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Bundle of Joy - Glen Allen
9700 Bundle of Joy Lane
Glen allen, VA 23059
(804) 553-1366

Current Inspector: Jennifer Moore (804) 662-9716

Inspection Date: Oct. 10, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was completed on October 10, 2019 from approximately 12:45 p.m. to 4:30 p.m. Ninety children were in care and approximately eighteen staff were on premises during the inspection. An additional thirty-eight children arrived from school at the end of the inspection with an additional three staff. Staff and children were observed in classrooms and on the playground engaged in activities to include activities for infants, outside play, transitioning to nap time, nap time, snack time, and arrival and departure from the center. Interviews and interactions were conducted and medications were reviewed. Nine children?s records and five staff records were reviewed. Three assistant directors were available for the inspection and one was present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. See the violation notice on the Department?s public web site for violations of the Standards.

Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it within five business days of receipt. Specify how the deficient practice will be or has been corrected. The plan of correction should contain: 1) step(s) to correct the noncompliance with the standard(s), 2) measure(s) to prevent the noncompliance from occurring again and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of children?s records, the licensee failed to obtain an immunization record for a child before the child attended the center for two of nine children.
Evidence: 1. Child #3's record, enrolled on September 3, 2019, contained immunization documentation dated September 11, 2019. Child #4's record, enrolled on October 22, 2018, contained immunization documentation dated February 20, 2019. 2. Administrator #3 acknowledged these immunization records were not obtained before the child attended the center.

Plan of Correction: Assistant director has been counseled with regard o the center's admission policy and will continue to be monitored by director for compliance.

Standard #: 22VAC40-185-140-A
Description: Based on a review of children?s records, the licensee failed to obtain a physical for one of nine children before the child?s attendance or within one month after attendance.
Evidence: 1. Child #4's record, enrolled on October 22, 2018, contained a physical dated February 14, 2019. 2. Administrator #3 acknowledged the physical was not obtained within a required time frame.

Plan of Correction: Assistant director has been counseled regarding center admission policy and will be monitored by director for compliance.

Standard #: 22VAC40-185-510-D
Description: Based on a review of medication authorizations, licensee failed to maintain available medical authorizations for medication during the entire time it is effective.
Evidence: 1. A prescription epi-pen and liquid over the counter allergy medication was observed for Child #5, enrolled on August 19, 2019. However, there was no medication authorization present for these medications. 2. In an interview, Administrator #3 acknowledged the authorizations for these medications was not present.

Plan of Correction: After the inspection, assistant director located the authorization forms in the front pocket of the authorization binder. Said forms have been hole punched and placed in alphabetical order with the other forms.

Standard #: 22VAC40-185-510-E
Description: Based on observation and interview, the licensee failed to ensure that medication is labeled with the child's name.
Evidence: 1. Liquid over the counter allergy medication was observed. The medication was not labeled with a child's name. 2. In an interview with Administrator #3 she acknowledged this medication was not labeled as required and reported it's unknown to the center who the medication belongs to.

Plan of Correction: Assistant director has been counseled regarding proper acceptance and labeling of medication and will be monitored by director for compliance.

Standard #: 22VAC40-185-510-N
Description: Based on observation and interview, the licensee failed to dispose of medications that were not picked up by a child's parents within fourteen days of an expired authorization.
Evidence: 1. Over the counter liquid allergy medication was observed labeled with Child #12's name. 2. In an interview with Administrator #3, she reported Child #12 withdrew from the center in 2007 and acknowledged this medication was still present on site.

Plan of Correction: Assistant director will make the necessary arrangements to have said medication removed from the center and be diligent in monitoring medication for departing students. Assistant director will be monitored by director.

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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