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SACC at Poplar Tree
13440 Melville Lane
Chantilly, VA 20151
(703) 633-7460

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: May 15, 2023

Complaint Related: 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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was conducted on 05/15/2023 between the hours of approximately 7:40 am and 9:15 am. There were 14 children present with 2 staff supervising.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 3 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:
Standard #: 22.1-289.011-F
Description: Based on observation, the center did not ensure that any documents required by the Superintendent were posted on the licensed premises.
Evidence:
1) On the date of inspection, the current inspection notice (10/2022) was not posted. The inspection notice posted was dated 02/07/2022.

Plan of Correction: Make sure to have the correct inspection notice with correct month, date and year.

Standard #: 8VAC20-780-60-A
Description: Based on record review, children's records did not contain all required information.
Evidence:
* The record for Child #1 did not contain the address of a second designated person to call in an emergency if a parent cannot be reached.
* The record for Child #2 did not contain the work phone number of each parent who has custody; the first date of attendance; the name and phone number of child's physician; and a written care plan for the child's diagnosed food allergy.
* The record for Child #3 did not contain the work phone number of each parent who has custody.
* The records for Child #4, Child #5 and Child #6 did not contain a written care plan for the child's diagnosed food allergy.

Plan of Correction: Child #1, #2, #3 - Asked parents to fill-in missing information.
Child #4, #5, #6 - Created medical POA for food allergy.

Standard #: 8VAC20-780-245-J
Description: Based on observation, the center did not ensure that children whom emergency medications have been prescribe were always in the care of a staff member who is MAT trained.
Evidence:
1) On the date of inspection, two staff were supervising the children in the program. Upon record review, the inspector learned that none of them where MAT trained.

Plan of Correction: Make sure at least 2 staff are MAT trained. When MAT trained person is out, make another person at center MAT trained.

Standard #: 8VAC20-780-280-B
Description: Based on observation, hazardous substances such as cleaning materials were not kept in a place that prevents access by children.
evidence:
1) On the date of inspection, two spray paint cans and two Lysol spray cans were observed in unlocked cabinets that made it accessible to children.

Plan of Correction: Removed spray paint. Put in a locked cabinet out of children's reach.

Standard #: 8VAC20-780-280-B
Description: Based on observation, hazardous substances such as cleaning materials were not kept in a place that prevents access by children.
evidence:
1) On the date of inspection, two spray paint cans and two Lysol spray cans were observed in unlocked cabinets that made it accessible to children.

Plan of Correction: Removed spray paint. Put in a locked cabinet out of children's reach.

Standard #: 8VAC20-780-510-G
Description: Based on review of medication, the center did not ensure that all medication be labeled with the child's name.
Evidence:
1) On the date of inspection, one container of medication in the center for Child #3 was not labeled with the child's name.

Plan of Correction: Make all children medication labeled.

Standard #: 8VAC20-780-510-I
Description: Based on medication review, the center did not ensure that written authorization from a parent or guardian was obtained.
Evidence:
1) The medication authorization forms available for review for Child #1 and Child #3 were not signed by the parent or guardian.
* There were additional medication in the center for Child #2, Child #3 and Child #4 that did not have authorization forms available for review.

Plan of Correction: Always make sure to have parents sign all health authorization forms.

Standard #: 8VAC20-780-510-P
Description: Based on review of medication, the center did not ensure that expired medication be returned to parents within 14 days.
Evidence:
1) On the date of inspection medication in the center for Child #3 had an expiration date of 03/2023 and for Child #4 had an expiration date of 01/2023.

Plan of Correction: Make sure to check dates on a regular basis.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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