Bon Secours Family Center @ Memorial Regional Medical Center

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment. In Class room A’s restroom, the ceramic lid of the toilet was observed to be broken, which resulted in chipping around the edge of the lid.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the sex offender registry check from one state for Staff #2, who has been employed for 10 months and was working with children at the time of the inspection.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry, sex offender registry or a criminal history check from one state for Staff #1. Staff #1 has been employed for eight months.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry, sex offender registry or a criminal history check from one state for Staff #1. Staff #1 has been employed for eight months.”

8VAC20-780-160-A

“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.”

8VAC20-780-270-A

“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.”

8VAC20-780-160-A

“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.”

8VAC20-780-270-A

“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.”

8VAC20-780-160-C

“Based on review of staff records, the center did not obtain updated tuberculosis (TB)screening or testing every two years for one staff member. Evidence: 1. The record for staff # 3 contained a tuberculosis (TB) test dated for 3/8/2021. The tuberculosis (TB) should have been updated on or before 3/8/2023.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #1, did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #1's date of hire was 10/16/2023. 2. The record for staff #2, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 2's date of hire was 9/5/2023. 3. The record for staff #4, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 4's date of hire was 8/22/2022 4. The record for staff # 5, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 5's date of hire was 11/21/2022. 5. The director stated that staff tuberculosis (TB) test were complete for all staff but the results are kept off site at the administrative office. The inspector reached out to the administrative office to obtain tuberculosis (TB) results for staff. Tuberculosis results were not received.”

22.1-289.011-F

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility is posted on the premises of each facility. Evidence: The most recent inspection dated 7/10/2023 was not posted at the center. The inspection posted was dated 1/30/2023.”

8VAC20-780-160-C

“Based on review of staff records, the center did not obtain updated tuberculosis (TB)screening or testing every two years for one staff member. Evidence: 1. The record for staff # 3 contained a tuberculosis (TB) test dated for 3/8/2021. The tuberculosis (TB) should have been updated on or before 3/8/2023.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #1, did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #1's date of hire was 10/16/2023. 2. The record for staff #2, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 2's date of hire was 9/5/2023. 3. The record for staff #4, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 4's date of hire was 8/22/2022 4. The record for staff # 5, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 5's date of hire was 11/21/2022. 5. The director stated that staff tuberculosis (TB) test were complete for all staff but the results are kept off site at the administrative office. The inspector reached out to the administrative office to obtain tuberculosis (TB) results for staff. Tuberculosis results were not received.”

22.1-289.011-F

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility is posted on the premises of each facility. Evidence: The most recent inspection dated 7/10/2023 was not posted at the center. The inspection posted was dated 1/30/2023.”