maintained of emergency evacuation drills. Evidence: The last documented emergency evacuation drill was dated 12/24/2023. Documentation for January 2024 and February 2024 was not maintained.”

Rule 8VAC20-780-550-G.

8VAC20-780-380-A-1

“Based on staff interviews, the center did not ensure minimum outdoor activity time limits were met. Evidence: Staff confirmed that the children did not go outside across a two week time span.”

Rule 8VAC20-780-380-A-1.

8VAC20-780-400-A

“Based on interviews, the center did not promote the child’s physical, intellectual, emotional, social wellbeing and growth. Staff did not interact with the child to provide needed help, comfort, and support including, respecting personal privacy. Evidence: 1. Staff #1 did not respect the personal privacy of several children when staff #1 tickled children throughout the current school year. 2. Staff #1 was asked to stop tickling at least two children as it was not welcomed. Staff interviews confirmed the tickling did not stop.”

Rule 8VAC20-780-400-A.

8VAC20-780-510-G

“Based on observation, the center did not ensure medication was labeled with the child’s name, dosage amount, and the time or times to be given. Evidence: Child #6 had medication on site that was not labeled with their name or dosage amount.”

Rule 8VAC20-780-510-G.

8VAC20-780-70

“Based on a review of staff records, the center did not ensure the required information was in each staff’s record. Evidence: Staff #1 did not have emergency contacts documented on site during the inspection.”

Rule 8VAC20-780-70.

Based on interviews conducted and information received, the SACC program management has not ensured that there was a qualified program director who meets one of the director qualifications who shall regularly be on-site at least 50% of the hours of operation.

“Evidence: 1. There was no qualified program director (center supervisor) on-site at the time of the inspection. 2. Staff reported that the center supervisor position has not been filled, and that they have been covering those job responsibilities. 3. On 4/28/23, the inspector received an email from SACC management reporting that the center supervisor position remains vacant, though other center supervisors have provided coverage.”

Rule 8VAC20-780-200-A.

8VAC20-780-350-B-5

“Based on observations made and interview conducted, it was determined that staff-to-child ratios exceeded the maximum allowed of 1 staff-to-18 children. Evidence: When the inspector arrived to the program there were 2 direct-care staff with 39 children. Staff told the inspector that a 3rd staff person was on break.”

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

8VAC20-780-510-I

“Based on records reviewed, it was determined that the written authorization for the program to administer a medication had expired. Evidence: The medication authorization for Child #4 expired 7/8/22.”

Rule 8VAC20-780-510-I.

8VAC20-780-540-E

“Based on observations made, it was determined that there was not a working battery-operated radio. Evidence: There were no batteries for the radio on-site.”

Rule 8VAC20-780-540-E.