SACC at Franconia

Each child shall have a physical examination by or under the direction of a physician by the end of the 30th day of enrollment.

“Child #4 enrolled for more than 6 months did not have a physical exam on record.”

Rule 8VAC20-780-140-A.

Parents shall be provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs. Additionally, staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“Child #1 did not have an annual update of a review of their record. The last recorded update was 08/22/22.”

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

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

“Staff #1 left the gym area to go to the classroom leaving 21 children with one staff member for approximately 2 minutes.”

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

At least one staff in each classroom or area where children are present shall have current certification in both CPR and First Aid.

“Staff 1 confirmed that at times themself and Staff 2 are left alone with a group of children in care. Staff 1 had an expired CPR/1st Aid certification overdue by more than 2months. Staff 2 had an expired CPR and 1st Aid certification, overdue by more than 10months.”

Rule 8VAC20-780-530-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation (DHO) of children.

“Staff 3, who is the only staff member to have DHO, had documentation of the training taken over 3 years prior.”

Rule 8VAC20-780-245-L.

Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the record of Child A had not been updated in over a year.”

Rule 8VAC20-780-60-A.

Staff files will contain the name, address, and telephone number of a person to be notified in an emergency.

“Staff #2 did not have the name, address and phone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

Behavioral guidance should be constructive in nature, and intended to redirect children to appropriate behavior and resolve conflict.

“As the group was cleaning up after snack, child A was sweeping the floor and was raising his voice, staff member 1 taunted the child with a mocking tone. When the child became agitated and held up a broom, staff 1 then took the broom and dustpan and tossed it off to the side. Staff 1 was then witnessed picking up child A up by the arm, and pulling the child across the room.”

Rule 8VAC20-780-400-B.

Based on record review, the center did not ensure that each child’s records contained complete documentation of all required information.

“Evidence: 1. The record for child #2 was missing the address for both of two required emergency contacts. The name, address, and phone number of a person to contact in an emergency if the parents can not be reached is required.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-A

“Based on records reviewed and interview conducted, 1 of 3 children’s records did not include documentation of immunizations before the child attends the program. Evidence: The record for Child #1 did not include immunizations. Staff stated that the immunizations had been requested and not received. The child is attending the spring break program and was present today.”

Rule 8VAC20-780-130-A.

8VAC20-780-50-A

“Based on observations made, staff and children’s information were not treated in a confidential manner. Evidence: The Supplemental Information page of the October 2023 inspection report were posted in the school for public viewing. This page of the report contains confidential and identifying information and states “Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility.””

Rule 8VAC20-780-50-A.

8VAC20-780-550-D

“Based on records reviewed, a monthly practice evacuation drill was not conducted. Evidence: No drill was recorded for November 2023.”

Rule 8VAC20-780-550-D.

Repeat violation and systemic deficiency. Based on observations made, staff have failed to ensure that required documents were posted on the licensed premises. [Note: This was previously cited as 40.D]

“Evidence: 1. The current license to operate was not posted. The license that expired 10/1/21 was posted. 2. The findings from the most recently issued inspection report (dated 3/3/23) was not posted. The inspection report dated 10/24/22 was posted.”

Rule 22.1-289.011-F.

8VAC20-780-140-A

“Based on records reviewed, 1 of 2 children’s records did not include a physical exam within the 1st 30-days of attendance. Evidence: The record for Child 1 did not include documentation of a physical exam. The child began attending the program in 2022.”

Rule 8VAC20-780-140-A.

8VAC20-780-540-E

“Based on observations made, required emergency supplies were not on site. Evidence: The battery-operated emergency radio was not working.”

Rule 8VAC20-780-540-E.

8VAC20-780-350-B-5

“Based on observations made, it was determined that the staff to child ratios exceeded the maximum allowed of 1:18. Evidence: When the inspector arrived to the program one classroom had 1 staff person to 27 children (1:27). The staff person stated that additional staff were on their lunch break. A 2nd staff person returned from break at approximately 2:30pm.”

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

8VAC20-780-40-D

“Based on observations made, it was determined that the current license to operate was not posted. Evidence: The license that expired 10/1/21 was posted.”

Rule 8VAC20-780-40-D.

8VAC20-780-510-B

“Based on records reviewed, it was determined that 1 medication authorization did not include required written permission/signatures. Evidence: The medication authorization form was not signed by the parent.”

Rule 8VAC20-780-510-B.

8VAC20-780-70

“Based on interview conducted, it was determined that 1 of 4 staff did not have a record on-site. Evidence: Staff #4 said she began working on-site on 2/27/23 and was not given any paperwork/record to bring to the school. There was no documentation of her name, address, job title, date of employment, emergency contact information, or completed trainings.”

Rule 8VAC20-780-70.

8VAC20-780-40-D

“Based on observations made, it was determined that the current license was not posted in the facility. Evidence: A previously issued license, which expired on 10/1/21, was posted on the bulletin board.”

Rule 8VAC20-780-40-D.

8VAC20-780-550-P

“Based on records reviewed, it was determined that required information was not documented on a written injury report. Evidence: 1 of 3 written injury reports did not include 2 signatures, as there were none.”

Rule 8VAC20-780-550-P.

8VAC20-770-60-B

“Based on records review, the center did not obtain a complete sworn disclosure statement (SDS) for an employee prior to the first day of employment. Evidence: 1. Staff # 1’s first day of hire was 1/31/22. 2. Staff # 1’s SDS was completed on 2/8/22. 3. Staff # 2’s first day of employment was 3/28/22. 4. Staff # 2’s SDS was completed on 5/18/22.”

Rule 8VAC20-770-60-B.

8VAC20-780-240-A

“Based on records requested and submitted for review, it was determined that 1 of 2 staff records did not include documentation of the VDOE sponsored orientation course within 90-days of employment. Evidence: Staff #6 - The training certificate was requested by the inspector for review and not submitted by the licensee. Date of hire was 11/8/21.”

Rule 8VAC20-780-240-A.

8VAC20-780-245-J-3

“Based on interview conducted and information received, it was determined that no staff have completed Medication Administration Training (MAT). Evidence: The MAT certification(s) were requested by the inspector for review and not submitted by the licensee. The program has a child enrolled that has an emergency medication on-site.”

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