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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: May 29, 2015

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 Facilities and Programs..

Technical Assistance:
N/A

Comments:
The licensing inspector conducted an unannounced monitoring inspection May 29, 2015 from approximately 10:00am to 1:30pm. The following ratios were observed with a total of 75 children present during the inspection: Infants - 4 children with 1 staff Toddlers - 7 children with 2 staff Twos - 14 children with 2 staff Threes - 20 children with 2 staff Threes (Preschool II) ? 20 children with 2 staff Fours & Fives (Pre-K I) - 10 children with 1 staff Fours & Fives (Pre-K II) - 9 children with 1 staff School Age children were not present during the inspection. During the inspection, children and staff were observed participating in a variety of activities. The Infants were observed playing on the floor with toys, sleeping in their cribs and being held while drinking a bottle. The Toddlers were observed eating lunch. The Twos were observed playing outside, listening to music, having their diapers changes, being encouraged to use the potty, and preparing for lunch. The Threes classrooms were observed playing outside, participating in center time where the children played in Home Living with new baby dolls, used doctor kits to doctor dolls, worked puzzles, built towers with blocks and played with trains. Clifford the Big Red Dog was also read to the children while they transitioned into lunch time. The Pre-K classrooms were observed having sunscreen applied and playing outside, having the book ?Where the Wild Things Are? read to them, sculpted with Bendaroos, and played with Barbies. Staff was observed interacting with the children, engaging them in conversations. The staff sat with the children at lunch time and provided assistance when needed. Lunch was consisted of turkey and cheese roll ups, mixed vegetables, bananas and milk. Later children began to transition into naptime. All areas of the center including classrooms, hallways, bathrooms, kitchen, and playgrounds were inspected. The center was equipped with toys and supplies and items were available to the children. The following information was reviewed: emergency supplies, injury reports, fire and shelter-in-place drills, daily attendance, daily sheets, parent agreements and handbooks, and staff training information. Medication is being administered and medication and medication authorizations were reviewed. Last documented health inspection: 03/24/2015 Last documented fire inspection: 02/27/15 During the inspection, five children records were reviewed. Staff emergency information was available for the licensing inspector to review. Staff files will be reviewed at a later date. If you have any questions about this inspection, please contact the licensing inspector, Lynn Powers at (804) 662-9790.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records, one record did not contain documentation of a physical exam within the required time frame. Evidence: During the inspection, the licensing inspector observed the record for Child #4 (enrollment date 06/17/14) contained a physical exam dated 10/24/14. Each child is required to have a physical examination by or under the direction of a physician prior to or within the first 30 days of attending the center.

Plan of Correction: Per management - We will continue to remind the families that all paperwork including physical exams need to be submitted prior to enrollment.

Standard #: 22VAC40-185-510-D
Description: Based on review of nine medications and medication authorizations, the center did not ensure a medication authorization form was available to the staff. Evidence: During the inspection, the licensing inspector observed Child #5 (enrollment date 07/07/14) had Motrin present at the center. An medication authorization form could not be located while the licensing inspector was conducting the inspection.

Plan of Correction: Per management - The medication will be sent home today.

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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