SACC at Halley

8VAC20-780-80-B-2

“Based on record review, the center did not inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. On 9/1/22 a child in care sustained injuries on the playground. Child # 1's was seen by a physician. 2. The department received notification of this incident requiring outside medical attention on 9/9/22.”

8VAC20-780-80-B-2

“Based on record review, the center did not inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. On 9/1/22 a child in care sustained injuries on the playground. Child # 1's was seen by a physician. 2. The department received notification of this incident requiring outside medical attention on 9/9/22.”

8VAC20-780-60-A-8

“Based on records review, the center did not obtain a written allergy action plan 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 for each child. Evidence: 1. Child # 1's record indicated that he had a diagnosed allergy to eggs. 2. The center did not obtain a written allergy action plan for Child # 1.”

8VAC20-780-60-A-8

“Based on records review, the center did not obtain a written allergy action plan 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 for each child. Evidence: 1. Child # 1's record indicated that he had a diagnosed allergy to eggs. 2. The center did not obtain a written allergy action plan for Child # 1.”

22VAC40-185-240-D-1

“Based on staff interview and records review, medication was administered to a child without the center staff having satisfactorily completed a training program for this purpose approved by the Board of Nursing. Evidence: 1. Child # 1has a prescribed emergency medication (insulin) on site to be administered on an as needed basis. 2. The medication log showed: a. 2 units of the insulin were administered on 9/17/21 at 5:15 pm; b. 2 units of the insulin were administered on 9/21/21 at 5:07 pm; and c. Staff # 1 signed off on the medication log as having administered the medication on both these dates. 3. Staff # 2 stated that Staff # 1 did not administer the medication, but supervised Child # 1 while the child self administered the medication. 4. On 9/17/21 and 9/21/21 and at the times of administration, there were no staff members on site with the required emergency medication administration training related to Child # 1's medical need. 5. There was no documentation from the physician or parent in Child # 1's record that permitted the child to self administer the medication.”

22VAC40-185-240-D-1

“Based on staff interview and records review, medication was administered to a child without the center staff having satisfactorily completed a training program for this purpose approved by the Board of Nursing. Evidence: 1. Child # 1has a prescribed emergency medication (insulin) on site to be administered on an as needed basis. 2. The medication log showed: a. 2 units of the insulin were administered on 9/17/21 at 5:15 pm; b. 2 units of the insulin were administered on 9/21/21 at 5:07 pm; and c. Staff # 1 signed off on the medication log as having administered the medication on both these dates. 3. Staff # 2 stated that Staff # 1 did not administer the medication, but supervised Child # 1 while the child self administered the medication. 4. On 9/17/21 and 9/21/21 and at the times of administration, there were no staff members on site with the required emergency medication administration training related to Child # 1's medical need. 5. There was no documentation from the physician or parent in Child # 1's record that permitted the child to self administer the medication.”