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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: Sept. 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
N/A

Comments:
The licensing inspector conducted an unannounced renewal inspection September 18, 2015 from approximately 9:45am to 2:15pm. The following ratios were observed with a total of 77 children present during the inspection: Infants - 7 children with 2 staff Toddlers - 10 children with 2 staff Twos - 16 children with 2 staff Preschool I - 13 children with 2 staff Preschool II - 15 children with 2 staff Pre-K - 16 children with 2 staff School Age children were not present during the inspection. The children were engaged in a variety of activities when the licensing inspector arrived. Infants were observed playing on the floor with their teachers, sleeping, and sitting in swings. The Toddlers were observed playing with toys, looking at books and playing with their teachers on the floor. The Twos classroom was observed having circle time where they reviewed colors and shapes, sang songs and played outside. The Preschool I class was observed working puzzles, playing with sea animals, playing in the dress up area, working with nuts and bolts and playing outside. The Preschool II classroom had the book ?It?s Okay to Be Different? read to them by their teacher. Children then created a list of how they are different. Children were also observed reviewing the days of the week, months and drawing "Wacky Pictures". The Pre-K classroom was observed cleaning up centers, playing outside, reviewing the calendar, identifying letters and taking bathroom breaks. Later children were observed eating lunch. Lunch consisted of turkey and cheese wraps, mixed vegetables, pineapples and milk. Staff was observed providing assistance to children, engaging children in conversation with children, and sitting with the children during lunch. Later, children transitioned into naptime. All areas of the center including classrooms, hallways, kitchen, 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. The center provides transportation and the vehicle was inspected. During the inspection, four children records and five employee records were reviewed. 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 #: 22VAC40-185-60-A
Description: Based on review of four children's records, one record did not contain the required information. Evidence: During the inspection, the licensing inspector observed the record for Child #1 (enrollment date 09/08/15) did not contain the addresses of the two emergency contacts listed.

Plan of Correction: Per director - We have already contacted the parent to let them know we are waiting on the addresses of the emergency contacts. We will follow up with the parent again and add the information to the record.

Standard #: 22VAC40-185-510-A
Description: Based on review of medication and medication authorization forms, the center did not ensure it followed the center's written medication policies. Evidence: During the inspection, the licensing inspector observed a container of moisturizing nasal spray located in the Toddler room that had an expired medication date of 08/15.

Plan of Correction: Per director - We removed the medication from the Toddler room and will send it home with the parent.

Standard #: 22VAC40-185-510-C
Description: Based on review of medication and medication authorization forms, the center did not ensure long term medications had written authorization from the child's parent. Evidence: During the inspection, the licensing inspector observed the medication authorization form for a child's Bendaryl and Epi-Pen. The medication authorization form did not contain a parent's signature.

Plan of Correction: Per director - We will have the parent sign the authorization form. The authorization form has been completed by the child's physician.

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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