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Greenbriar East SACC
13006 Point Pleasant Drive
Fairfax, VA 22033
(703) 633-6460

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Jan. 25, 2024

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.
8VAC20-790 Subsidy Regulations

Comments:
An unannounced monitoring inspection was conducted today from 1:00pm-3:00pm. There were 53 children directly supervised by 6 staff. The physical plant, 6 staff records, 5 children?s records, medications, evacuation drills, injury reports, and emergency supplies were inspected. Children were observed eating snack and playing games. Handwashing procedures were also observed. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:
Standard #: 8VAC20-780-70
Description: Based on record review, the staff record for 1 of 6 staff did not contain all required information.

Evidence:
1. The record for Staff #6 did not contain the address of a person to be notified in an emergency which shall be kept at the center.

Plan of Correction: Corrected during inspection.

Standard #: 8VAC20-780-510-P
Description: Based on medication and medication documentation review, the center did not ensure that when an authorization for medication expired, the parent be notified that the medication needed to be picked up within 14 days or the medication was disposed of by the center.
Evidence:
1. Medication in the center for Child #8 had an authorization dated 8/21/2023. The authorization did not contain a signature from the physician. The authorization expired 10 business days from 8/21/2023.
2. Medication in the center for Child #11 had an authorization dated 8/24/2023. The authorization did not contain a signature from the physician. The authorization expired 10 business days from 8/24/2023.

Plan of Correction: Parents will be notified of the expired authorizations.

Standard #: 8VAC20-780-550-H
Description: Based on record review, practice drills were not maintained for one year.

Evidence:
Documentation of emergency drills completed prior to 8/2023 were not available for review.

Plan of Correction: The center will make a copy of the drill record at the end of the year to keep at the center.

Standard #: 8VAC20-780-550-P
Description: Based on record review, 1 injury report did not contain all required components.

Evidence:
1. An injury report completed for Child #6 on 1/22/2024 did not contain a combination of staff and parent signatures or two staff signatures as required. The report only contained the signature of one staff.

Plan of Correction: The center will ensure all required information is completed for injury reports.

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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