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Bon Secours Family Center @ SMH
1403 Maple Avenue
Richmond, VA 23226
(804) 285-0444

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Dec. 4, 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)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 12/04/2019 from 10:45am to 2:30pm. The children were observed learning through play in centers, participating in story time, eating lunch and preparing for nap. A formal observation was completed with the Toddler and CC II classrooms. 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.

Seven children?s records and nine 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 07/05/2019.

The center's first aid kit and emergency supplies were inspected.
Last emergency drill: 11/29/2019
Last shelter-in-place drill: 10/25/2019
Last fire inspection: 07/26/2019
Last health inspection: 07/13/2019

Today, the following child to staff ratios were observed:
Infants - 5:2
Toddlers ? 10:2
CC I (Twos) - 12:2
CCII (Twos and Threes) - 13:2
CC II (Threes) - 18:2
CC III(Threes and Fours) ? 15:2

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 #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure that areas and equipment of the center were maintained in a clean, safe and operable condition.
Evidence:
The Toddler, Twos and Older Twos classroom had areas located on their window sills with chipped and peeling paint.

Plan of Correction: We will have the spots touched up by the end of the week.

Standard #: 22VAC40-185-520-C
Description: Based on observation and record review, the center did not ensure four infant records contained documentation of written parent authorization noting any known adverse reactions when diaper cream was used.
Evidence:
1. The record of child #4, child #5, child #6 and child #7 did not contain written parent authorization noting any adverse reactions for diaper cream.
2. Child #4, child #5, child #6 and child #7 had diaper cream labeled with their individual names.
3. The infant teacher stated that all diaper creams were used as needed within the past month.

Plan of Correction: We will send the new forms home to be signed. We will put a new system in place to ensure we have the correct form with the correct cream.

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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