VIRGINIA DEPARTMENT OF SOCIAL SERVICES

SACC at Terra Centre
6000 Burke Centre Parkway
Burke, VA 22015
(703) 249-1460

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: March 1, 2023 and March 9, 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 Special Care Provisions and Emergencies 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

An investigation was begun on 3/1/23 in response to a self-reported incident received in our office on 2/27/23. Based on written statements and staff interviews, the preponderance of evidence supports the report of a lack of supervision. Additional violations were found during the course of the investigation and not part of the original report. See Violation Notice for non-compliances cited. If you have any questions, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on a review of records, one staff record did not contain documentation of a negative Tuberculosis (TB) screening result at the time of employment and completed within the last 30 calendar days. Evidence: The date of the documented TB results available for review is 9/27/2022. (Staff A: Date of Hire (DOH) is 9/26/22.)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on a review of documentation, orientation for one staff was not completed prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The orientation document provided for review is dated 10/11/22. (Staff A DOH: 9/26/22)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	Based on a review of orientation documentation provided, all required components were not covered/included. Evidence: The documentation available for review was missing the following components: *Emergency Preparedness and Response plan *Prevention of Abusive Head trauma *Prevention and Response to emergencies due to food and other allergic reactions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-I
Description:	Based on a review of documentation of orientation provided, the form used does not include all required components. Evidence: The orientation document available for review does not include the training delivery method. (Staff A)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	Based on interviews and documentation review, staff supervising children failed to always ensure their care, protection and guidance. Evidence: On 2/24/23, at approximately 4:45 pm, Staff A left the gym with 7 children. As the group walked through the halls to the SACC rooms, Child #1 (11years) did not want to walk with the group. Staff A called to the SACC room for assistance via a walkie-talkie. Child #1 left the group, ?running away? down a hallway. Staff A was aware the child had left the group but chose to continue walking to the SACC rooms. As Staff B was exiting the SACC room to assist, Staff A arrived at the SACC rooms with 5 children. Staff stated they did perform a head count at the gym, and once again while they waited for a child in the bathroom; however, Staff A was unaware that Child #2 (8 years) had also left the group. Both children were found in the front lobby of the school near the front doors by Staff B at approximately 4:53pm.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on interviews and documentation reviewed, a child under the age of 10 was not kept within actual sight and sound supervision. Evidence: 1. On 2/24/23 at approximately 4:45 pm while returning to the classroom from the gym with a group of 7 children, Staff A was unaware that Child #2 (8 years) had left the group. When the group arrived at the SACC rooms, there were 5 children in the group. 2. Staff B stated that they located Child #2 in the front lobby of the school, by the main school entrance at approximately 4:53 pm.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-G
Description:	Based on interviews and documentation review, one child 10 years of age and older was not kept in actual sight and sound supervision. Staff was not able to immediately intervene with the child and was not aware of where the child was or what they were doing. Evidence: 1. On 2/24/23 at approximately 4:45 pm while returning to the classroom from the gym with a group of 7 children, Child #1(11 years) left the group and ?ran away? down a hallway. Staff A was aware that the child left the group but was not aware of where the child went or what they were doing. Staff were not able to intervene immediately if needed. 2. Staff A continued to the classroom with the group without Child #1. 3. Staff B stated that they located Child #1 in the front lobby of the school, by the main school entrance at approximately 4:53 pm.
Plan of Correction:	Not available online. Contact Inspector for more information.