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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: Jan. 11, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks (22VAC40-191)

An unannounced renewal inspection from the provisional license was made on 1/11/18. There were 42 children present from four years through 11 years old with five staff supervising and the child care director present in addition. Six children's records and six staff records were reviewed. No medications were observed at the site. The inspector arrived at the center at 2:00 pm and departed at 5:15 pm. Policies and procedures were reviewed on 1/16/18. The inspection was completed on 1/18/18. The children were observed at arrival, during group games, during free time, during snack, and during departures. There was discussion with the child care director about the following: ensuring that all snack components served are listed on the posted menu, ensuring staff replenish missing items in the first aid kit when the monthly checks of the first aid kit are completed, monitoring the temperature of the hot water in the rest room areas used by the children to ensure it is maintained under 120 degrees.

Standard #: 22VAC40-185-130-C
Description: Based on record review, the center failed to ensure that one of five children requiring documentation of updated immunizations between the child's fourth and sixth birthday had the proper documentation. Evidence: 1. The record of child #4 did not have documentation of immunizations between the child's fourth and sixth birthday. Child #4 was six years old as of 6/18/16 and was enrolled in the program on 8/14/17. The last documentation of immunizations was 9/23/11 when the child was 15 months old.

Plan of Correction: The site director will request that the parent provide the center with the school entrance physical and immunization record that would have this documentation.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that all children's records contained documentation of all required information. Evidence: 1. The record of child #2 was missing the address for one of two required contacts for the child.

Plan of Correction: The site director will have the parent document the emergency contact's address.

Standard #: 22VAC40-185-70-A
Description: Based on record review and interviews, the center failed to ensure that staff records contained complete documentation of all required information. Evidence: 1. Staff #5 was listed as a program leader. There was no documentation of experience or education/training required by the job position. Staff #5 did not have any programmatic experience working with children and did not have one of the educational backgrounds or hours of training to qualify as a program leader. 2. There was no documentation of orientation training required by the end of the first day of assuming job responsibilities for staff #5. Staff #5 was interviewed and stated that she had the training. The child care director also stated that she had completed the training with staff #5 but the staff person was working in a different capacity at hire and the formal orientation paper was not completed.

Plan of Correction: The child care director will only use staff #5 in an assistant position in the future. The child care director will complete the orientation checklist documentation with staff #5.

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, procedures to ensure that all children are accounted for before leaving a field trip site.

Plan of Correction: Childcare Director will review all written policies and insure that staff review also reviews and are aware.

Standard #: 22VAC40-185-340-A
Description: Based on observation and interviews, the center failed to ensure that while staff were supervising the children that they ensured their care, protection and guidance at all times. Evidence: 1. Child #6 was served a salad with ranch dressing for snack by the center staff. Child #6 had a documented allergy to milk on the child's physical examination by the child's physician. Snack was observed which was salad with ranch dressing, cheese sticks, and crackers. 2. Child #6 confirmed that he had a salad with ranch dressing for snack. 3. Staff #2 and #3 were aware of the child's food allergy. Staff #2 and #3 discussed that the ingredients were checked on the ranch dressing container and did not contain milk. 4. The inspector observed the ingredients for the ranch dressing which did contain milk and other milk products. There was also a bold type notice under the ingredients list that this dressing contains milk. 5. The staff did not ensure that children were cared for and protected by serving the child a food that has a main ingredient of a food in which the child is allergic.

Plan of Correction: Childcare Director/Site Director will request mother speak to child's physician for details of said allergy. Until the physician does this, the child will not receive any milk products.

Standard #: 22VAC40-185-540-E
Description: Based on observation and interviews, the center failed to ensure that there was a working battery operated flashlight as a part of the required non-medical emergency supplies. Evidence: 1. The flashlight at the program was not working. The staff asked for batteries to replace those in the flashlight and there were no batteries at the site.

Plan of Correction: The child care director will purchase extra supply of "D" batteries. The staff will check this as a part of the monthly check of emergency supplies.

Standard #: 22VAC40-185-550-M
Description: Based on record review, the center failed to ensure that documentation of injuries to children contained all required information. Evidence: 1. The following required information was not documented on an injury report dated 9/19/17 in the record of child #1: staff person present, date, time or method of notification to the parent.

Plan of Correction: Site Director and staff will insure that all documentations are fully completed.

Standard #: 22VAC40-185-560-N
Description: Based on observation, the center failed to ensure that children did not eat or drink while walking around. Evidence: 1. Two children were observed walking around while eating during snack time. One child was eating a salad with a fork from a bowl and the other was eating a cheese stick. 2. One of the two children above was also observed walking around while drinking from the child's personal metal water bottle. 3. The site director instructed one child to sit down and eat after the inspector notified the site director of the child walking around. The child continued to walk around. No other staff observed the other child walking around while eating and was not re-directed.

Plan of Correction: The child care director will remind staff of this requirement and ensure that staff do not allow children to walk around while eating or drinking.


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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