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Bon Secours Family Center @ Memorial Regional Medical Center
8210 Meadowbridge Road
Mechanicsville, VA 23116
(804) 559-0647

Current Inspector: Jaime Harris (804) 807-3278

Inspection Date: Aug. 2, 2024

Complaint Related: No

Areas Reviewed:
CDC Summary Inspection:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Fill in ?Rabbit hole? under fence near chalkboard. Follow up on scheduling of VDH Health Sanitation Inspection. Potable Water Testing Effective 1/1/2025.

Comments:
An unannounced, on-site monitoring inspection was initiated on 8/2/2024 and completed on 8/2/2024. The on-site inspection began at 9:08 am and ended at 1:08 pm The inspector reviewed compliance in the areas listed above. There were 29 children present and nine staff. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility, interviews, observations (this would include observations of photos, recordings, etc.), and measurements.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/15/2024. A POC submitted after this date will not appear on the public website.

Violations:
Standard #: 8VAC20-780-160-A
Description: Based on a review of five staff records, the center failed to ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children.


Evidence:
1. The record for staff #1, date of hire 06/3/2024, did not contain documentation of a negative tuberculosis screening prior to employment. Documentation in the record was dated 6/24/2024.

2. The record for staff #2, date of hire 06/10/2024, did not contain documentation of a negative tuberculosis screening prior to employment. Documentation in the record was dated 06/21/2024.

3. The record for staff #3,date of hire 7/1/2024, did not contain documentation of a negative tuberculosis screening prior to employment. Documentation in the record was dated 07/5/2024.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Description: Based on observations, areas and equipment of the center, inside and out, were not maintained in a clean, safe and operable condition.

Evidence:
1. Chipping paint was found along the wall, outside the conjoining hall, in the preschool classroom.

2. Chipping paint was found along the wall, near the children?s classroom sink, in the two-year old classroom.

3. Peeled paint and rust was found on the outside door, located on the infant?s playground area.

Plan of Correction: Not available online. Contact Inspector for more information.

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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