SACC at Greenbriar West

8VAC20-780-400-B · Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Staff #1 showed signs of being visibly upset and was observed by both Staff #2 and Staff #3 yelling at Child #1 during a holiday program held on-site.

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8VAC20-780-510-I · The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided: The center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

Medication stored on site to be administered to Child #6 on an as needed basis was not maintained in its original container.

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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.

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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.

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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.

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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.

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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.

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