VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bedford Area Family Young Men's Christian Association
1111 Turnpike Road
Bedford, VA 24523
(540) 586-3483

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: Dec. 30, 2019

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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced renewal inspection was completed on 12/30/19. There were eight children present with three staff present. Five children's records and four staff records were reviewed. One emergency medication was reviewed. All policies and procedures were reviewed - staff, parent, and emergency. All Board officer and agent background checks were verified to be current; the DSS central registry checks will need to be updated in spring/summer 2020. The inspector arrived at the facility at 8:45 am and departed at 12:45 pm. The children were observed during free play time in the gym, during various small group activities, and during lunch. The children were planning to go swimming after lunch.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on record review, the center failed to ensure that documentation was obtained for each child that immunizations had been received by the child that are required by the State Board of Health before the child attends the center. Evidence: 1. There was no immunization record in the record for child #4. Child #4 had a documented first date of attendance as 9//30/19.
Plan of Correction:	The child care coordinator will contact the parent to get the child's most current immunization record.
Standard #:	22VAC40-185-160-C
Description:	Based on record review, the center failed to ensure that at least every two years from the date of the initial screening or test that each staff member has an updated tuberculosis (TB) screening or test. Evidence: 1. The last TB test completed for staff #1 was dated 9/16/17. Staff #1 stated that the TB test had not been updated. 2. Staff #3 did not have a TB test completed within two years. The dates of staff #3's TB tests were 8/20/17 and 10/14/19.
Plan of Correction:	Staff #1 has made an appointment with her physician to have a screening completed.
Standard #:	22VAC40-185-240-D-5
Description:	Based on observation and interview, the center failed to ensure that there was always one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Staff #4 who was the only staff present with the children from 7:00 am until 9:30 am did not have documentation of training in the daily health observation of children. 2. Staff #1 verified that staff #4 did not have this training as the training this year was conducted prior to staff #4 hire date.
Plan of Correction:	Staff #1 who has the daily health training arrived at approximately 9:30 am. Staff #1 will make sure there is a staff person on duty at all times with the children who has the training.
Standard #:	22VAC40-185-560-G
Description:	Based on observation, the center failed to ensure that food brought from home was dated. Evidence: 1. There were seven lunch bags/boxes with food from home in them observed for the children in care. There were no dates on any of the food brought from home.
Plan of Correction:	The staff will date the food from home.