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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:

Technical Assistance:

A Subsidy Health and Safety inspection was conducted on Wednesday, March 7, 2018 from approximately 1:00PM to 6:00PM to review supplemental health and safety requirements. 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 housekeeping, 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. During the inspection, eight children's records and eight staff records were reviewed. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. If you have any questions about this inspection, please contact the Licensing Inspector, Lynn Powers at (804) 662-9790.

Standard #: VENDSUB-000-006-B-11
Description: Based on record review and interview, the facility did not ensure a child with a diagnosed food allergy had a written allergy care plan that included instructions from the physician. Evidence: During the inspection, the licensing inspector observed the records for Child #2 and Child #5 did not contain a written allergy care plan that included all requirements. The records for Child #2 and Child #5 indicated the children have food allergies. The records for Child #2 and Child #5 did not contain written allergy care plans that included instructions from a physician regarding the food to which the children are allergic to and steps to be taken in the event of a suspected or confirmed allergic reaction.

Plan of Correction: We will work with the parents to obtain the required information.

Standard #: VENDSUB-000-012-E
Description: Based on review of staff records, one staff did not obtain first aid and CPR within the required time frame. Evidence: During the inspection, the licensing inspector observed the record for Staff #4 (hire date 01/18/18) contained first aid and CPR certification that was completed on 03/06/18. Staff are required to obtain first aid and CPR certification within the first 30 days of beginning employment.

Plan of Correction: We will develop a calendar to ensure all staff meet the first aid and CPR requirements.


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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