SACC at Terra Centre

8VAC20-780-60-A

“Repeat Violation Based on a review of records, child records did not contain all required information. Evidence: 3 child records were reviewed. *2 of 3 records were missing father's work information. (Children #1, 2) *1 of 3 records was missing an allergy action plan for a diagnosed food allergy. (Child 1)”

8VAC20-790-600-D-1

“Based on a review of records, one staff did not have documentation of current certification in Cardiopulmonary Resuscitation (CPR). Evidence: Staff A's record did not contain current certification in CPR. Certification available for review was dated as expiring 8/2023. Staff stated they have been employed for 2 years.”

8VAC20-790-600-F

“Based on a review of records, one staff member did not have documentation of required annual training. Evidence: Staff A did not have documentation of completing the department's health and safety update course.”

8VAC20-780-60-A

“Repeat Violation Based on a review of records, child records did not contain all required information. Evidence: 3 child records were reviewed. *2 of 3 records were missing father's work information. (Children #1, 2) *1 of 3 records was missing an allergy action plan for a diagnosed food allergy. (Child 1)”

8VAC20-790-600-D-1

“Based on a review of records, one staff did not have documentation of current certification in Cardiopulmonary Resuscitation (CPR). Evidence: Staff A's record did not contain current certification in CPR. Certification available for review was dated as expiring 8/2023. Staff stated they have been employed for 2 years.”

8VAC20-790-600-F

“Based on a review of records, one staff member did not have documentation of required annual training. Evidence: Staff A did not have documentation of completing the department's health and safety update course.”

8VAC20-780-240-C

“Based on a review of orientation documentation provided, all required components were not covered/included. Evidence: The documentation available for review was missing the following components: *Emergency Preparedness and Response plan *Prevention of Abusive Head trauma *Prevention and Response to emergencies due to food and other allergic reactions.”

8VAC20-780-240-I

“Based on a review of documentation of orientation provided, the form used does not include all required components. Evidence: The orientation document available for review does not include the training delivery method. (Staff A)”

8VAC20-780-160-A

“Based on a review of records, one staff record did not contain documentation of a negative Tuberculosis (TB) screening result at the time of employment and completed within the last 30 calendar days. Evidence: The date of the documented TB results available for review is 9/27/2022. (Staff A: Date of Hire (DOH) is 9/26/22.)”

8VAC20-780-340-A

“Based on interviews and documentation review, staff supervising children failed to always ensure their care, protection and guidance. Evidence: On 2/24/23, at approximately 4:45 pm, Staff A left the gym with 7 children. As the group walked through the halls to the SACC rooms, Child #1 (11years) did not want to walk with the group. Staff A called to the SACC room for assistance via a walkie-talkie. Child #1 left the group, ?running away? down a hallway. Staff A was aware the child had left the group but chose to continue walking to the SACC rooms. As Staff B was exiting the SACC room to assist, Staff A arrived at the SACC rooms with 5 children. Staff stated they did perform a head count at the gym, and once again while they waited for a child in the bathroom; however, Staff A was unaware that Child #2 (8 years) had also left the group. Both children were found in the front lobby of the school near the front doors by Staff B at approximately 4:53pm.”

8VAC20-780-340-F

“Based on interviews and documentation reviewed, a child under the age of 10 was not kept within actual sight and sound supervision. Evidence: 1. On 2/24/23 at approximately 4:45 pm while returning to the classroom from the gym with a group of 7 children, Staff A was unaware that Child #2 (8 years) had left the group. When the group arrived at the SACC rooms, there were 5 children in the group. 2. Staff B stated that they located Child #2 in the front lobby of the school, by the main school entrance at approximately 4:53 pm.”

8VAC20-780-340-G

“Based on interviews and documentation review, one child 10 years of age and older was not kept in actual sight and sound supervision. Staff was not able to immediately intervene with the child and was not aware of where the child was or what they were doing. Evidence: 1. On 2/24/23 at approximately 4:45 pm while returning to the classroom from the gym with a group of 7 children, Child #1(11 years) left the group and ?ran away? down a hallway. Staff A was aware that the child left the group but was not aware of where the child went or what they were doing. Staff were not able to intervene immediately if needed. 2. Staff A continued to the classroom with the group without Child #1. 3. Staff B stated that they located Child #1 in the front lobby of the school, by the main school entrance at approximately 4:53 pm.”

8VAC20-780-240-B

“Based on a review of documentation, orientation for one staff was not completed prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The orientation document provided for review is dated 10/11/22. (Staff A DOH: 9/26/22)”

8VAC20-780-60-A

“Based on a review of records, child records do not contain all required information. Evidence: 2 of 2 child records reviewed did not contain complete information for emergency contacts. (Children 1,2)”

8VAC20-780-40-E

“Based on multiple staff statements, the center failed to follow the policy for knowing where children are at all times. Evidence: On 12/05/2022, Staff A did not follow the SACC policy for accountability when they left the playground area to go into the SACC rooms with a group of 16 children. As the group prepared to go into the SACC rooms, the children started down the stairs with out a roster check/head count being conducted as a second staff member arrived.”

8VAC20-780-140-A

“Based on a review of records, one child's record does not contain documentation of a completed physical within 30 days of enrollment. Evidence: 1 of 2 records reviewed did not contain documentation of a completed physical. (Child 2; Date of enrollment: 11//11/2022).”

8VAC20-780-130-A

“Based on a review of records, one child record does not contain documentation of an immunization record. Evidence: 1 of 2 child records reviewed was missing documentation of an immunization record prior to the first day of attendance. No immunization record is available for review. (Child 2: Date of enrollment 11/2022)”

8VAC20-780-340-G

“Based on multiple staff statements, a child 10 years of age and older was not kept in actual sight and sound supervision. Evidence: On 12/05/22 at approximately 4:40 PM a child was left on the playground, when the group of children and staff they were with left the playground to go inside. The playground area is located up an exterior flight of stairs and behind the school building. The child was found by a different staff member at approximately 4:45 while retrieving another child from a school bus arriving at the facility, Staff were unaware that the child had not left the playground with the group. (Child 1;Date of Birth 06/2011)”

22VAC40-665-580-B

“Based on a review of records, one staff record did not include documentation of completing the required pre-service training (10 hours) within 90 days of employment. Evidence: The record for Staff #1 did not include documentation of the 10 hour pre-service training within 90 days of employment. (Date of Employment: March 2020) Staff began working in September 2020, when schools reopened. The course was not completed until October 2021.”

22VAC40-665-580-H

“Base on a review of records, staff records are incomplete. Evidence: 2 of 4 staff records did not contain annual documentation of the Virginia update Health and Safety training. Documentation available for review was dated 2019, and 2021. Training should have been completed in 2020 as staff were working at that time. (Staff #2, 3).”

22VAC40-665-580-B

“Based on a review of records, one staff record did not include documentation of completing the required pre-service training (10 hours) within 90 days of employment. Evidence: The record for Staff #1 did not include documentation of the 10 hour pre-service training within 90 days of employment. (Date of Employment: March 2020) Staff began working in September 2020, when schools reopened. The course was not completed until October 2021.”

22VAC40-665-580-H

“Base on a review of records, staff records are incomplete. Evidence: 2 of 4 staff records did not contain annual documentation of the Virginia update Health and Safety training. Documentation available for review was dated 2019, and 2021. Training should have been completed in 2020 as staff were working at that time. (Staff #2, 3).”