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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: April 7, 2017

Complaint Related: No

Areas Reviewed:
VENDSUB-000 ADMINISTRATION
VENDSUB-000 STAFF QUALIFICATIONS AND TRAINING
VENDSUB-000 PHYSICAL PLANT
VENDSUB-000 STAFFING AND SUPERVISION
VENDSUB-000 PROGRAMS
VENDSUB-000 SPECIAL CARE PROVISIONS AND EMERGENCIES
VENDSUB-000 SPECIAL SERVICES

Technical Assistance:
N/A

Comments:
The licensing inspector conducted an unannounced subsidy health and safety inspection Friday, April 7, 2017 from approximately 10:15am to 3:00pm. A member of management was present to assist with the inspection. The following ratios were observed with a total of 74 children present during the inspection:
Infants: 5 children with 2 staff
Toddlers: 8 children with 2 staff
Twos: 13 children with 2 staff
Preschool I: 6 children with 1 staff
Preschool II: 20 children with 2 staff
Pre-K: 22 children with 3 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, being held and rocked. The Toddlers were observed taking a stroll in a buggy and eating lunch. The Twos were observed playing outside, looking at books, taking bathroom breaks and washing hands to prepare for lunch. The Preschool I class was observed playing outside, playing with play-doh, building with blocks and playing in the dramatic play area. The Preschool II classroom was observed playing outside, using lacing blocks, playing with plastic animals, building with legos, looking at books and playing in the dramatic play area. The Pre-K children were observed participating in circle time where a review of colors, letter, number and pointing to different body parts took place. Later the children played outside. Children were observed eating lunch which consisted of ham and cheese roll-ups, salad, bananas and milk. Later children transitioned into nap time. All areas of the facility including classrooms, hallways, outdoor play area and bathrooms were inspected. The facility was equipped with toys and supplies and items were available to the children.

Additional subsidy requirements that were not addressed during the monitoring inspection were reviewed.

During the inspection, four children's records and four staff records were reviewed. If you have any questions about this inspection, please contact the Licensing Inspector, Lynn Powers at (804) 662-9790.

Violations:
Standard #: VENDSUB-000-031-B-1
Description: Based on review of the written emergency preparedness plan, the evacuation procedures plan did not include all of the required information. Evidence: During the inspection, the licensing inspector observed the evacuation procedures did not include instructions that addressed reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: We will develop procedures that address this requirement and review it with the security team.

Standard #: VENDSUB-000-031-B-2
Description: Based on review of the written emergency preparedness plan, the shelter-in-place procedures did not include all of the required information. Evidence: During the inspection, the licensing inspector observed the shelter-in-place procedures did not include instructions that addressed reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: We will develop procedures that address this requirement and review it with the security team.

Standard #: VENDSUB-000-031-B-3
Description: Based on review of the written emergency preparedness plan, the lock down procedures plan did not include all of the required information. Evidence: During the inspection, the licensing inspector observed the lock down procedures did not include instructions that addressed reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: We will develop procedures that address this requirement and review it with the security team.

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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