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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: June 18, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
N/A

Comments:
The licensing inspector conducted an unannounced renewal inspection June 18, 2015 from approximately 10:00am to 1:45pm. The following ratios were observed with a total of 62 children present in the during the inspection: Younger Infants - 5 children with 2 staff Waddlers (Older Infants) - 4 children with 1 staff Toddlers and Twos) - 9 children with 2 staff Mulit-Age (Twos and Threes) - 14 children with 2 staff Preschool - 16 children with 2 staff School Age - 14 children with 1 staff The children were engaged in a variety of activities when the licensing inspector arrived. Infants were observed being held by their teachers, sleeping in their cribs, sitting in swings and eating lunch. The Toddlers and Twos were observed having their diapers changes, looking at books, playing with animals and dancing to music. The multi-age classroom was observed participating in circle time where they reviewed colors and sang songs. The children then washed their hands and ate lunch. The Preschool children were observed playing outside, wrapping Father's Day presents, building with blocks, and having books read to them. The School Age children were observed tie-dyeing t-shirts, looking at books, creating figures with beads and eating lunch. Lunch consisted of fish nuggets, carrots, peaches and milk. All areas of the center including classrooms, hallways, kitchens, playgrounds, and bathrooms were inspected. The center was equipped with toys and supplies and items were available to the children. The following information was reviewed: updated injury prevention plan, injury reports, daily sheets, daily attendance, emergency preparedness plan, practiced emergency drill logs, children?s assessments, parent agreements, staff training information and liability insurance. The center's first aid kit and emergency supplies were inspected. Medication is administered and medication and authorization forms were reviewed. Last documented health inspection: 02/15/15 Last documented fire inspection: 06/02/15 During the inspection, five children records and ten employee records were reviewed. Certain information required for the staff records are kept off-site. The majority of the staff record's information is kept on site including annual training hours, background checks, and emergency contact information. An appointment will be made with management to review the remaining staff information at a later date. The risk profile tool will be used for the licensing recommendation once all of the necessary paperwork is received by the licensing department. The renewal application was received prior to the expiration of the current license. Until the new license is received, the provider is legally operating. If you have any questions about this inspection, please contact the licensing inspector, Lynn Powers at (804) 662-9790.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of five children's records, one record did not have documentation of a immunizations. Evidence: During the inspection, the licensing inspector observed the record for Child #3 (enrollment date 06/23/14) did not contain documentation of the immunizations required by the State Board of Health.

Plan of Correction: Per director - We will contact the family and have them bring in the documentation.

Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records, one record did not have documentation of a physical examination. Evidence: During the inspection, the licensing inspector observed the record for Child #3 (enrollment date 06/23/14) did not contain documentation of a physical examination by or under the direction of a physician.

Plan of Correction: Per director - We will contact the family and have them bring in the documentation.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children in one of the six classrooms inspected. Evidence: During the inspection, the licensing inspector observed an aerosol can of Clear Acrylic Sealer in an unlocked cabinet located in the Multi-Age classroom. The can was labeled "Danger - Keep out of the reach of children".

Plan of Correction: Per director - We had the staff move the contained to a locked cabinet during the inspection.

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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