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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: Dec. 5, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
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.

Comments:
An unannounced monitoring visit was conducted on December 5, 2016 from approximately 12:50 to 3:21pm, to measure some, but not all, of the licensing standards. The following ratios were observed:
Infants: 2:6
Toddlers: 2:9
Two's: 2:13
Preschool 1: 2:15
Fours/Fives: 2:15
Upon arrival, the children were observed napping. At that time, the infants were observed playing on the floor and napping. Later, the children were observed waking from nap, washing hands, and eating a snack of vanilla wafers and milk. The infants that were awake, were eating Cheerios and vanilla wafers and milk. Five children's records and emergency information and training for 7 staff persons was reviewed. Staff records are maintained at a central location. All areas of the facility including the kitchen, classrooms, hallways and playgrounds were inspected. The first aid kit and emergency supplies were also reviewed. The medications and accompanying authorizations were reviewed. The most recent fire drill was 11/30/16. The most recent shelter in place drill was conducted 2/24/16.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on a review of a sample of children's records, the facility did not ensure that documentation of immunizations was obtained every 6 months for children under the age of two. EVIDENCE: The record of child # 5, a 16 month old with a start date of 10/12/15, contained an immunization record dated 10/6/15. No additional documentation of immunizations was on file.

Plan of Correction: Corrected on site.

Standard #: 22VAC40-185-40-H
Description: Based on a review of documentation at the facility, the facility did not ensure that evidence of insurance coverage was available for review. EVIDENCE: The facility did not have evidence of current insurance coverage on site at the facility. The declaration on file expired 9/1/16.

Plan of Correction: A copy of the insurance will be maintained on site.

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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