Bedford Area Family Young Mens Christian Assoc -Thomas Jefferson

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The center did not request a search of the child abuse and neglect registry and out of state sex offender search from two states for Staff 1, who has been employed for 6 weeks.”

Rule 22.1-289.035-B-4.

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.

“There was no immunization in the record of Child #3 enrolled for 4 months.”

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 were no physical examinations for Child #3 enrolled for 4 months.”

Rule 8VAC20-780-140-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Documentation for a negative TB screening was submitted for Staff #2 two days after working with children and Staff #3?s negative TB screening was submitted 9 days after working with children.”

Rule 8VAC20-780-160-A.

The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan and shall be dated and kept confidential in each room or area where children are present.

“The allergy list was not dated.”

Rule 8VAC20-780-40-M.

The following non-medical emergency supplies shall be required: one working battery operated radio and flashlight in each building used by children.

“A working battery-operated radio was not available.”

Rule 8VAC20-780-540-E.

The center shall implement a monthly practice evacuation drill.

“The was no documentation of a monthly practice evacuation drill for November 2025.”

Rule 8VAC20-780-550-D.

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction

“Child #2 did not have an updated allergy care plan for a diagnosed food allergy.”

Rule 8VAC20-780-60-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 1, who had been enrolled for five months.”

Rule 8VAC20-780-140-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 1.”

Rule 8VAC20-780-510-I.

Hazardous substances must be in a locked place that prevents access by children.

“In the cafeteria used for a classroom, the cleaning solution and sanitizing solution were cleaning chemicals on a cart in the cafeteria. These were accessible to the children.”

Rule 8VAC20-780-280-B.

Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom.

“Children ages 5 and up were observed being sent to the restrooms by themselves. These children were out of sight and sound of the staff. The children were gone for approximately one to three minutes.”

Rule 8VAC20-780-340-F.

Children’s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks.

“Children were observed eating snack, children did not wash their hands or use a disposable wipe after the snack.”

Rule 8VAC20-780-500-A.

Hazardous substances must be in a locked place that prevents access by children.

“In the cafeteria used for a classroom, the cleaning solution and sanitizing solution were cleaning chemicals on a cart in the cafeteria. These were accessible to the children.”

Rule 8VAC20-780-510-P.

Based on review of medication, the center failed to ensure medication was labeled with child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: Prescription medication for Child #5 was observed in a plastic bag in the medication box. There was no label on the medication.”

Rule 8VAC20-780-510-G.

Based on review, the center failed to maintain documentation of the emergency evacuation drills.

“Evidence: There was no documentation of emergency drills on record for February and March of 2024.”

Rule 8VAC20-780-550-G.

Based on record review, the center failed to ensure tuberculosis screening documentation shall be completed within the last 30 days of the date of employment.

“Evidence: Staff #1, with a hire date of 2/12/2024 had a tb screening on file with the date of 10/1/2023 during the inspection on 2/13/2024.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION Based on review of five staff’s records, the center failed to ensure that all required out of state background checks were obtained.

“Evidence: Staff 1 had a documented employment date of 03/27/2023. Staff 1 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. An out of state child protective service findings was not in the record.”

Rule 22.1-289.035-B-4.

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: 1.Child 3, with an enrollment date of 08/14/2023 did not contain documentation of immunizations 2. Child 4, with an enrollment date of 08/21/2023 did not contain documentation of immunizations. 3. Child 6, with an enrollment date of 08/14/2023 did not contain documentation of immunizations. 4. Child 7, with an unknown enrollment date, did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

REPEAT VIOLATION Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children.

“Evidence: 1.Staff 1 started employment on 03/27/2023 and the TB test/screening was dated 4/6/2023. 2.Staff 2 started employment on 08/29/2023 and the TB test/screening was dated 4/28/2023. 3.Staff 3 started employment on 05/23/2023 and the TB test/screening was dated 6/10/2023. 4.Staff 4 started employment on 07/17/2023 and the TB test/screening was dated 6/15/2023.”

Rule 8VAC20-780-160-A.

Based on review of five staff records, the center failed to ensue that all new staff had the Virginia Department of Education ? Sponsored orientation course within the 90 calendar days.

“Evidence: Staff # 1 had a documented employment date of 3/27/2023. There was no documentation of the 10 hour Preservice Training in the record.”

Rule 8VAC20-780-240-A.

Based on interview and observation, the center failed to ensure any child with emergency medications shall always be in the care of a staff member who is MAT certified.

“Evidence: Child 6 and 7 has emergency medication on site. Child 6 & 7 was at the center on 8/31/2023. There was no staff member present with MAT certification on 8/31/2023.”

Rule 8VAC20-780-245-J.

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: On the day of the inspection there was no teacher qualified as program leader. Staff 1 stated the previous Program Lead left about two weeks ago and no one had been appointed.”

Rule 8VAC20-780-340-C.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: 1.Children were observed coming in from the playground to use the restroom. Children were hiding in classrooms and in cafeteria from the teacher. 2. One child was left inside in the restroom during a bathroom break. Child was escorted back outside by Inspector. 3.Children were lining up to use the bathroom and get ready for outdoor play. Both teachers were in the hallway out of sight and sound of approximately 10 children left in the cafeteria where inspector was.”

Rule 8VAC20-780-340-F.

Based on observation, the center failed to maintain the required staff-to-children ratio for school age eligible up to 9 years old.

“Evidence: At approximately 2:35 pm, 37 preschool children were in care under the supervision of two staff in the cafeteria. The youngest child was 4 years old. The ratio is one staff to 18 children. Three staff would be required.”

Rule 8VAC20-780-350-B-5.

SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure children’s hands were washed with soap and running water or disposable wipe during the appropriate times.

“Evidence: Children were observed during snack. Children’s hands were not washed before or after the meal.”

Rule 8VAC20-780-500-A.

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.Child 6 had medication inside the first aid kit. The medication was not locked. The bag was on the table accessible to children. 2. Child 7 had medication inside the first aid kit. The medication was not locked. The bag was on the table accessible to children.”

Rule 8VAC20-780-510-L.

SYSTEMIC DEFICIENCY Based on review, the center failed to maintain documentation of the emergency evacuation drills.

“Evidence: There was no documentation of emergency drills for review.”

Rule 8VAC20-780-550-G.

Based on observation, the center failed to ensure tables shall be sanitized before and after each use for feeding.

“Evidence: Children were observed during snack time. Tables were not cleaned or sanitized before or after the children had snack.”

Rule 8VAC20-780-560-J.

SYSTEMIC DEFICIENCY Based record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards.

Rule 8VAC20-780-60-A.

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

“Evidence: 1.There was no emergency information at the center for Staff 1, Staff 2, Staff 3 or Staff 4. All staff files were kept offsite. 2. Staff # 5 had a hire date of 05/27/2023 and did one of the two required reference was completed on 6/6/2023.”

Rule 8VAC20-780-70.

Based on record review, the center failed to obtain repeat background checks after 5 years.

“Staff # 1 did not have an updated Sworn statement on file. The last sworn statement was dated 8/15/2017. Staff #1 did not have an updated Central Registry on file. The last Central registry letter was dated 1/20/2017.”

Rule 22.1-289.035-A.

Based on record review, the center failed to maintain a current CPR certificate for each staff member within the first 90 days.

“Evidence: Staff #3 had no record of a CPR certificate during the inspection. Staff #3 hire date was 10/1/2022.”

Rule 8VAC20-780-530-A-1.

Based on record review, the center failed to maintain a current First Aid certificate for each staff member within the first 90 days.

“Evidence: Staff #3 had no record of a First Aid certificate during the inspection. Staff #3 hire date was 10/1/2022.”

Rule 8VAC20-780-530-A-2.

Based on record review, the center failed to renew the Central Registry check after expiration of 5 years.

“Evidence: Staff #1 last Central Registry was dated 01/15/2017. A new Central Registry check was not on file during the inspection on 08/23/2022.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.