Bedford Area Family Young Men’s Christian Association

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 six months, had no documentation of immunizations in the record.”

Rule 8VAC20-780-130-A.

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

“Child #1, who had been attending for two months, had no documentation of a physical in the record. Child #2, who had been attending for six months, had no documentation of a physical in the record.”

Rule 8VAC20-780-140-A.

In Inside areas occupied by children, the temperature shall be maintained no lower than 68?F.

“On 02/24/2026, the inside temperature of the gym was 61 degrees. Staff said the heat had been going in and out for days.”

Rule 8VAC20-780-270-C.

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

“Child #2, who had been attending for 6 months, had no proof of ID in the record.”

Rule 8VAC20-780-60-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.”

Rule 8VAC20-780-130-A.

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

“Staff #2 completed the course three weeks late.”

Rule 8VAC20-780-240-A.

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.”

Rule 8VAC20-780-280-B.

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.”

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

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.”

Rule 8VAC20-780-40-E.

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.”

Rule 8VAC20-780-500-A.

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.”

Rule 8VAC20-780-510-L.

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.”

Rule 8VAC20-780-520-B.

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.”

Rule 8VAC20-780-560-G.

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 #4, who had been enrolled for one month.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside are maintained in a clean, safe and operable condition. 1.On the playground equipment, there were cracks in the slide and the tunnel of the playset. Children were observed in this area. 2.On the outside of the pavilion, there were multiple tarps, an animal cage and storage cover on the ground. This is a suffocation hazard to children. Children were observed in this area.”

Rule 8VAC20-780-270-A.

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

“On the outdoor playground there was a bottle of chemicals on a shelf. Children were observed in this area playing.”

Rule 8VAC20-780-280-B.

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

“Several children went into their lunchboxes for a snack while on the playground. There was no handwashing, or disposable wipe before or after the meal.”

Rule 8VAC20-780-500-A.

When food is brought from home the food container much be clearly dated.

“None of the children’s food containers on the playground were dated.”

Rule 8VAC20-780-560-G.

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.The record for Child 2 did not contain documentation that they received the immunizations required by the State Board of Health. Staff 6 verified that the first day of attendance for Child 2 was 8/14/2023. 2. The record for Child 4 did not contain documentation that they received the immunizations required by the State Board of Health. Staff 6 verified that the first day of attendance for Child 4 was 9/11/2023.”

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 #2, which was enrolled on 8/14/2023 had no documentation of a physical on file during the inspection on 12/19/2023. 2. Child #4, which was enrolled on 8/14/2023 had no documentation of a physical on file during the inspection on 12/19/2023.”

Rule 8VAC20-780-140-A.

Based on record review, the Center failed to ensure at least every two years from the date of the first initial screening or testing, staff members obtain and submit the results of a follow-up tuberculosis screening/testing.

“EVIDENCE: Staff #2 did not have an updated tuberculosis skin test/screening completed every 2 years. Most recent tuberculosis skin test for Staff #2 was completed on 11/27/2021.”

Rule 8VAC20-780-160-C.

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.

“Evidence: 1.The record for Child #1 did not contain proof of ID.”

Rule 8VAC20-780-60-A.

Based on observation and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. Daily attendance records for 6/7/2023 document the arrival of 66 children and on the day of the inspection did not document the departure for 15 children. 2. Daily attendance records for 6/9/2023 document the arrival of 61 children and on the day of the inspection did not document the departure for 13 children.”

Rule 8VAC20-780-80-A. From a complaint.

Based on record review, the center failed to ensure each staff member has a documented TB test or screening every two years.

“Evidence: Staff #2 hired on 08/13/2009 had no record of a TB screening on record during the inspection on 4/11/2023.”

Rule 8VAC20-780-160-A.

Based on observation the center failed to provide annual approval from the health department.

“Evidence: The center had no record of an current annual health inspection on site during the inspection on 4/11/2023. The last inspection was 3/9/2021.”

Rule 8VAC20-780-260-B.

Based on record review, the center failed to obtain a copy of child’s immunizations before first day in attendance.

“Evidence: Child #1, which was enrolled on 08/15/2022 had no documentation of immunizations on file during the inspection on 08/26/2022.”

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: Child #1, which was enrolled on 08/15/2022 had no documentation of a physical on file during the inspection on 00/26/2022.”

Rule 8VAC20-780-140-A.

Based on observation the center failed to provide annual approval from the health department.

“Evidence: The center had no record of an annual health inspection on site during the inspection on 9/26/2022.”

Rule 8VAC20-780-260-B.

Based on observation and interview, the center failed to make sure children’s hands were washed with soap and running water or disposable wipe before and after eating meals or snacks.

“Evidence: Children were observed having snack time. The children had just come in from outside and given hand sanitizer to clean hands. When questioned about washing hands the staff member said they normally take them to the bathroom but today they didn’t.”

Rule 8VAC20-780-500-A.