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Bedford Area Family YMCA at Stewartsville Elementary School
1138 Wildcat Road
Goodview, VA 24019
(540) 586-3483

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Feb. 4, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was completed on 2/4/2020. There were 11 children present with two staff supervising. Five children's records were reviewed. The two staff records had been previously reviewed and were up-to-date. There was one emergency over-the-counter medication for a child in care.

The inspector arrived at the school at 2:30 pm and departed at 4:30 pm.

The children were observed during arrival, during snack time, during homework time, and during table games/free time.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review and interview, the center failed to ensure that there was a record maintained for each child enrolled.

Evidence:
1. The record for child #1 was reviewed. The fax date on the papers was 2/4/2020 and the child's first date of attendance was 2/3/2020. The attendance record was reviewed and child #1 was present on 2/3/2020.

2. The staff were asked if child #1 was present on 2/3/2020 and stated that the child was present. The staff were also asked if the child's record was available on 2/3/2020 and stated that there was no information provided to them for child #1. The staff stated that they contacted the main office for the school and obtained the child's emergency card for school to have some contact information for the child's parents.

Plan of Correction: The staff will let administrative staff know that they need the child's record before the child attends.

Standard #: 22VAC40-185-240-D-1
Description: Based on record review and interview, the center failed to ensure that in order to safely perform medication administration practices listed in 22 VAC 40-185-510, whenever the center has agreed to administer prescribed medications the administration shall be performed by a staff member or independent contractor who has satisfactorily completed a training program for this purpose approved by the Board of Nursing (MAT training) and taught by a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine, or pharmacist; or administration shall be performed by a staff member or independent contractor who is licensed by the Commonwealth of Virginia to administer medications.

Evidence:
1. There was an over-the-counter antihistamine tablets for child #5. The child has several food allergies. Staff #1 and #2 stated that they had not been trained in the administration of medications (MAT) in order to safely administer this medication if needed. The medication had not been administered.

Plan of Correction: Staff will take the MAT training.

Standard #: 22VAC40-185-510-C
Description: Based on record review, the center failed to ensure that the duration of authorization for medication was 10 days without a physician's authorization for long term use.

Evidence:
1. The authorization for an over-the-counter medication for child #5 was signed by the parent 1/17/2020. There was no physician's authorization for the medication.

Plan of Correction: The staff will get the parent to renew the authorization every 10 days or ask the parent to get physician's authorization for long term use.

Standard #: 22VAC40-185-550-D
Description: Based on record review and interview, the center failed to ensure that monthly evacuation drills (fire drills) were practiced and documented.

Evidence:
1. There was no documentation of an October fire drill. Staff were not sure if it was not documented or not practiced.

Plan of Correction: Staff will make sure fire drills are practiced and documented monthly.

Standard #: 22VAC40-185-560-K
Description: Based on interview, the center failed to ensure that the tables used for feeding were sanitized before and after use.

Evidence:
1. The staff were asked how they prepared the tables prior to snack. The staff stated that the tables were washed with soap and water. The staff stated that sometimes the disinfectant spray was used. The staff were asked if it was used today and stated that only soap and water was used on the tables prior to snack today.

Plan of Correction: Staff will make sure the disinfectant spray is used before and after use for feeding daily.

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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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