SACC at Greenbriar West

8VAC20-780-60-A

“Based on records review, the center did not update children's records annually. Evidence: 1. Child # 2 and Child # 3's documented first day enrollment was 8/22/22. 2. There was no documentation to show that the information in Child # 1 and Child # 2's records was updated annually. There was no written documentation since 2022.”

8VAC20-780-60-A-8

“Based on records review, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: Child # 1 had a diagnosed food allergy, and an allergy action plan was not obtained for Child # 1.”

8VAC20-780-60-A

“Based on records review, the center did not update children's records annually. Evidence: 1. Child # 2 and Child # 3's documented first day enrollment was 8/22/22. 2. There was no documentation to show that the information in Child # 1 and Child # 2's records was updated annually. There was no written documentation since 2022.”

8VAC20-780-60-A-8

“Based on records review, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: Child # 1 had a diagnosed food allergy, and an allergy action plan was not obtained for Child # 1.”

8VAC20-790-600-D-2

“Based on record review, staff did not have current certification in First Aid. Evidence: Staff # 1's most recent First Aid certification expired in September 2023.”

8VAC20-790-600-D-1

“Based on record review, staff did not have current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff # 1's most recent CPR certification expired in September 2023.”

8VAC20-790-600-D-2

“Based on record review, staff did not have current certification in First Aid. Evidence: Staff # 1's most recent First Aid certification expired in September 2023.”

8VAC20-790-600-D-1

“Based on record review, staff did not have current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff # 1's most recent CPR certification expired in September 2023.”

8VAC20-780-70

“Based on review of 4 staff records, one staff record does not contain all the required documentation. Evidence There is no record for staff #1. Documentation of their name, and address, and the name, address and telephone number of a person to be notified in an emergency was not available at the center for review. Staff #1 did not have documentation available for review of first aid and cardiopulmonary resuscitation (CPR) certifications.”

8VAC20-780-550-D

“Based on review of emergency procedures, the center did not implement a monthly practice evacuation drill every month. Evidence The monthly practice evacuation drill log did not have documentation of a practice drill for the month of January 2023.”

8VAC20-780-550-A

“Based on review of emergency procedures, the center did not review/update the emergency preparedness plan annually. Evidence The center did not have documentation of the emergency preparedness plan being reviewed/updated annually. The emergency preparedness plan was last updated 11/2017.”

8VAC20-790-570-2

“Based on review of accident/incident's reports, the center did not inform the department's representative as soon as possible, but not more than two business days, of any injury to a child while under the center's supervision when a referral is made for treatment from a medical professional. Evidence Child #1 received outside medical treatment on 1/26/2023, notification of the incident was not submitted to the department's representative within two business days. Report of the incident was submitted on 1/31/2023.”

8VAC20-780-70

“Based on review of 4 staff records, one staff record does not contain all the required documentation. Evidence There is no record for staff #1. Documentation of their name, and address, and the name, address and telephone number of a person to be notified in an emergency was not available at the center for review. Staff #1 did not have documentation available for review of first aid and cardiopulmonary resuscitation (CPR) certifications.”

8VAC20-780-550-D

“Based on review of emergency procedures, the center did not implement a monthly practice evacuation drill every month. Evidence The monthly practice evacuation drill log did not have documentation of a practice drill for the month of January 2023.”

8VAC20-780-550-A

“Based on review of emergency procedures, the center did not review/update the emergency preparedness plan annually. Evidence The center did not have documentation of the emergency preparedness plan being reviewed/updated annually. The emergency preparedness plan was last updated 11/2017.”

8VAC20-790-570-2

“Based on review of accident/incident's reports, the center did not inform the department's representative as soon as possible, but not more than two business days, of any injury to a child while under the center's supervision when a referral is made for treatment from a medical professional. Evidence Child #1 received outside medical treatment on 1/26/2023, notification of the incident was not submitted to the department's representative within two business days. Report of the incident was submitted on 1/31/2023.”

8VAC20-780-60-A

“Based on a review of children's records, it was determined that one record does not include all required information. Evidence: The record for Child A does not include documentation of a current shot record nor documentation of a physical examination.”

8VAC20-780-60-A

“Based on a review of children's records, it was determined that one record does not include all required information. Evidence: The record for Child A does not include documentation of a current shot record nor documentation of a physical examination.”