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Bon Secours - St. Francis Medical Center
13901 St. Francis Boulevard
Midlothian, VA 23114
(804) 594-4990

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Aug. 9, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
The licensing inspector conducted an unannounced renewal inspection on 08/09/2019 from 9:45am to 4:05pm. The children were observed participating in story time, playing in centers, reading books, eating lunch and preparing for nap time. A formal observation was completed with the toddlers and school age classrooms. Lunch consisted of beef and cheese tacos, applesauce, carrots and milk. The menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. All classrooms and playgrounds were inspected today as well as the mini bus. Eight children?s records and six employee records were reviewed during this inspection. Medication is being administered and was reviewed. Ten injury reports were reviewed as well as the center?s injury prevention plan, which was updated 6/28/2019. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 07/30/2019 Last shelter-in-place drill: 05/06/2019 Last fire inspection: 03/28/2019 Last health inspection: 07/17/2019 Today, the following child to staff ratios were observed: Infants - 7:2 Toddlers ? 4:2 Twos - 16:2 Preschool ? 18:2 Pre-Kindergarten - 12:2 School Age - 19:2 The violations from the previous inspections were checked for corrections. There were no repeat violations found during today?s inspection. The Department has not yet received a complete renewal application from the center. A complete renewal application must be received by the Department prior to expiration of the license on October 1, 2019 or the license cannot be renewed. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The inspector observed a water hose hanging on the playground fence presenting an entanglement hazard.

Plan of Correction: Corrected during the inspection. I will go over this with the staff.

Standard #: 22VAC40-185-330-B
Description: Based on observation and interviews, the center did not ensure that where play equipment is provided, resilient surfacing complied with minimum safety standards described in the American Society for Testing and Materials. Evidence: The slide located on the infant/toddler playground did not have enough resilient surfacing throughout the entire fall zone. There must be at least six feet of resilient surfacing from the base of the slide. The center had about three feet of resilient surfacing from the base of the slide. The inspector observed a toddler child playing on the slide. Interviews with the toddler teachers revealed that the toddler children regularly play on the slide.

Plan of Correction: We will close the slide until it is redesigned.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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