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Bon Secours Family Center @ St. Francis Medical Center
13901 St. Francis Boulevard
Midlothian, VA 23114
(804) 594-4990

Current Inspector: Kandra Brown (804) 662-9038

Inspection Date: July 20, 2018

Complaint Related: No

Areas Reviewed:
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.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 07/20/2018 from 11:03am to 3:45pm. The children were observed having water play, playing on the playground, reading books, eating lunch and napping. A formal observation was completed with the twos and school age classrooms. Lunch consisted of chicken and cheese tortillas, fruit, green beans and milk. The menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. All classrooms and playgrounds were inspected today as well as the mini bus. Seven children?s records and five employee records were reviewed during this inspection. Medication is being administered and was reviewed. Ten injury reports were reviewed as well as the center?s injury prevention plan, which was updated 06/15/2018. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 06/14/2018 Last shelter-in-place drill: 03/20/2018 Last fire inspection: 03/07/2018 Last health inspection: 06/20/2018 Today, the following child to staff ratios were observed: Infants - 5:2 Toddlers ? 5:2 Twos - 13:2 Twos and Threes ? 6:1 Threes - 11:2 Pre-K - 14:2 School Age - 15:1 The violations from the previous inspections were checked for corrections. There were no repeat violations found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, the center did not ensure that one of six children's records contained required information. Evidence: The record of child #2 did not contain documentation of who can / can't pick up the child and the name, address and phone number of a second emergency contact. The center was able to call the parent during the inspection and obtain documentation of all persons authorized to pick up the child.

Plan of Correction: We will obtain a second emergency contact address from the parent.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: The two year old classroom had a cleaner located on top of a counter out of the reach of children.

Plan of Correction: Corrected during the inspection. We will do additional trainings on proper storage of cleaners.

Standard #: 22VAC40-185-560-K
Description: Based on observation, the center did not ensure that tables were sanitized according to standard 22VAC40-185-10 before eating lunch. Evidence: The toddler teacher sanitized the tables with disinfectant wipes before the children ate lunch. According to standard 22VAC40-185-10, the definition of ?sanitized? indicates that the surface should be sprayed with or dipped into a disinfectant solution and allowed to air dry. This allows the surface to be treated in such a way to remove bacteria and viruses. Disinfectant wipes may not be used to sanitize tables before and after meals.

Plan of Correction: Remove the Quat wipes and replace with the spray bottles.

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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