Bedford Area Family Young Mens Christian Association- New London

The required first aid kit shall have all required components

“The first aid kit was missing tweezers, thermometer, adhesive, antiseptic cleaning solution or pads, ice pack and first aid book or manual.”

Rule 8VAC20-780-540-C.

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.

“Staff stated emergency evacuation had been completed, they were just not documented.”

Rule 8VAC20-780-550-G.

A menu listing foods to be served for meals and snacks during the current one-week period shall be posted.

“The menu for the week was filled in until 10/6. There was nothing for 10/7 (the day of inspection) or ongoing.”

Rule 8VAC20-780-560-F.

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 #3, who had been attending for nine months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

Repeat violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #3, who had been enrolled for nine months.”

Rule 8VAC20-780-140-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #2, who is working with children, has not yet completed this course which is overdue by 1 month.”

Rule 8VAC20-780-240-A.

Repeat violation Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“There was no written parent/guardian or physician authorization to administer prescription medications to child 3. Medication had not been administered to child 3.”

Rule 8VAC20-780-510-I.

Repeat violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #2, enrolled for nine months, was missing the following required components: proof of ID The record for Child #3, enrolled for nine months, was missing the following required components: proof of ID”

Rule 8VAC20-780-60-A.

Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“There was no written parent/guardian or physician authorization to administer prescription medications to child 3. Medication had not been administered to child 3.”

Rule 8VAC20-780-510-I.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #1, enrolled for three months, was missing the following required components: Addresses for both emergency contacts. The record for Child #2, enrolled for three months, was missing the following required components: Addresses for one emergency contact.”

Rule 8VAC20-780-60-A.

Based on record review and staff interviews, the center failed to obtain documentation that each child has received immunizations required by the State Board of Health the child can attend the center.

“Evidence: The record for Child 3 with an enrollment date of 8/14/2023, did not contain documentation that they received the immunizations required by the State Board of Health during the inspection on 5/20/2024.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: 1.Child #3, which was enrolled on 8/14/2023 had no documentation of a physical on file during the inspection on 5/20/2024.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure each report shall include the immunizations received shall be signed by a physician , his designee or an official of a local health department.

“Evidence: Child 1 with an enrollment date of 1/4/2024, had immunizations on record. The immunizations had no signature.”

Rule 8VAC20-780-150-B.

REPEAT VIOLATION Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: 1.Staff #2, which was hired on 4/12/2023 had a TB screening on file dating 5/18/2023 during the inspection on 5/20/2024.”

Rule 8VAC20-780-160-A.

Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The record for Staff 1 had orientation paperwork dated for 8/25/2023. Staff 2 was observed working during the 05/20/2024 inspection.”

Rule 8VAC20-780-240-B.

REPEAT VIOLATION Based on record review, the center failed to keep a separate record foreach child which shall contain written agreements between the parent and the center.

“Evidence: Child #1, had an enrollment date of 1/4/2024 had no proof of ID on file during the inspection on 05/20/2024.”

Rule 8VAC20-780-60-A.

Based on review of one board officer’s the center failed to ensure that all out of state background checks were obtained.

“Evidence: Board Officer # 1 took office on 07/17/2023 and lived outside of the state of Virginia in the past five years in a NFF state (national fingerprint file). The Board Officer is required to have a CPS (Child Protective Service Check) from that state.”

Rule 22.1-289-036-B-4.

Repeat violation

“Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1.Staff # 1 was observed working as a program leader on the day of the inspection. Staff # 3 stated that he was the program lead. After review of Staff # 1 record, there was no documentation of the educational requirements for a program leader position.”

Rule 8VAC20-780-340-D.

SECOND REPEAT VIOLATION Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: Staff #3 which was hired on 7/3/2023 had no record of a TB screening on file during the inspection on 8/10/2023.”

Rule 8VAC20-780-160-A.

Based on record review and staff interviews, the center failed to ensure that there shall be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There was not a staff member on duty that has obtained instruction in performing the daily health observation of children during the 08/10/2023 inspection.”

Rule 8VAC20-780-245-L.

SECOND REPEAT VIOLATION Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food and shall be stored separate from food.

“Evidence: In the closet located in the hallway, there were two bottles of chemicals on the same shelf as food.”

Rule 8VAC20-780-280-D.

SYSTEMIC DEFICIENCY Based on observation and interview, the center failed to ensure during center’s hours of operation, one adult on the premises shall be in charge of the administration of the center. The person shall be either the administer or and adult appointed by the licensee or designated by the administrator.

“Evidence: Upon arrival at the center, Staff 1 and Staff 2 were the only staff observed at the center supervising children. Staff 1 stated they were alone. Staff 1 and Staff 2 stated they were 16 years of age. Birthdates were verified in their staff record. There was no adult on the premises in charge of the administration of the center.”

Rule 8VAC20-780-340-B.

THIRD REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on the observation, the center failed to ensure during the hours of operation, there always shall be on the premises one staff who meets the qualifications of program leader and an immediately available staff member, volunteer or other employee wo is at least 16 years of age, with direct means for communication between the two of them if there is an emergency.

“Evidence: Staff 2 (age 16 years) stated they open the building a couple days a week with Staff 1 (age 16 years). Staff 2 stated they also close together 2-3 days a week. Staff 1 and Staff 2 do not meet program leader qualifications.”

Rule 8VAC20-780-340-C.

SYSTEMIC DEFICIENCY Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead.

“Evidence 1. Upon arrival at the center, Staff 1 and Staff 2 were observed working alone with a grouping of children. Staff 1 and Staff 2 stated they were 16 years of age. Birthdates were verified in their staff record. Staff 1 and Staff 2 do not meet program leader qualifications. 2. Staff 3 arrived at approximately 3pm. Staff 3 stated they were not program leader qualified. There was no documentation of the educational requirements for a program leader position in the record.”

Rule 8VAC20-780-340-D.

Based on observation, the center failed to ensure children’s hand shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: The children were in the gym area during snack. The children were given snack and no hands were washed before or after the snack.”

Rule 8VAC20-780-500-A.

SYSTEMIC DEFICIENCY Based on record review and interview, the center failed to ensure medication administered by a staff person who meets the requirements of being MAT trained.

“Evidence: Child 1 has daily medication available at the center. Staff 1 stated Child 1 had received the medication on 8/10/2023. There were three staff working on 8/10/2023 with records available for review. None of the three staff employed at the center were MAT trained.”

Rule 8VAC20-780-510-I.

SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that all medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1.The first aid kit bag had a bottle of Excedrin in the side pocket of the bag. The medication was not locked. 2.The first aid bag contained a brown bag with medication inside. The bag was labeled with a child’s name. The medication was not locked.”

Rule 8VAC20-780-510-L.

SYSTEMIC DEFICIENCY Based on interview, the center failed to ensure to keep a record of medication given to children with who administered, amount and type of medication, the day and time the medication was administered, child to who medication was administered, any adverse reactions or any medication error.

“Evidence: The medication record for administering medication for Child 1 was not available for review. Staff 1 stated Child 1 received medication on 8/10/2023. Staff 3 stated there was no record for administering the medication.”

Rule 8VAC20-780-510-N.

Based on observation, review of staff records, and interview with staff, the center failed to ensure that all classrooms had a staff person with First Aid and CPR certification.

“Evidence: Staff 1 and Staff 2 were observed working alone with children in the gym. Staff 1 and Staff 2 did not have documentation of First Aid and CPR certification.”

Rule 8VAC20-780-530-A.

Based on record review, the center failed to obtain a completed Sworn Statement prior to first day of employment for staff member.

“Evidence: Staff # 3 with an unknown hire date, had no documentation of a sworn statement in the record during the inspection. Staff #3 did not provide documentation when requested.”

Rule 8VAC20-770-60-B. From a complaint.

Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The record for Staff 3 did not contain documentation to verify that Staff 1 has completed orientation training. Staff 3 was observed working during the 07/25/2023 inspection.”

Rule 8VAC20-780-240-B. From a complaint.

Based on record review and staff interviews, the center failed to ensure that there shall be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There was not a staff member on duty that has obtained instruction in performing the daily health observation of children during the 07/25/2023 inspection.”

Rule 8VAC20-780-245-L. From a complaint.

REPEAT VIOLATION Based on the observation, the center failed to ensure during the hours of operation, there always shall be on the premises one staff who meets the qualifications of program leader and an immediately available staff member, volunteer or other employee wo is at least 16 years of age, with direct means for communication between the two of them if there is an emergency.

“Evidence: Staff #1 stated that they open the building in the morning sometimes by themselves. Staff #1 stated them being alone just depends on if they have had call in or not. Staff #1 stated sometimes there is only one person in the afternoon once numbers get down.”

Rule 8VAC20-780-340-C. From a complaint.

Based on record review and interview with staff, the center failed to ensure that there shall be at least two staff members who have a current certification in cardiopulmonary resuscitation and first aid present on the premises during the center’s hours of operation, on fieldtrips and wherever children are in care.

“Evidence: Staff #2 and #3 had no record of CPR/ First Aid during the inspection on 7/19/2023. Both staff were working during the inspection. Staff #1 has an expired CPR/ First Aid as of 6/28/2023. None of the staff on the premises during the 07/25/2023 inspection has a current certification in CPR and first aid.”

Rule 8VAC20-780-530-C. From a complaint.

Based on record review, the center failed to ensure that the record for each staff shall contain all of the elements as required by the standards.

“Evidence: 1.The record for Staff #1 did not contain the following information: Verification of age requirements and dates of employment.”

Rule 8VAC20-780-70. From a complaint.

Based on record review, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment.

“Evidence: Staff #2, has an employment date of 03/20/2023. A returned search of the central registry was not in the record. When requested administration could not provide the form or documentation it had been sent off by 3/30/2023.”

Rule 8VAC20-770-60-C-2.

Based on record review, the center failed to ensure each staff member had documentation of a Tuberculosis screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: Staff #2, has a employment date of 3/20/2023 had no Tb screening or test on record during the inspection on 3/22/2023.”

Rule 8VAC20-780-160-A.

Based on record review, the center failed to keep a separate record foreach child which shall contain written agreements between the parent and the center.

“Evidence: Child #2, had an enrollment date of 8/15/2022 had no proof of ID on file during the inspection on 03/22/2023.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure all information for staff was maintained on the site.

“Evidence: Center had no emergency information on site for staff #1 or staff #2. All staff files were kept at a Central location offsite.”

Rule 8VAC20-780-70.

Based on the observation, cleaning materials shall not be located above food and be stored in areas physically separate from food.

“Evidence: Inspector observed cleaning materials on a top shelf. There was food located on the shelf under the cleaning materials.”

Rule 8VAC20-780-280-D.

Based on the observation, the center failed to ensure during the hours of operation, there always shall be on the premises one staff who meets the qualifications of program leader and an immediately available staff member, volunteer or other employee wo is at least 16 years of age, with direct means for communication between the two of them if there is an emergency.

“Evidence: Inspector observed only one person working with the fourteen children the day of inspection. When asked ?how often the staff member was alone?, they replied ?most days?. I asked ?who do they contact in case of an emergency?, she replied with ?no one. She would have to call her supervisor, who doesn’t work at the site?.”

Rule 8VAC20-780-340-C.