SACC at Wakefield Forest

8VAC20-780-60-A-8 · A written care plan is required for each child 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. Child #A, who has been enrolled for approximately six months, has a diagnosed food allergy and did not have a written care plan in their file 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 .

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #5, who had been attending for over one month, did not have documentation of an immunization record on file.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of

employment or 90 days from subsidy vendor approval: shall be current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration;. Staff #1 did not have current certification in cardiopulmonary resuscitation (CPR) and had been working for the center over the 90 day requirement..

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8VAC20-780-50-A · Staff and children's records shall be treated confidentially.

The Supplemental Page for inspections dated 10/18/2023, 6/26/2024 and 10/03/2024 were posted on the parent bulletin board and are considered a confidential page.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for Child #1 enrolled for two days and Child #2 enrolled for three days, was missing the following required components: Work phone number for one parent.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment .

Staff #1 did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The certification expired 9/2024.

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22.1-289.011-F · Based on observation, the most recent Violation Notice and Inspection Summary were not posted.

Evidence: The inspection report posted was dated 3/22/23. The most recent inspection was 10/18/23

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8VAC20-780-40-E · Based on records reviewed and information obtained from SACC administration, staff failed to follow the medication policies/procedures by not ensuring that an emergency medication was on-site where the child was in care.

Evidence: 1. A medication authorization and emergency action plan belonging to Child #2 indicated that a prescription medication be given in an emergency but the medication was not on-site, as required.

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8VAC20-780-60-A-8 · Based on a review of records, child records do not contain all required documentation.

Evidence: 3 of 3 child records with a diagnosed food allergy, did not contain documentation of an allergy action plan with instructions from a physician for steps to take in an emergency. (Children #1, 2, 3).

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