SACC at Marshall Road

8VAC20-780-350-B-5

“Based on observation and staff interview, the 1 staff to every 18 children ratio for the school age program was not being followed. Evidence: Upon the inspectors arrival at 8:50 am there were 36 children, age range 5-12 years with 2 staff. The children continued to arrive during this inspection. Upon the Inspectors departure at 9:30 am, there were 2 staff with 46 children. The other 2 staff were scheduled to arrive at 9:45 am.”

8VAC20-780-350-B-5

“Based on observation and staff interview, the 1 staff to every 18 children ratio for the school age program was not being followed. Evidence: Upon the inspectors arrival at 8:50 am there were 36 children, age range 5-12 years with 2 staff. The children continued to arrive during this inspection. Upon the Inspectors departure at 9:30 am, there were 2 staff with 46 children. The other 2 staff were scheduled to arrive at 9:45 am.”

8VAC20-780-510-I

“Based on a review of children medications, the center has not obtained the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration for one child's emergency medication. Evidence: Child #3 has a nose spray medication for emergencies, the medication does not have a prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration.”

8VAC20-780-510-I

“Based on a review of children medications, the center has not obtained the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration for one child's emergency medication. Evidence: Child #3 has a nose spray medication for emergencies, the medication does not have a prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration.”

8VAC20-780-245-J-3

“Based on a review of medications and staff medication training, staff are not trained in administering rectal medication for a child that requires an emergency medication to be administered rectally. Evidence: Child #1 has an emergency medication to be administered rectally, there is no staff trained in the administration of a rectal medication.”

8VAC20-780-510-I

“Based on a review of children medications, a prescription medication does not have the pharmacy prescription label with the prescribers instructions pertaining to dosage, frequency and manner of administration. Evidence: Child #2 has an emergency Epi pen, the box does not have a prescription label with the instructions pertaining to dosage, frequency and manner of administration.”

8VAC20-780-245-J-3

“Based on a review of medications and staff medication training, staff are not trained in administering rectal medication for a child that requires an emergency medication to be administered rectally. Evidence: Child #1 has an emergency medication to be administered rectally, there is no staff trained in the administration of a rectal medication.”

8VAC20-780-510-I

“Based on a review of children medications, a prescription medication does not have the pharmacy prescription label with the prescribers instructions pertaining to dosage, frequency and manner of administration. Evidence: Child #2 has an emergency Epi pen, the box does not have a prescription label with the instructions pertaining to dosage, frequency and manner of administration.”

8VAC20-780-510-N

“Based on a review of medications, the center has not kept a record of medications given to a child to include the time the medication was administered. Evidence: Child #2 has a prescription medication which says must be administered at 1:00 every day. The medication administration log was reviewed. Staff have not documented the time the medication is administered from July 5 through July 22, 2022.”

8VAC20-780-510-E

“Based on a review of medications, the center has not followed medication procedures for maintaining methods to prevent expired medications. Evidence: Child #1's emergency medication expired 6/2022.”

8VAC20-780-510-N

“Based on a review of medications, the center has not kept a record of medications given to a child to include the time the medication was administered. Evidence: Child #2 has a prescription medication which says must be administered at 1:00 every day. The medication administration log was reviewed. Staff have not documented the time the medication is administered from July 5 through July 22, 2022.”

8VAC20-780-510-E

“Based on a review of medications, the center has not followed medication procedures for maintaining methods to prevent expired medications. Evidence: Child #1's emergency medication expired 6/2022.”