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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: July 27, 2017

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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced renewal inspection was conducted on 7/27/17. There were 59 children present (including 11 preschool children). Six children's records and five staff records were reviewed. No medications at the center. The inspector arrived at the center at 10:30 am and departed at 4:30 pm on 7/27/17. The inspection was completed on 7/31/17 from 10:30 am until 1:30 pm. The children were observed on 7/27/17 during gym time, during lunch, and during departure for a field trip. There was discussion with the child care director about the following: detailed discussion about new background check requirements, ensuring lunches are dated daily to ensure no leftover/spoiled food, updating the center's emergency preparedness plan to include drill frequency, staff training, plan review and update, Board officer background check updates.

Violations:
Standard #: 22VAC40-185-130-C
Description: Based on record review, the center failed to ensure that one of five children who would have been required to have an updated immunization record, had documentation of the immunization update required between the child's fourth and sixth birthday. Evidence: 1. Child #3 who is currently eight years old, did not have documentation of the immunizations required between the child's fourth and sixth birthday. The last documentation of immunizations were in 2010 when the child was two years old.

Plan of Correction: The child care staff will request this from the parent. The child care director will ensure that all children have updates on their health records when they begin attending public school.

Standard #: 22VAC40-185-40-D
Description: Based on observation, the center failed to ensure that the license was posted in a place conspicuous to the public as required by 63.2-1701 of the Code of Virginia. Evidence: 1. The license was not posted in any visible location at the facility.

Plan of Correction: The license was on a tri-fold display board that locked in the closet in the gymnasium. The staff will be reminded to ensure the board is conspicuous during hours of operation. The child care director will monitor that this is done.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that four of six children's records contained documentation of complete information that is required by the Standards. Evidence: 1. The record of child #1 was missing documentation of the first date of attendance and work information for the mother (work place and work phone number). 2. The record of child #3 was missing the phone number for the father's work place. There were no termination dates for the child when attending the program for short term since 2015 and leaving the program each year at the end of summer. 3. The record of child #4 was missing the phone number for the father's work place. 4. The record of child #5 was missing the phone number for the father's work place.

Plan of Correction: The child care staff will get the information from the parents and document it in the children's records. The child care staff will oversee that this is done. For newly enrolled children, the front desk staff and child care director will ensure all information is complete at enrollment.

Standard #: 22VAC40-185-70-A
Description: REPEAT VIOLATION Based on record review, the center failed to ensure that two of six staff records contained documentation of complete information that is required by the Standards. Evidence: 1. The record of staff #3 who was hired 10/10/16 was missing documentation of one of two required references required prior to hire. There was no documentation of the education/training for this staff person that is required by the job position. The staff person was listed as a program leader as of 5/30/17 but there was no supporting documentation for the education/training of staff #3 to qualify for this position.

Plan of Correction: The child care director will check the second reference for staff #3 and request a copy of the staff person's transcripts.

Standard #: 22VAC40-185-280-B
Description: REPEAT VIOLATION Based on observation, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking mechanism to prevent access by children. Evidence: 1. There were multiple cleaning supplies (gallon of bleach, 1/2 gallon of all purpose cleaner, large bottle of dish detergent, several disinfectant aerosol sprays, spray bottle of cleaner/degreaser) observed in a storage building/room that was connected to the pavilion which was used for the meals and snacks for the children. The door to this room was open at arrival of the inspector for approximately 15 minutes when a staff person closed the door. The door, after being closed, was not locked and allowed the children access to the cleaning supplies. All of the items contained a statement to "Keep Out of the Reach of Children" as well as additional warnings/cautions. 2. There was an unlocked cabinet in the gymnasium where children were in care that contained an aerosol spray disinfectant and a container of anti-bacterial wipes. Both contained "Keep Out of the Reach of Children" and other warnings.

Plan of Correction: This was corrected during the inspection by a staff person who locked the room door when the inspector pointed out the unlocked door to the room. The supplies in the cabinet in the gym were moved to the locked closet. The staff will ensure that the cleaning supplies remain in a locked place.

Standard #: 22VAC40-185-280-D
Description: Based on observation, the center failed to ensure that cleaning and sanitizing materials were not located above food equipment, utensils, or single service articles. Evidence: 1. There was a gallon jug of bleach and another half-gallon jug of all purpose cleaning solution located on a shelf directly above single service (styrofoam) plates, plastic utensils, single service straws, and an open box of food service gloves. This was in the storage room off of the eating area at the outside pavilion.

Plan of Correction: This was corrected during the inspection by a staff person who moved all single service items above the cleaning materials.

Standard #: 22VAC40-185-540-C
Description: Based on observation, the center failed to ensure that each first aid kit included the minimum required items. Evidence: 1. The main first aid kit observed with the children in care at the pavilion was missing the following required components: single use gloves such as surgical or examination gloves (one glove observed), antiseptic cleansing pads (one individual alcohol wipe observed), band-aids (none observed).

Plan of Correction: A staff person corrected this during the inspection. The staff person collected the items from various areas to complete the first aid kit. The child care director will have staff complete a monthly checklist to ensure all items are in the first aid kits.

Standard #: 22VAC40-185-550-C
Description: REPEAT VIOLATION Based on observation, the center failed to ensure that the emergency evacuation map and procedures, and the shelter-in-place map and procedures were posted in a location conspicuous to staff and children. Evidence: 1. There were no emergency maps or procedures posted in the child care area (gym).

Plan of Correction: The child care director will post the map and procedures. The child care staff will check daily during the visual inspection to prepare for the day.

Standard #: 22VAC40-185-550-E
Description: Based on observation and interview, the center failed to ensure that there was a record of dates of monthly practice drills for emergency evacuation. Evidence: 1. The fire drill log was observed. The log did not include documentation of a practice drill for June 2017. One staff person stated that a drill was not completed and two staff stated that a drill had been done. Documentation of the drill was not maintained.

Plan of Correction: A drill for July will be completed and documented. The child care director will follow up with the site director monthly to ensure that documentation is made of monthly drills.

Standard #: 22VAC40-185-550-H
Description: Based on observation and interviews, the center failed to ensure that there was an emergency plan containing all required components for the field trips frequently traveled. Evidence: 1. The emergency plan for the regular field trips were missing the following required components: potential shelters on each route frequently traveled, hospitals on/near the routes, evacuation routes for each site frequently visited.

Plan of Correction: The child care director will update all bus emergency plans with the required routes/shelter locations.

Standard #: 22VAC40-185-550-M
Description: Based on record review, the center failed to ensure that the records of injuries had documentation of all required information. Evidence: 1. There was documentation on an injury to child #6 on 5/31/17. There was no documentation of parent notification, as required. The date, time, and method of notification to the parents is required to be documented. The guardian of the child had signed the injury report.

Plan of Correction: The child care director will remind staff to complete forms thoroughly. The child care director will review the forms before they are filed into the child's file for future.

Standard #: 22VAC40-185-580-I
Description: Based on observation and interview, the center failed to ensure that before leaving on a field trip, a schedule of the trip's events and locations were posted and visible at the center site. Evidence: 1. There was no visible sign posted of the field trip on the date of the inspection. The administrative staff verified that there was no sign posted with the trip's events and locations.

Plan of Correction: A sign will be posted for all future field trips.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the center failed to ensure that the findings from the most recent inspection were posted. Evidence: 1. The "Violation Notice" which shows the finding from the last inspection (May 2017) were not posted in the facility. There was no "Violation Notice" in a visible location.

Plan of Correction: The violation notice from this inspection will be posted on the tri-fold board. The child care staff and director will ensure this is posted daily as a part of the visual inspection to prepare for the day.

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. To find programs participating in Virginia Quality, click here.

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