SACC at Willow Springs

8VAC20-790-600-F

“Based on a review of staff records, the center did not ensure annually training requirements were met. Evidence: Staff #3 did not have an updated health and safety course. The safety course available was dated 06/12/2022.”

8VAC20-780-550-G

“Based on a review of emergency evacuation drills, the center did not ensure documentation was maintained. Evidence: There was not an emergency evacuation drill documented for January 2024.”

8VAC20-790-600-F

“Based on a review of staff records, the center did not ensure annually training requirements were met. Evidence: Staff #3 did not have an updated health and safety course. The safety course available was dated 06/12/2022.”

8VAC20-780-550-G

“Based on a review of emergency evacuation drills, the center did not ensure documentation was maintained. Evidence: There was not an emergency evacuation drill documented for January 2024.”

8VAC20-780-60-A

“Based on a review of child records, the CDC did not maintain a record for each child containing the required information. Evidence: Child #4 was missing an emergency contact address.”

8VAC20-780-350-B-5

“Based on observation, the CDC did not ensure required staff:child ratios were met. Evidence: There were 40 children (age range 5 - 11 years) observed with 2 staff members.”

8VAC20-780-60-A

“Based on a review of child records, the CDC did not maintain a record for each child containing the required information. Evidence: Child #4 was missing an emergency contact address.”

8VAC20-780-350-B-5

“Based on observation, the CDC did not ensure required staff:child ratios were met. Evidence: There were 40 children (age range 5 - 11 years) observed with 2 staff members.”

8VAC20-790-600-B

“Based on record review, all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: Staff #1 (date of hire 10/1/2018) did not have the 10 hour Preservice Training for Child Care Staff on file during the inspection.”

8VAC20-780-510-E

“Based on a review of medication, they did not include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Evidence: Child #1 had a medical authorization form that did not include effective dates.”

8VAC20-780-550-I

“Based on observation, 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center were not posted in a visible place at each telephone. Evidence: Emergency numbers were not posted by the phone during the inspection.”

8VAC20-780-60-A

“Based on file review, the center did not have the number of two designated people to call in an emergency if a parent cannot be reached, as well as the work phone number and place of employment of each parent who has custody and documentation of health information as required by 8VAC20-780-130, 8VAC20-780- 140, and 8VAC20-780-150. Evidence: 1. Child #2 had one emergency contact list. 2. Child #3 was missing mom's employer and employer phone number as well has dad's employer and address. 3. Child #5 did not have documentation of a physical or immunizations during the inspection.”

8VAC20-790-600-B

“Based on record review, all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: Staff #1 (date of hire 10/1/2018) did not have the 10 hour Preservice Training for Child Care Staff on file during the inspection.”

8VAC20-780-510-E

“Based on a review of medication, they did not include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Evidence: Child #1 had a medical authorization form that did not include effective dates.”

8VAC20-780-550-I

“Based on observation, 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center were not posted in a visible place at each telephone. Evidence: Emergency numbers were not posted by the phone during the inspection.”

8VAC20-780-60-A

“Based on file review, the center did not have the number of two designated people to call in an emergency if a parent cannot be reached, as well as the work phone number and place of employment of each parent who has custody and documentation of health information as required by 8VAC20-780-130, 8VAC20-780- 140, and 8VAC20-780-150. Evidence: 1. Child #2 had one emergency contact list. 2. Child #3 was missing mom's employer and employer phone number as well has dad's employer and address. 3. Child #5 did not have documentation of a physical or immunizations during the inspection.”

8VAC20-780-245-J-3

“Based on a review of records, a child with an emergency medication on site is not always in the care of a staff member or independent contractor who meets the requirements for administering medication. Evidence: There is no staff member present at the center that has current certification in Medication Administration Training (MAT). There is one Epi-Pen medication at the center.”

8VAC20-780-245-J-3

“Based on a review of records, a child with an emergency medication on site is not always in the care of a staff member or independent contractor who meets the requirements for administering medication. Evidence: There is no staff member present at the center that has current certification in Medication Administration Training (MAT). There is one Epi-Pen medication at the center.”

22VAC40-665-580-H

“Based on a review of documentation, staff did not complete the required annual update training in 2020. Evidence: 4 of 4 staff records reviewed did not include documentation of completing the annual update Health and Safety training. All 4 staff did work during 2020. Training has been completed in 2021.”

8VAC20-780-80-B-2

“Based on a review of documentation, no report was made to the department's representatives within 2 business days of an injury requiring outside medical attention. Evidence: On 10/28/21 child #1 hit their head in the gym before school while playing a game (8:20 am). First aid was given, parent notified (8:25 am) and the child went to school. The center was notified at 3:25 pm by the parent that the child had been taken to the ER and was diagnosed with a concussion after going to the school clinic complaining of a headache and throwing up. As of 12/9/2021 no report was made to the department's representative.”

8VAC20-780-245-J-1-b

“Based on a review of available documentation, Medication Administration Training (MAT) certification was not renewed within the allowable 3 year time frame. Evidence: MAT certification for Staff A (only staff certified) expired 12/4/21. The recertification class was not taken until 12/9/21. There are emergency medications on site.”

22VAC40-665-580-H

“Based on a review of documentation, staff did not complete the required annual update training in 2020. Evidence: 4 of 4 staff records reviewed did not include documentation of completing the annual update Health and Safety training. All 4 staff did work during 2020. Training has been completed in 2021.”

8VAC20-780-80-B-2

“Based on a review of documentation, no report was made to the department's representatives within 2 business days of an injury requiring outside medical attention. Evidence: On 10/28/21 child #1 hit their head in the gym before school while playing a game (8:20 am). First aid was given, parent notified (8:25 am) and the child went to school. The center was notified at 3:25 pm by the parent that the child had been taken to the ER and was diagnosed with a concussion after going to the school clinic complaining of a headache and throwing up. As of 12/9/2021 no report was made to the department's representative.”

8VAC20-780-245-J-1-b

“Based on a review of available documentation, Medication Administration Training (MAT) certification was not renewed within the allowable 3 year time frame. Evidence: MAT certification for Staff A (only staff certified) expired 12/4/21. The recertification class was not taken until 12/9/21. There are emergency medications on site.”