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SACC at Willow Springs

Inspection · 2025-07-09

Date
2025-07-09
Complaint Related
No
Licensing Inspector
Diana DeSilva
(571) 596-3656
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Special Care Provisions and Emergencies

During the inspection, the inspector reviewed the areas listed above to. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An announced monitoring inspection was initiated on 7/9/2025 and completed on 7/9/2025 in response to a self-report received by the licensing office on 7/2/25 relating to supervision of children. The inspector reviewed one child's records on-site. This inspection included document review, tour of the facility, and interviews.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7/18/2025. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care, protection, and guidance.

On 7/1/2025, Child #1 (age 7) left the cafeteria alone during meal time, walked up the ramp, proceeded down the hallway, and entered the administrative offive without the awareness of staff. Staff #1 and 2, who were the assigned staff to supervise the children in their care, did not notice the child exiting the room unsupervised.
Plan of Correction: 7-9-25 Staff will ensure the care, protection and guidance of all children at all times. A thorough review of center specific safety and accountability procedures
was conducted and additional measures have been put in place including placing a staff at the ramp in the cafeteria leading to the door, closing the cafeteria door
and placing motion sensored doorbells on in use classroom doors. Additional communication methodsb etween staff will be used including acknowledgement
of messages received. Outside supervision procedures will include staff placement along the perimeters. 7-15-25 A center all staff meeting was
conducted to review all safety and accountability procedures, including active supervision, engagement with children, body positioning, and coordinated staff
placement at tables. A change in cafeteria dismissal procedures to choice time was also implemented and is now done by table.
Standard 8VAC20-780-340-F
Children under 10 years of age shall always be within actual sight and sound supervision of staff.

On 7/01/2025, Child #1 (age 7) was out of sight and sound supervision for an estimated two to three minutes. The child exited the cafeteria alone, walked down the hallway, and entered the office room. An office staff member observed the child and returned them to Staff #3.
Plan of Correction: 7-9-25 Staff will ensure children under 10 years of age are always within actual sight and sound supervision. A thorough review of center specific safety and accountability procedures was conducted and additional measures have
been put in place to ensure sight and sound supervision including placing a staff at the ramp in the cafeteria leading to the door, closing the cafeteria door and placing motion sensored doorbells on in use classroom doors. Additional
communication methods between staff will be used including acknowledgement of messages received. Outside supervision procedures will include staff placement along the perimeters. 7-15-25 A center all staff meeting was conducted to review all safety and accountability procedures, including sight and sound supervision, active supervision, engagement with children, body positioning,
and coordinated staff placement at tables. A change in cafeteria dismissal procedures to choice time was also implemented and is now done by table.