Bedford Area Family Young Men’s Christian Assoc - Early Learning

When any surface has been contaminated with body fluids, it shall be cleaned and sanitized.

“In Class #1 a child was observed sitting on the floor bare bottom during a diaper change. The surface was not cleaned or sanitized.”

Rule 8VAC20-780-490-E.

Children’s hands shall be washed with soap and running water before and after toileting.

“A child was observed during a diaper change. No had washing observed for the child or staff.”

Rule 8VAC20-780-500-A.

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

“Staff #2, who is working with children, had a course certificate on file that was completed 2 months after the required timeframe. Staff #3, who is working with children, had a course certificate on file that was completed 2 months after the required timeframe.”

Rule 8VAC20-780-240-A.

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

“In the junior’s classroom, the cleaning solution and sanitizing solution were in an unlocked cabinet in the children’s bathroom, out of reach of children.”

Rule 8VAC20-780-280-B.

Cots used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“In the junior’s class, there were 2 cots that did not have a top sheet. In the toddler class there were no top sheets on any of the cots in the class. Children were observed on these cots.”

Rule 8VAC20-780-450-A.

Repeat violation Diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the system during disposal.

“In the toddler room, the trashcan used for diapering had a swinging lid on it. This would cause the diaper or staff’s had to touch during disposal.”

Rule 8VAC20-780-500-B.

Staff shall wash hands with soap and running water before and after a diaper change.

“In the toddler classroom, staff did not wash hands before or after changing each child’s diaper.”

Rule 8VAC20-780-500-A.

Repeat violation Diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the system during disposal.

“In the pre-K room, there were diapers in a trashcan with no lid. The teacher said she did not have a foot operated diapering system.”

Rule 8VAC20-780-500-B.

REPEAT VIOLATION Based on observation, the center failed to ensure when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: In classrooms #3 and #4, the children’s lunchboxes were in a tote. Some of the lunchboxes did not have names and there was no date on any of the lunches.”

Rule 8VAC20-780-560-G.

Based on review and interview, the center failed to ensure that the record of each child’s feeding schedules.

“Evidence: In the infant class, there were no child feeding schedules available to staff.”

Rule 8VAC20-780-570-C.

Based on staff interviews, the center failed to ensure that actions towards children that are forbidden by the standards (physical punishment, striking a child, roughly handling, or shaking a child) are not used at the center.

“Evidence: 1.Staff 2 stated that she observed looking through the observation window of the classroom door, and witnessed Staff 1 standing over the child back. Staff 1 then pushed the child’s head into the carpet. Staff 1 then grabbed the child by both arms lifting the child to their face and scream ? DO NOT SPIT?. 2 Staff 2 stated they went into the class to talk to the staff member about what they witnessed. Staff 2 stated Staff 1 stated ?your right, I was frustrated, and he was spitting?.”

Rule 8VAC20-780-410-1.

Based on record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia.

“Evidence: Staff #4, hire date of 7/31/2023 had an fingerprint eligibility letter on record dating 10/10/2023 during the inspection on 12/8/2023.”

Rule 22.1-289.035-B-2.

Repeat Violation Based on record review, the center failed to ensure each staff member has a documented TB test or screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: Staff #1 has a hire date of 7/3/2023 had a tb screening dated 9/14/2023 Staff #2 has a hire date of 5/22/2023, had a tb screening dated 9/20/2023. Staff #3 has a hire date of 7/3/2023, had a tb screening dated 10/18/2023. Staff #4, has a hire date of 7/31/2023, had a tb screening dated 11/29/2023. Staff #5 has a hire date of 7/3/2023, had a tb screening dated 1/28/2023.”

Rule 8VAC20-780-160-A.

Based on observation, the center failed to ensure disposable diapering shall be in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand not the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: In the early Pre-K class, the diapering pale would not close granting access to children.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: In the toddler class children’s lunchboxes were hanging on hooks under cubbies. Some food had been put in the children’s cubbies, while other food was left in the lunchboxes. These lunchboxes were not labeled with name or dates.”

Rule 8VAC20-780-560-G.

Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around.

“Evidence: In the toddler classroom a child was observed walking around drinking a bottle.”

Rule 8VAC20-780-560-M.

Based on observation and interview, the center failed to ensure that baby food not consumed during that feeding by an infant may be used by that same infant later in the same day, provided that the food is not served out of the baby jar and is dated and stored in the refrigerator.

“Evidence: In the infant classroom, there was an unlabeled container of opened baby food in the refrigerator. Staff #6 stated that a child had been fed out of the container of food earlier that day.”

Rule 8VAC20-780-570-H.

Based on record review and interview, the center failed to ensure all caregivers shall have a current Certification in cardiopulmonary Resuscitation within 90 days of employment or subsidy vendor approval.

“Evidence: Staff #4has a hire date of 7/31/2023, had no record of a current Certification in cardiopulmonary Resuscitation during the inspection on 12/08/2023.”

Rule 8VAC20-790-600-D-1.

Based on record review and interview, the center failed to ensure all caregivers shall have a current certification in first aid within 90 days of employment or subsidy vendor approval.

“Evidence: Staff #4 who has a hire date of 7/31/2023, had no record of a current certification in first aid during the inspection on 12/8/2023.”

Rule 8VAC20-790-600-D-2.

Based on record review and interview, the center failed to ensure all caregivers shall have a current certification in first aid within 90 days of employment or subsidy vendor approval.

“Evidence: Staff #4 who has a hire date of 7/31/2023, had no record of a current certification in first aid during the inspection on 12/8/2023.”

Rule 8VAC20-790-600-D-2.

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

“Evidence: Staff #4 was working day of inspection on 8/9/2023. Staff #1 had a TB screening dated 08/10/2020.”

Rule 8VAC20-780-160-C.

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 had obtained instruction in performing the daily health observation of children during the 08/10/2023 inspection.”

Rule 8VAC20-780-245-L.

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

“Evidence: 1.In the Early Pre-K room there were hazardous chemicals unlocked over the sink. 2.In the adjoining infant/ toddler bathroom there was a Swiffer with the chemicals attached to the cleaning device. The doors to both rooms were unlocked.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to label infant bottle containing prepared infant formula with the child’s name and date.

“Evidence: In the infant room fridge, Inspector observed two infant bottle containing prepared formula. Bottles were not labeled with a child’s name or date.”

Rule 8VAC20-780-570-E.

Based on observation, the center failed to ensure the required first aid kits shall include the minimum.

“Evidence: The first aid kit for the center was missing tweezers, thermometer, and First Aid book/manual.”

Rule 8VAC20-780-540-C.

Based on observation and interview, the center failed to provide emergency evacuation and shelter-in-place procedure, or maps shall be posted in a location conspicuous to staff and children in the building.

“Evidence: During the inspection, the provider did not have emergency evacuation, shelter in place procedures or maps posted in the center.”

Rule 8VAC20-780-550-C.

Based on observation, the center failed to provide a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.

“Evidence: During the inspection, provider did not have emergency services numbers posted anywhere in the center.”

Rule 8VAC20-780-550-I.