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Gedell Gresham
3350 Mattaponi Avenue
West point, VA 23181
(804) 843-4818

Current Inspector: Sharon Curlee (804) 662-9758

Inspection Date: May 13, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced monitoring inspection was conducted today, May 13, 2016 to determine the provider's compliance with licensing standards. The inspector arrived at 12:30 pm and concluded the inspection at 2:30 pm. There were seven family day home children in care today totaling 17 points with two caregivers. Upon the inspector's arrival, children were preparing for lunch. Today's lunch consisted of chicken nuggets, rice, noodles, green beans, applesauce, bread and milk. After lunch children played on the indoor riding toys before sitting down to listen to two stories. One child was observed sleeping in a near by crib. Children were eager to talk with the inspector and tell her about the new toys at the family day home. The provider received a grant with the Parent Child Development Corporation and has recently remodeled the childcare room within the home. New wooden child size tables and chairs have been added along with house keeping equipment, dress-up center, cubbies, indoor climbing equipment with floor mats, wooden blocks, musical instruments and manipulatives. An out door play area was also installed with age appropriate climber and slide and mulch. The original outdoor equipment is not in use and has been scheduled to be removed. The deck is not in use by children in care and also has been scheduled for repairs/replacement. The outdoor play area was inspected. The pool was locked and inaccessible to children in care. Two caregiver records, two household member's records and seven children's records were reviewed. The provider will complete her CDA next week. The provider does not provide transportation. The provider is not administering any medications as her MAT certification has expired. The provider stated that she will renew her MAT training but until then she will not administer any medications. The license, emergency numbers, evacuation plan, attendance sheet and menu were posted. The family day home's first aid kit and emergency supplies were inspected and found complete. The smoke detector and extinguisher were check and in operable condition. The most current evacuation drill was conducted on 05/06/2016. The two shelter-in-place drills were documented on 02/24/2016 and 03/22/2016. The emergency preparedness plan was reviewed on 10/22/2015. The violations from the previous inspection on October 22, 2015 were checked for corrections. There was one repeat violations cited during today's inspection. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider did not obtain all required information for each child's record. Evidence: 1. The record of child #1, did not have written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately (unless the parent presents a written objection to provision of medical treatment on religious or other grounds). 2. The record of child #4, did not have one of the two required emergency contacts listed with the name, address and telephone number of the person to contact in case of an emergency and the parent cannot be reached. The record also did not have the name and address of each custodial parent's place of employment. The record had the name of the medical insurance but did not have the policy number of the medical insurance listed.

Plan of Correction: Per the Provider; I will have the parent complete the missing information today at pick up time. I will also review all the records on a regular basis to ensure all information is completed.

Standard #: 22VAC40-111-200-A
Description: Based on review of caregiver training, the provider did not ensure the assistant caregiver was given orientation training by the end of their first week of assuming job responsibilities. Evidence: Caregiver #2, hired 02/22/2016, had documentation of orientation that was dated 04/06/2016, exceeding the time allowance.

Plan of Correction: Per the provider; In the future i will be sure to complete the orientation training for new caregivers within the first week of them working.


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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.