William Halley SACC
8850 Cross Chase Circle
Fairfax station, VA 22039
(703) 551-5760
Current Inspector: Mahrukh Aziz (571) 835-4718
Inspection Date: Nov. 12, 2021
Complaint Related: No
- Areas Reviewed:
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22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
20 Access to minor?s records
- Technical Assistance:
-
The new standards became effective on October 13, 2021, but the facility has not yet fully complied with the new requirements. The center demonstrated compliance related to the installation of a carbon monoxide detector.
Technical assistance was offered regarding the storage of hand sanitizers.
- Comments:
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This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews (if applicable) and a virtual tour of the program.
A renewal inspection was initiated on 11/12/21 and concluded on 11/22/21. The director was contacted by telephone and a virtual inspection was conducted. There were 16 children present, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed in various structured activities. Attendance records, emergency drill records and medication authorizations were reviewed. A total of 2 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. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.
- Violations:
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Standard #: 22VAC40-185-240-D-1 Description: Based on staff interview and records review, medication was administered to a child without the center staff having satisfactorily completed a training program for this purpose approved by the Board of Nursing.
Evidence:
1. Child # 1has a prescribed emergency medication (insulin) on site to be administered on an as needed basis.
2. The medication log showed: a. 2 units of the insulin were administered on 9/17/21 at 5:15 pm; b. 2 units of the insulin were administered on 9/21/21 at 5:07 pm; and c. Staff # 1 signed off on the medication log as having administered the medication on both these dates.
3. Staff # 2 stated that Staff # 1 did not administer the medication, but supervised Child # 1 while the child self administered the medication.
4. On 9/17/21 and 9/21/21 and at the times of administration, there were no staff members on site with the required emergency medication administration training related to Child # 1's medical need.
5. There was no documentation from the physician or parent in Child # 1's record that permitted the child to self administer the medication.Plan of Correction: There will be an additional staff member trained in MAT Diabetes Training.
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.
