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Bedford Area Family YMCA
1111 Turnpike Road
Bedford, VA 24523
(540) 586-3483

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: Nov. 20, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

An unannounced monitoring inspection was completed on 11/20/18. There were 37 children present with four staff supervising. Five children's records and five staff records were reviewed. There were no medications at the center. The inspector arrived at the YMCA at 1:45 pm and departed the program at 6:00 pm. The children were observed during arrivals, during outside time, during a group game in the gym, during snack time, during free play time in the gym, and during departures.

Standard #: 22VAC40-185-130-C
Description: Based on record review, the center failed to ensure that documentation of immunizations between each child's fourth and sixth birthday were obtained. Evidence: 1. The last documentation of an immunization received by child #3 was 1/16/12. The child was less than two years old on 1/16/12. There was no additional documentation of immunizations for child #3. The child was six years old as of June 2016.

Plan of Correction: The site coordinator will request a more recent immunization record from the parent.

Standard #: 22VAC40-185-160-C
Description: Based on record review and interview, the center failed to ensure that staff had an updated tuberculosis (TB) test at least two years from the date of the initial test or screening. Evidence: 1. Staff #3 last TB test was dated 10/1/16. There was no updated TB test in the staff person's record. 2. According to the child care director, staff #3 had not completed an updated TB test.

Plan of Correction: The child care director spoke with the staff person during the inspection to instruct the staff person to get a TB test completed.

Standard #: 22VAC40-185-80-A
Description: Based on observation and interview, the center failed to ensure that there was an accurate written record of attendance on the date of the inspection. Evidence: 1. The site coordinator was asked how many children were present after taking attendance. The site coordinator responded that 35 children were present on the attendance. The site coordinator was asked if a head count had been taken to verify the attendance and the site coordinator responded that other staff had counted and verified 35 children present. 2. The inspector, approximately 10 minutes later, conducted a head count (no children had left the program from the time of evidence #1 and this head count) and counted 37 children. 3. The site coordinator was asked by the inspector to verify 35. The site coordinator counted and told the inspector that there were 37 children counted.

Plan of Correction: The site coordinator will make sure the attendance is correct.

Standard #: 22VAC40-185-240-B
Description: Based on review of policies and procedures, the center failed to ensure that all required written policies and procedures to be given to staff were complete. Evidence: 1. The following required policies and procedures were not in writing: procedures for confirming the absence of a child when the child is scheduled to arrive from another program or agency responsible for transporting the child to the center.

Plan of Correction: The child care director will add this to the parent handbook arrival and departure policies/procedures.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, etc. were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The closet in the gym where the child care takes place was observed to be open and unlocked at approximately 4:20 pm. The closet door was propped open. The closet contains multiple cleaning supplies as well as other hazardous substances such as paint. 2. The door was closed at approximately 4:30 pm and was checked at 5:15 pm to make sure it was locked. The door was not locked and could be opened by the handle.

Plan of Correction: The site coordinator will remind all staff to ensure the closet door is locked at all times.

Standard #: 22VAC40-185-340-F
Description: Based on observation, the center failed to ensure that children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Five children under 10 years of age were not within actual sight supervision of staff during bathroom (at arrival) time. There was a staff person observed at the bathrooms and two staff observed in the gym not within sight of the hallway from the bathroom. The children have to turn a corner from the bathroom and walk approximately 55 feet down another hallway to the gym without a staff person being able to see the children. 2. Children were observed going into this same hallway multiple times to get balls that had gone out of the doors into the hallway without any staff being able to see them.

Plan of Correction: This was corrected during the inspection. A staff person who was in the gym went to the door at the hallway to watch the remainder of the children down the hallway into the gym. The site coordinator will make sure staff remind children to play on the opposite side of the gym and that a staff person is positioned at the gym door.

Standard #: 22VAC40-185-500-A
Description: Based on observation and interview, the center failed to ensure that hand washing was practiced as required. Evidence: 1. A staff person was observed cleaning and sanitizing the snack tables. The staff person was then observed serving food to the children (sandwiches). The staff person was not observed to wash her hands prior to serving the food. The staff person was asked if she had washed her hands prior to serving the food and stated that she had not. The staff person was wearing food service gloves while serving the food. 2. Several children (approximately 20 ) were observed after snack and did not wash their hands with soap and water or use a disposable wipe after eating.

Plan of Correction: The staff will wash hands prior to handling food before putting on gloves. Staff will make sure children use disposable wipes after eating daily.

Standard #: 22VAC40-185-560-N
Description: Based on observation, the center failed to ensure that children were not allowed to eat while walking around. Evidence: 1. Two children were observed at different times walking around while eating snack.

Plan of Correction: The staff will make sure no child walks around while eating.


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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