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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: Nov. 16, 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 Licensure and Registration Procedures

Comments:
An unannounced renewal inspection was conducted today, November 16, 2016 to determine the provider's compliance with licensing standards. The inspector arrived at 3:00 pm and concluded the inspection at 5:30 pm. Upon the inspectors arrival, there were 10 children in care with a parent volunteer (see violation notice). Shortly after the inspectors arrival, the provider arrived with an additional child for a 25 point value. One assistant caregiver was in the rear of the home and a second assistant caregiver arrived approximately 30 minutes after the inspection was initiated. Children were observed making clay Christmas tree ornaments and playing with toys in the main room used for child care. Later the children sat with the assistant and looked at a book. The inspector interacted with the children in care and the provider. The outdoor play area was inspected. Renovations to the deck have started. The provider is working with Parent Child Development Corporation and the early Head Start Program. All areas of the home were inspected. The family day home has age and stage appropriate materials for children in care. The pool was locked and inaccessible to children in care. The provider does not provide transportation. 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 11/02/2016. The two shelter-in-place drills were documented on 01/15/2016 and 02/24/2016. There were no medications on site. An assistant caregiver has current MAT certification. The provider and assistant caregivers have current CPR & First aid training. Today's lunch consisted of chicken nuggets, green beans, fruit cup, bread and milk. The emergency preparedness plan was reviewed on 10/22/2015 (see violation notice). Eleven children's records and the records of the provider and two assistants/household members were reviewed. The violations from the previous inspection were checked for corrections. There were no repeat violations cited during today's inspection. The Department has received an renewal application however the provider was notified that the renewal application fee had not be received. The fee will need to be received to the Department in order for the application to be processed. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observations, the provider did not ensure all medications, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Three prescription medications for a house hold member were observed on the dresser in a bedroom with the door open and assessable to children.

Plan of Correction: Per the provider; We put a lock on the door but my husband did not lock it after he left the room. I will make sure the door is locked.

Standard #: 22VAC40-111-800-B
Description: Based on review of the provider's emergency preparedness plan, the provider did not document in writing each review and update at least annually. Evidence: Written documentation of the most recent review of the emergency preparedness plan was dated October 22, 2015, exceeding the annual requirement.

Plan of Correction: Per the provider: I will review the emergency preparedness plan tonight and document it.

Standard #: 22VAC40-111-120-A
Description: Based on observation and interview, the provider did not maintain a record for each caregiver. Evidence: A parent volunteer, who was observed supervising ten children in care, did not have a record with all required information.

Plan of Correction: Per the provider: I am going to complete a record and hire the parent volunteer as a part time assistant.

Standard #: 22VAC40-111-70-B
Description: Based on review of children's records, the provider did not obtain the parent's written acknowledgement of the receipt of "Information for Parents", "Policies for the administration of medications", "liability Insurance", and "provisions of the family day home's emergency preparedness plan". Evidence: 1. The record of child #1 did not have the parent's written acknowledgement for the "Information for Parents". 2. The record of child #9 did not have the parent's written acknowledgement for the "policies for administration of medication". 3. The record of child #11 did not have the parent's written acknowledgement for the "statement of liability Insurance".

Plan of Correction: Per the provider: I will have the parents sign for the missing information tonight.

Standard #: 22VAC40-111-210-A
Description: Based on review of caregiver's records, the provider did not ensure all caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: Caregiver #2 had a total of 11 hours of documented training for the 2015 year when 16 hours of training was required. Caregiver #2 was missing 5 hours of training.

Plan of Correction: Per the provider, We are working on ten hours of training now and are taking training classes through PCDC every month.

Standard #: 22VAC40-111-560-A
Description: Based on observations and interview, the provider did not ensure a caregiver was physically present on site and provided direct care and supervision of each child at all times. Evidence: 1. Upon the inspector's arrival, ten children were observed with a woman unknown to the inspector. The woman stated that she was a parent volunteer. 2. The parent volunteer also reported that the provider had gone to pick up a child and would be back in a few minutes. 3. The parent volunteer stated that caregiver #3 was at a doctor's appointment and was not there. 4. The provider arrived approximately 10 minutes after the inspector's arrival. The provider stated that caregiver #2 was in the rear of the house in the bedroom. 5. Caregiver #2 did not have an awareness of and responsibility for each child in care nor was the caregiver near enough to intervene if needed.

Plan of Correction: Per the provider; I will not leave the children with a parent volunteer. I plan to make the parent volunteer a part time assistant. I will make sure my other caregiver is in the room with the children if i have to go out.

Standard #: 63.2-1720-G
Description: Based on observations and interview, the provider did not ensure a parent volunteer was under the direct supervision of a person who has received a completed clearance central registry check. Evidence: 1. Parent volunteer #1 was observed alone with ten children enrolled in the family day home. 2. Parent volunteer #1 did not have a completed central registry record. 3. Caregiver #2 was in the rear of the home in a bedroom. Caregiver #2 was not supervising the parent volunteer nor was the caregiver supervising the children in care.

Plan of Correction: Per the provider: I will get all the back ground checks completed on the volunteer. She will not be left alone until they have been returned.

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. 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.

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