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Bedford Area Family Young Men's Christian Association

Inspection · 2025-06-23

Date
2025-06-23
Complaint Related
No
Licensing Inspector
Nicole Scott
(804) 588-2372
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING.
8VAC20-780 PHYSICAL PLANT
8VAC20-780 STAFFING AND SUPERVISION.
8VAC20-780 PROGRAMS.
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES.
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSE PROCESS
8VAC20-820 HEARING PROCEDURES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 6/23/2025 and completed on 7/2/2025, as a part of licensure period. The on-site inspection began at 10:30am and ended at 2:40pm. The inspector reviewed compliance in the areas listed above. There were 48 children present and 6 staff. The inspector reviewed children?s records and 3 staff records electronically on 6/25/2025. This inspection included document review, tour of the facility, and interviews.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7/10/2025. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 8VAC20-780-130-A
Repeat violation
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #2, who had been attending for three weeks, did not have documentation of an immunization record on file.
Plan of Correction: New management and hew hires in charge of this specific job (records).
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

Staff #2 completed the course three weeks late.
Plan of Correction: New management.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances must be in a locked place that prevents access by children.

On the outdoor playground pavilion, there were cleaning chemicals on a shelf leading out of the pavilion. Children were observed in this area.
Plan of Correction: I immediately made a sign as a reminder to put this away right after use.
Standard 8VAC20-780-350-B-5
School age eligible up to 9 years old should be 1 staff to every 18 children.

During the inspection, a staff member left 25 children (ages 5 to 7) under the supervision of 1 staff member for approximately six minutes. Two staff were required.
Plan of Correction: I immediately spoke with staff about staying in sight and sound within the 1-18 ratio.
Standard 8VAC20-780-40-E
Centers shall be in compliance with the center's own policies and procedures required by these standards.

The center?s policy regarding application of sunscreen states the staff will apply sunscreen to children. On 6/23/25, multiple children (ages 5 to 7) applied sunscreen to themselves. Staff did not assist the children with applying the sunscreen.
Plan of Correction: I put this in writing for everyone to see the policy at all times.
Standard 8VAC20-780-500-A
Repeat violation
Children?s hands shall be washed with soap and running water or disposable wipe before and after eating meals or snacks.

When a group of children arrived back from their outdoor activity, no handwashing was observed before the children sat down for lunch.
Plan of Correction: I put this in writing as well as a daily reminder.
Standard 8VAC20-780-510-L
Medication shall be kept in a locked place using a safe locking method that prevents access by children.

The box used to store two medications was on a table and unlocked. It was accessible to the children.
Plan of Correction: New laminated signs were made as reminders.
Standard 8VAC20-780-520-B
Sunscreen shall be labeled with the child?s name and children nine years of age and older may administer their own sunscreen if supervised.

On 06/23/2025, multiple children ages 5 to 7 years, were observed administering their own sunscreen. Most of the canisters of sunscreen were unlabeled.
Plan of Correction: New laminated signs were made as visual reminders.
Standard 8VAC20-780-560-G
Repeat violation
When food is brought from home the food container must be clearly dated and identify whom it belongs too.

Children?s food containers were not dated and most of them did not include the child?s name.
Plan of Correction: Counselors must label them daily. I provide a written reminder as well as they materials to do this daily and also sent a messages out to parents.