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Bon Secours Family Center @ SMH
1403 Maple Avenue
Richmond, VA 23226
(804) 285-0444

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: June 22, 2020

Complaint Related: Yes

Areas Reviewed:
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A complaint inspection was initiated on June 22, 2020 and concluded on June 23, 2020. A complaint incident was received by the department on March 3, 2020, regarding allegations in the areas of procedures for emergencies. The director was contacted by telephone to conduct the investigation. The inspector requested a list of documentation required to complete the investigation.

The evidence gathered during the investigation supported the allegation of non-compliance with standards or law and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.

If you have any questions regarding this inspection please contact the licensing inspector, Kelly Adriazola at (804) 662-9760.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 22VAC40-185-550-M
Complaint related: Yes
Description: Based on a review of records on June 22, 2020, the center did not ensure to obtain all of the information of written record of children's serious or minor injuries in which entries are made the day of occurrence to include staff and parent signatures or two staff signatures.
Evidence: 1. The accident report for Child #1 contained documentation of one staff signature dated 3/2/2020.
2. Administration acknowledged on the accident report there was a delay. Next to the administrator's signature it states "sorry for the delay" and is dated 3/6/2020.

Plan of Correction: Remind all staff of our incident/accident reporting procedures (staff training) - also update our reporting policy in the operating manual, requiring reports to be fully completed on the day of occurrence.

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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