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SACC at Fairfax Villa

Inspection · 2022-10-05

Date
2022-10-05
Complaint Related
No
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
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 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced self-reported inspection was initiated on September 29, 2022 and concluded on October 12, 2022, due to concerns regarding lack of supervision, care, and protection. This visit was conducted on October 5, 2022, in the afternoon between 12:30 pm and 2:10 pm. The inspection included interviews with center management and staff. Children's records, staff records, physical plant, evacuation drills, emergency supplies, and policies were inspected. Children were observed participating in group activities. Based on the preponderance of evidence gathered, violations were cited. Additional violations were cited that were found during the course of the investigation and were not part of the original report. For violation details, please refer to the Violation Notice. If you have any questions, please e-mail me at kristy.atanackovic@doe.virginia.gov.

Violations

6
Standard 8VAC20-780-130-A
Based on record review, the SACC Program did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: Child #2 did not have documentation of immunizations prior to the child?s first day of attendance. Child?s start date was 10/18/21.
Plan of Correction: Child #2's file now contains documentation of immunizations.
Standard 8VAC20-780-140-A
Based on record review and staff interview, the SACC program did not obtain a physical examination by or under the direction of a physician prior to a child's attendance; or within 30 days after the first day of attendance.

Evidence: Child #2 did not have documentation of a physical examination prior or within 30 days after the child?s first day of attendance. Child?s start date was 10/18/21.
Plan of Correction: Child #2's file now contains documentation of a physical examination.
Standard 8VAC20-780-340-F
Based on staff interviews, a child under 10 years of age was not within actual sight and sound supervision of staff.

Evidence:

1. On the morning of September 28, 2022, a 7-year-old (child # 5) left the gym alone and was not in sight and sound by the supervision of staff.

2. Staff stated that they were unaware that Child #5 had left the gym alone, and that the accountability checklist was not completed before leaving the gym.

3. According to staff interviews, it was determined that Child #5 was not in the care of a SACC staff member for up to 15mins.
Plan of Correction: A site and staff specific Active Supervision training will be held. The training will review SACC's 4-Part Accountability System, environment awareness, transition accountability with a checklist using face-to-name before and after a transition. A program wide safety accountability and supervision training will also be held. The Regional Supervisor will conduct site visits to ensure policies are being consistently implemented.
Standard 8VAC20-780-40-E
Based on staff interviews, it was determined the SACC program failed to comply with its' own policies and procedures as it relates to maintaining supervision.

Evidence:

1. Staff stated that the Accountability Checklist, which is used to track student attendance between transitions, was not completed on the morning of September 28, 2022, before exiting the gym.

2. Staff failed to adhere to the SACC?s written policy for safety, accountability, supervision procedures and health, which states: ?Staff always know the total number and names of children. All children must be accounted for the beginning and end of the transition time through use of the 4-Part Accountability System.?

3. Staff failed to adhere to the SACC?s written policy for transitioning between the playground/gym/other areas, which states: ?Implement and account for all children using the 4-part Accountability System and center specific procedures. Do periodic face to name checks using the Accountability Checklist, set boundaries and ensure that children stay within, and do a ?final? safety and accountability check before leaving. Use the Accountability Checklist to ensure that all children are accounted for (name with face).?
Plan of Correction: A site and staff specific Active Supervision training will be held. The training will review SACC's 4-Part Accountability System, environment awareness, transition accountability with a checklist using face-to-name before and after a transition. A program wide safety accountability and supervision training will also be held. The Regional Supervisor will conduct site visits to ensure policies are being consistently.
Standard 8VAC20-780-550-G
Based on record review and interview, the SACC program did not document emergency evacuation drills.

Evidence:
1. There was no documentation of a September 2022 evacuation drill.

2. Staff stated that an evacuation drill was held during the month of September. However, It was not documented.
Plan of Correction: The center has posted the emergency evacuation drills log current through September 2022.
Standard 8VAC20-780-60-A-8
Based on medication review and interview, the SACC program did not ensure that each child with a diagnosed food allergy had a written care plan that included physician instructions on the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: There was no documentation of a written care plan for child #6, who has a food allergy.
Plan of Correction: Child #6 now has a diagnosed food allergy care plan on file.
View original record on Virginia Department of Social Services