Bon Secours Family Center @ St. Francis Medical Center
13901 St. Francis Boulevard
Midlothian, VA 23114
Current Inspector: Kandra Brown (804) 662-9038
Inspection Date: April 26, 2016
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
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:
The licensing inspector conducted an unannounced monitoring inspection April 26, 2016 from approximately 1:20pm to 4:30pm. The following ratios were observed with a total of 91 children present during the inspection:
Infants - 7 children with 2 staff
Toddlers - 8 children with 2 staff
Twos - 11 children with 2 staff
Threes (Preschool) ? 8 children with 1 staff
Threes (Preschool II) ? 18 children with 2 staff
Fours & Fives (Pre-K) - 20 children with 3 staff
School Age - 19 children with 2 staff
When the licensing inspector first arrived children were observed participating in naptime. Later during the inspection, the Infants were observed having their diapers changed, playing on the floor with toys, being held and fed and sleeping. The Toddlers were observed eating snack, playing with toys and playing outside. The Twos classroom was observed playing, having the book "Maisy Grows a Garden" read to them, eating snack and having their diapers changed. The Preschool classrooms were observed having the book "Where the Wild Things Are" read to them, playing outside, blowing bubbles, riding trikes, playing on climbing equipment and taking bathroom breaks. The Pre-K classroom was observed participating in center time where children drew pictures, played with toy dinosaurs, building with magnet blocks, building with connectors, playing in the kitchen area and playing with cars. The school age children were observed arriving from public school. Snack consisted of goldfish crackers and juice. Staff was observed interacting with the children and providing assistance when needed. 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, menu, children's assessments, daily attendance, daily sheets, and parent agreements. Medication is administered and medication and medication authorization forms were checked.
Last documented health inspection: 04/01/2016 Last documented fire inspection: 03/24/16
During the inspection, five children's and eight staff records were reviewed. If you have any questions about this inspection, please contact the licensing inspector, Lynn Powers at (804) 662-9790.
Standard #: 22VAC40-185-70-A Description: Based on review of eight staff records, one record did not contain the required information. Evidence: During the inspection, the licensing inspector observed the record for Staff #1 did not contain information regarding any health limitations the staff member may have and the name, phone number and address of a designated emergency contact. Plan of Correction: Per director - I will email the form to the staff member and have the staff complete the requested information. The staff member is not currently working on a full time basis at the facility.
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 an Epi-Pen present at the facility located in the Twos room that had an expired medication date of 03/16. Plan of Correction: Per director: We will contact the parent and request a new Epi-Pen to be sent in.
Standard #: 22VAC40-185-510-J Description: Based on observation, the facility did not ensure all medications were kept in a locked place using a safe locking method that prevented access by children. Evidence: During the inspection, the licensing inspector observed two Epi-Pens located in an unlocked cabinet over the sink in the Twos classroom. Plan of Correction: Per director - Corrected on site. Child safety lock was placed on the cabinet while the inspector was on site.
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.