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Armed Services YMCA Child Development Center Norfolk

Inspection · 2025-07-21

Date
2025-07-21
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse and Neglect

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 7/21/25 and completed on 7/22/25, as a part of the conditional licensure period. The on-site inspection began at 10:10am and ended at 1:35pm (day two- 7/22/25 began at 10:25am, ended at 1:00pm). The inspector reviewed compliance in the areas listed above. There were 125 children present and 37 staff. The inspector reviewed 10 children?s records and 10 staff records on-site. This inspection included document review, a tour of the facility, interviews, and 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/18/25. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-B-2
Repeat Violation
Centers must obtain a completed national criminal background check prior to the employee's first day of employment.
The records for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6, Staff #7, and Staff #9 show that a criminal background check was not completed prior to employment, which is required.
Plan of Correction: The center will ensure that a 8/11/25 background check is completed prior to employment for all employees.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
The record for Staff #6 (employed for four months) did not have documentation of requesting applicable background checks from one state the staff member resided in the preceding five years. The required out of state child abuse check and sex offender check for Staff #4 (employed for three months) and Staff #7 (employed for four months) were requested after hire. The required out of state criminal background check, child abuse check and sex offender check for Staff #9 (employed for four months) were requested after hire.
Plan of Correction: The center will ensure that all out of state background checks are initiated prior to
the first day of employment. Proof of the initiated check will be placed in the employees file until the completed check is returned.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance.
The records for Child #3 (enrolled for two months) and Child #6 (enrolled for over one month) did not contain documentation of a physical examination by or under the direction of a physician.
Plan of Correction: The center will work with families to obtain a physical within 30 days of enrollment
and ensure that the physical has been signed by a physician or nurse practitioner.
Standard 8VAC20-780-150-B
Each immunization report shall be signed by a physician, his designee, or an official of a local health department.
The immunization reports for Child #1 (enrolled for one month), Child #2 (enrolled for one month), Child #4 (enrolled for two months), and Child #6 (enrolled for one month) did not contain a signature by a physician, his designee, or an official of a local health department, which is required.
Plan of Correction: The center will ensure that all immunization records are signed by a doctor or nurse practitioner when submitted.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
There was bleach and water solution in a high, unlocked cabinet in a preschool classroom. A bleach and water solution was sitting on a toy shelf and left unlocked in a toddler classroom. In a pre-toddler classroom, disinfectant spray was stored in a high cabinet that was left unlocked.
Plan of Correction: Each employee has been retrained on the standard. The employee has signed
off on the documentation that explains the standard. The center management
team will perform spot checks to ensure that the standard is being followed.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
On the day of the inspection, 12 preschool age children were observed transitioning to table and eating lunch; however, none of the children washed their hands or used a disposable wipe.
Plan of Correction: The center management team met with the classroom teachers and reviewed the
handwashing requirements with them. The teachers were also required to sign off on the documentation that the requirements were reviewed again.
Standard 8VAC20-780-560-G
When food is brought from home, the following shall apply: the container shall be clearly dated and labeled in a way that identifies the owner.
Water bottles and infant bottles were not labeled in multiple classrooms on the day of the inspection.
Plan of Correction: A memo was sent out to all teaching staff reminding them of the standard. Each staff member was required to acknowledge receipt. The management team will also perform spot checks to ensure that all food items brought from home are properly labeled.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the required information.
The records for Child #5 (enrolled for one month) and Child #6 (enrolled for one month) did not contain all information required to be in a child's record.
Plan of Correction: The center will have parents who work on ships provide the number of a superior that has access to their whereabouts in case of an emergency.
Standard 8VAC20-780-70
Staff records shall contain all the required information.
The records for Staff #2, Staff #4, and Staff #8 did not contain documentation to demonstrate that the individuals possess the education required by the job position. In addition, one of the required references for Staff #8 (employed for two months) were not checked before employment, which is required.
Plan of Correction: The center will require that staff provide more detailed information on the credentials that qualify them for the position they are being hired for. The center will also ensure that all reference checks are performed prior to the first day of employment.