Westbriar SACC
1741 Pine Valley Drive
Vienna, VA 22182
(703) 618-7653
Current Inspector: Ariel Hayes (804) 629-7124
Inspection Date: Sept. 25, 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
8VAC20-770 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 09/25/2023. There were a total of 39 children with 3 staff members present. Children were observed playing games and watching a movie. 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 5 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.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
If you have any questions about this inspection, please contact the inspector at Ariel.Hayes@doe.virginia.gov or 804-629-7124.
- Violations:
-
Standard #: 8VAC20-780-245-J-1 Description: Based on a review of staff records, the supervisor did not ensure medication administration practices were current.
Observation:
Staff #1 and Staff #2 had Medication administration training that expired on 6/22/2020.Plan of Correction: MAT certifications had expired, however staff were enrolled in the next MAT class which was 9/26/2023 (next day)
Standard #: 8VAC20-780-510-F Description: Based on a review of medication authorization, the supervisor did not ensure required documents were available for emergency medication.
Evidence:
Emergency medication was on site for child #6 and child #7 without proper authorization.Plan of Correction: Multiple email, text and in person reminders were sent to the parent requesting the authorization forms. Was told there was a back up at the doctors office. Finally received forms at 2:15pm on 9/25/2023 via email.
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.
