Inspection · 2025-12-10
(757) 404-1784
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 12/10/2025 and completed on 12/11/2025 as part of the provisional licensure period. The on-site inspection began at 3:10 pm and ended at 4:40 pm. The inspector reviewed compliance in the areas listed above. There were 43 children present and 5 staff. The inspector reviewed 8 children's records on-site on 12/10/2025. 5 staff records were reviewed on-site on 12/11/2025 at the Greenbrier North YMCA where staff records are maintained
The inspection included:
*Document Review
*Tour of the Facility
*Interviews
*Observations
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 12/22/2025. A POC submitted after this date will not appear on the public website.
Violations
7The 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 documentation of an immunization record for child 1 who was in care during the inspection.
All staff shall complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
There was no documentation that staff 5 had completed the Virginia Department of Education orientation course. Staff 1 has been employed for approximately 27 months.
A bottle of sanitizing cleanser was left on a table in the cafeteria.
A daily audit will be conducted to ensure staff keep hazardous materials locked up when not in use.
The emergency log did not indicate that a fire drill had been completed in September and October of 2025. Staff 2 stated that a fire drill had not been completed in September and October.
Staff 3 and staff 4 used a paper towel to immediately wipe each table after spraying the surface with the disinfectant solution. The manufacturer label states that the surface must remain visibly wet for 5 or 2.5 minutes.
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements.
1. There was no enrollment record on file for child 1 who was in care during the inspection.
2. A written diagnosed food allergy care plan for child 2 and child 3 was not on file. Child 2 and child 3 were in care during the inspection.
Staff records shall be maintained and contain all requirement elements.
1. The record for staff 1 lacked the following required information: Job title, hire date, 2 reference checks and orientation training.
2. The name, address and telephone number of a designated emergency contact was not maintained on site for the 5 staff present during the on-site inspection on 12/10/2025.
3. Documentation of 2 reference checks were not on file for staff 5.