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Bon Secours Family Center @ Memorial Regional Medical Center
8210 Meadowbridge Road
Mechanicsville, VA 23116
(804) 559-0647

Current Inspector: Kandra Brown (804) 662-9038

Inspection Date: May 17, 2018 and May 18, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PROGRAMS.
63.2 Child Abuse and Neglect

Comments:
The licensing inspector conducted an unannounced inspection on Thursday, May 17, 2018, in response to a self-reported incident that the Department received on May 9, 2018 regarding behavioral guidance. The inspector was on site at the center on May 17, 2018 from 10:42am to 5:05pm. Interviews with staff were completed, observations were made in the center, and documentation was reviewed. The inspector completed an additional interview on May 18, 2018. The preponderance of the evidence gathered during the investigation validates the self-reported incident of inappropriate behavioral guidance. A violation was cited regarding behavioral guidance. If you have any questions about this inspection, please contact the licensing inspector at (804) 662-9038. Please complete the ?plan of correction? and ?date to be corrected? for the violation cited on the violation notice and return it to me within 5 business days from today. You will need to 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.

Violations:
Standard #: 22VAC40-185-400-B
Description: Based on interviews, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. On 05/07/2018 at around 12:30 pm a family member of an enrolled student heard staff #1 raise her voice and saying "I told y'all to lay down" and "Didn't I tell you" while pointing her finger at a two year old child. 2. A center administrator said that the coworkers of staff #1 were interviewed and they reported that staff #1 has used a "gruff" or "harsh" tone when speaking to children. 3. Staff #1 said that they are naturally loud and more direct and stern after redirecting a child a few times. 4. A center administrator said that she herself has observed staff #1 handling certain situations in ways that are not age and stage appropriate. The administrator described an incident where a two year old was taking their shoes off in class. Staff #1 put the two year old child in time out for doing so. The administrator expressed concern regarding inappropriate behavioral guidance with staff #1 immediately.

Plan of Correction: All staff are annually trained in multiple formats regarding acceptable and supportive behavioral guidance for young children including but not limited to orientation and annual re-orientation materials. In addition to the initial disciplinary action and intervention for staff #1, a performance coach has been assigned. Staff #1 will repeat the multiple annual trainings and orientation materials, as well as, review the policy and procedures manual with the assessment which all address positive behavioral guidance and appropriate expectations for ages/stages of young children. Will complete all training with the coach beginning now and be completed by June 15, 2018.

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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