Bedford Area Family Young Mens Christian Association- New London

8VAC20-780-340-C

“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.”

8VAC20-780-340-D

“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.”

8VAC20-780-500-A

“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.”

8VAC20-780-510-I

“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.”

8VAC20-780-510-L

“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.”

8VAC20-780-510-N

“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.”

8VAC20-780-530-A

“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.”

8VAC20-780-160-A

“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.”

8VAC20-780-245-L

“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.”

8VAC20-780-280-D

“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.”

8VAC20-780-340-B

“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.”

8VAC20-780-340-C

“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.”

8VAC20-780-340-D

“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.”

8VAC20-780-500-A

“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.”

8VAC20-780-510-I

“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.”

8VAC20-780-510-L

“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.”

8VAC20-780-510-N

“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.”

8VAC20-780-530-A

“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.”

8VAC20-780-160-A

“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.”

8VAC20-780-245-L

“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.”

8VAC20-780-280-D

“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.”

8VAC20-780-340-B

“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.”

8VAC20-780-340-C Complaint related: Yes

“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.”

8VAC20-780-530-C Complaint related: No

“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.”

8VAC20-780-70 Complaint related: No

“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.”

8VAC20-780-240-B Complaint related: No

“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.”

8VAC20-780-245-L Complaint related: No

“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.”

8VAC20-770-60-B Complaint related: No

“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.”

8VAC20-780-160-A

“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.”

8VAC20-770-60-C-2

“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.”

8VAC20-780-70

“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.”

8VAC20-780-60-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.”

8VAC20-780-160-A

“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.”

8VAC20-770-60-C-2

“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.”

8VAC20-780-70

“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.”

8VAC20-780-60-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.”

8VAC20-780-340-C

“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?.”

8VAC20-780-280-D

“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.”

8VAC20-780-340-C

“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?.”

8VAC20-780-280-D

“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.”