SACC at Island Creek

Staff shall obtain and submit results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing.

“The subsequent TB screening for Staff #2 was obtained 36 days overdue.”

Rule 8VAC20-780-160-C.

The centers procedures for administering medication shall include methods to prevent use of outdated medication.

“Child #3 had emergency medication on-site that expired in October 2025. Staff on-site were not aware the medication was expired.”

Rule 8VAC20-780-510-E.

The center may administer prescription medication to a child provided the center has obtained written authorization from the parent. Medication intended to be used for more than 10 days requires written authorization from the childs physician.

“Child #3 had a long-term emergency medication on-site that is intended to be administered in case of an allergic reaction. The record for Child #3 contained a medication authorization that had been expired for 3 months.”

Rule 8VAC20-780-510-I.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: work phone number and place of employment of each parent; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“The record for Child #1 did not contain a work phone number for each parent. The record for Child #2 did not contain the address for each emergency contact.”

Rule 8VAC20-780-60-A.

A childs record shall contain the following: a written care plan 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.

“The record for Child #3 contained a written care plan that had been expired for 3 months.”

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

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“The record for Staff #1 and Staff #2 contained a CPR certification that had expired in October 2025. Recertification was not obtained until December 2025.”

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

All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care.

“The record for Staff #1 and Staff #2 contained a first aid certification that had expired in October 2025. Recertification was not obtained until December 2025.”

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

8VAC20-780-510-P

“Based on a review of medication, medication was kept onsite for more than 14 days after the medication authorization had expired. Evidence: Child 5’s medication was present on the date of inspection. The medication authorization for Child 5’s medication expired at the end of the 2022-2023 school year.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: Child 9’s record did not contain the phone number of a second emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-790-540-B-3

“Based on record review, children’s records did not contain all required information. Evidence: Child 5’s record did not contain the employment address for one of the listed parents.”

Rule 8VAC20-790-540-B-3.

8VAC20-790-600-D-1

“Based on record review, not all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff 3’s CPR certification expired in June 2023.”

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

8VAC20-790-600-D-2

“Based on record review, not all staff had a current certification in first aid appropriate to the ages of children in care. Evidence: Staff 3’s record did not contain documentation that they have a current first aid certification.”

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

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child 1’s record contained 1 of 2 required emergency contact addresses. 2. Child 4’s record contained 1 of 2 required emergency contact phone numbers.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-2

“Based on record review, staff did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff 1’s first aid certification expired 3/23. 2. Staff 5’s first aid certification expired 4/22.”

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

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection there was one unlocked cabinet containing chemical spray cleaners and disinfectant.”

Rule 8VAC20-780-280-B.