VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bedford Area Family Young Mens Christian Association- New London
1133 Academy Lane
Forest, VA 24551
(540) 586-3483

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: Aug. 10, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 PHYSICAL PLANT 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES 8VAC20-780 SPECIAL SERVICES. 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSE PROCESS 8VAC20-820 HEARING PROCEDURES 8VAC20-770 BACKGROUND CHECKS 20 ACCESS TO MINOR?S RECORDS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced renewal inspection was initiated on 8/10/2023. The inspector was on site from 2:10pm until 3:30pm. Additional documentation was received on 8/16/2023 and 8/21/2023. There were 19 children, 5 years to 11 years old under the supervision of 3 staff. Children were observed during indoor free play and snack time. Three children's records, two medical record and three staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. If you have any questions about this inspection, please contact Nicole Scott, Licensing Inspector Phone-804.588.2372 Email- nicole.scott@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-160-A
Description:	SECOND REPEAT VIOLATION Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #3 which was hired on 7/3/2023 had no record of a TB screening on file during the inspection on 8/10/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-L
Description:	Based on record review and staff interviews, the center failed to ensure that there shall be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: There was not a staff member on duty that has obtained instruction in performing the daily health observation of children during the 08/10/2023 inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	SECOND REPEAT VIOLATION Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food and shall be stored separate from food. Evidence: In the closet located in the hallway, there were two bottles of chemicals on the same shelf as food.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-B
Description:	SYSTEMIC DEFICIENCY Based on observation and interview, the center failed to ensure during center?s hours of operation, one adult on the premises shall be in charge of the administration of the center. The person shall be either the administer or and adult appointed by the licensee or designated by the administrator. Evidence: Upon arrival at the center, Staff 1 and Staff 2 were the only staff observed at the center supervising children. Staff 1 stated they were alone. Staff 1 and Staff 2 stated they were 16 years of age. Birthdates were verified in their staff record. There was no adult on the premises in charge of the administration of the center.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-C
Description:	THIRD REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on the observation, the center failed to ensure during the hours of operation, there always shall be on the premises one staff who meets the qualifications of program leader and an immediately available staff member, volunteer or other employee wo is at least 16 years of age, with direct means for communication between the two of them if there is an emergency. Evidence: Staff 2 (age 16 years) stated they open the building a couple days a week with Staff 1 (age 16 years). Staff 2 stated they also close together 2-3 days a week. Staff 1 and Staff 2 do not meet program leader qualifications.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	SYSTEMIC DEFICIENCY Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence 1. Upon arrival at the center, Staff 1 and Staff 2 were observed working alone with a grouping of children. Staff 1 and Staff 2 stated they were 16 years of age. Birthdates were verified in their staff record. Staff 1 and Staff 2 do not meet program leader qualifications. 2. Staff 3 arrived at approximately 3pm. Staff 3 stated they were not program leader qualified. There was no documentation of the educational requirements for a program leader position in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center failed to ensure children?s hand shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: The children were in the gym area during snack. The children were given snack and no hands were washed before or after the snack.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	SYSTEMIC DEFICIENCY Based on record review and interview, the center failed to ensure medication administered by a staff person who meets the requirements of being MAT trained. Evidence: Child 1 has daily medication available at the center. Staff 1 stated Child 1 had received the medication on 8/10/2023. There were three staff working on 8/10/2023 with records available for review. None of the three staff employed at the center were MAT trained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-L
Description:	SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that all medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.The first aid kit bag had a bottle of Excedrin in the side pocket of the bag. The medication was not locked. 2.The first aid bag contained a brown bag with medication inside. The bag was labeled with a child?s name. The medication was not locked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-N
Description:	SYSTEMIC DEFICIENCY Based on interview, the center failed to ensure to keep a record of medication given to children with who administered, amount and type of medication, the day and time the medication was administered, child to who medication was administered, any adverse reactions or any medication error. Evidence: The medication record for administering medication for Child 1 was not available for review. Staff 1 stated Child 1 received medication on 8/10/2023. Staff 3 stated there was no record for administering the medication.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A
Description:	Based on observation, review of staff records, and interview with staff, the center failed to ensure that all classrooms had a staff person with First Aid and CPR certification. Evidence: Staff 1 and Staff 2 were observed working alone with children in the gym. Staff 1 and Staff 2 did not have documentation of First Aid and CPR certification.
Plan of Correction:	Not available online. Contact Inspector for more information.