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Bedford Area Family Young Men's Christian Assoc @ Boonsboro

Inspection · 2025-09-29

Date
2025-09-29
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 LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s record
22.1 Early Childhood Care and Education
63.2 Child Abuse & 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 not 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

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 not 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.

An unannounced, on-site renewal inspection was initiated on 09/29/2025 and completed on 10/02/2025.The on-site inspection began at 2:46 PM and ended at 3:31 PM. The inspector reviewed compliance in the areas listed above. There were 13 children present and 2 staff. The inspector reviewed 2 children?s records and 2 staff records on-site and electronically on 10/02/2025. This inspection included document review, tour of the facility, interviews, observations, and measurements.

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.

Violations

9
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

In the cafeteria, the cleaning solution and sanitizing solution were in an unlocked closet with the door open accessible to children.
Plan of Correction: The door will remain locked while children are present.
Standard 8VAC20-780-280-D
Cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food.

Cleaning and sanitizing materials were located above food in the closet.
Plan of Correction: The door will remain locked while children are present.
Standard 8VAC20-780-340-C
Repeat violation, systemic violation
During the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who qualifies as program lead or director and an immediately available staff member, volunteer or other employee who is at least 16 years of age with direct means for communication between the two of them.

Staff #1 was observed alone supervising 13 children while the inspector was onsite. The center did not have any other immediately available staff onsite.
Plan of Correction: Interviewing for more staff. I myself or my assistant will cover until someone is hired.
Standard 8VAC20-780-340-F
Repeat violation
Children under 10 years of age always shall be within actual sight and sound supervision of staff.

During the inspection, Staff #1 was observed leaving all children (ages 5-10) alone on one occasion to take departing children to parents.
Plan of Correction: Interviewing for more staff. I myself or my assistant will cover until someone is hired.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present.

The center had a list with food sensitivities but it was not dated or labeled with the child?s name.
Plan of Correction: Date, label, and relocate allergies and diatary restrictions.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

Children were observed during afternoon snack time and the children did not wash hands after eating snack.
Plan of Correction: Staff have been reminded.
Standard 8VAC20-780-530-C
There shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care.

There was only one staff member currently certified in CPR and first aid on premises during the inspection
Plan of Correction: Interviewing for more staff. I myself or my assistant will cover until someone is hired.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

Child #1 and Child #2 were missing several of the required components.
Plan of Correction: Correcting records to have all of them on site.
Standard 8VAC20-780-70
Name, address, verification of age requirement, job title, and date of employment or volunteering; and name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

Staff #1 and Staff #2 were missing the required paperwork physically at the center.
Plan of Correction: Made copies and updated for site.