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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: March 7, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
N/A

Comments:
The licensing inspector conducted an unannounced monitoring inspection Wednesday, March 7, 2018 from approximately 1:00PM to 6:00PM. The following ratios were observed with a total of 82 children present during the inspection: Infants - 7 children with 2 staff Toddlers - 8 children with 2 staff Toddlers/Twos - 7 children with 2 staff Twos/Threes - 14 children with 2 staff Preschool - 15 children with 2 staff Pre-K - 19 children with 2 staff School age - 12 children with 1 staff The children and staff were engaged in a variety of activities during the inspection. Children were observed sleeping at nap time, taking buggy rides, playing with toys, participating in center time, working puzzles, drawing, playing in the housekeeping area, playing outside and singing. All areas of the center including classrooms, hallways, playgrounds, and bathrooms were inspected. The facility was equipped with toys and supplies and items were available to the children. The following information was reviewed: injury reports, daily sheets, daily attendance, practiced emergency drill logs, parent agreements, staff training information and liability insurance. The center's first aid kit and emergency supplies were inspected. Medication is administered and medication and authorization forms were reviewed. Last documented health inspection: 11/29/2017 Last documented fire inspection: 03/07/2018 During the inspection, eight children's records and eight staff records were reviewed. If you have any questions about this inspection, please contact the licensing inspector, Lynn Powers at (804) 662-9790.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review of eight children's records, three records did not contain the required information. Evidence: During the inspection, the licensing inspector observed the last documented confirmation of up-to-date information for Child #4 was dated as 06/04/15. The record for Child #5 was dated 05/27/15 and the record for Child #7 was dated 10/04/16. Children's records are required to have at least an annual review to ensure the child's record is up to date.

Plan of Correction: We will contact the parent and ask them to fill out an updated form.

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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