VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Graceway Ministries Graceachild USA, Inc.
602 13th Street
Radford, VA 24141
(540) 831-7222

Current Inspector: Julia Kimbrough (804) 921-7596

Inspection Date: April 25, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780Administration 8VAC20-780Staff Qualifications and Training 8VAC20-780Physical Plant 8VAC20-780Staffing & Supervision 8VAC20-780Programs 8VAC20-780Special Care Provisions & Emergencies 8VAC20-780Special Services 8VAC20-770Background Checks

Comments:

4-25-2022 Arrived 2:30 Departed 4:30pm An unannounced renewal inspection was conducted today. There were 60 children present with eight staff and the director. The children were resting, eating a snack, having free choice time and playing outdoors. Five children's records and four staff records, the physical plant, staffing and supervision, emergency drills, transportation and nutrition were reviewed. Thank you for your cooperartion. Please contact me if I may be of service.

Violations:

Standard #:	22VAC40-185-270-A
Description:	Based on a tour of the playground, the facility failed to ensure that areas are safe. Evidence: 1. The surface at the base of the large yellow curved slide chute is asphalt which is covered by less than 1/2 inch of rubber mulch.
Plan of Correction:	The program director will ensure that children do not use the climber until the new surface can be installed. 5-30-22
Standard #:	22VAC40-185-270-B
Description:	Based on a tour of the pre-k classroom, the facility failed to ensure that portable heaters are used only in emergencies. Evidence: 1. The LI observed a large space heater in a closet without doors in the pre-k room. When the LI questioned a staff member about the heater, they replied, "It is used in the winter to heat up the space."
Plan of Correction:	The director has removed all space heathers from the premises. 4-26-22
Standard #:	22VAC40-185-280-B
Description:	Based on a tour of the physical plant, the facility failed to ensure that all hazardous substances are kept in a locked place. Evidence: 1. In the threes' class, the cleaning products cabinet was not locked. 2. In the pre-k class, bleach water and disinfecting wipes were not in a locked area. 3. In the hall bathroom under the sink, there was a bottle of Clorox, an unmarked bottle of liquid and disinfecting wipes.
Plan of Correction:	The director has retrained staff on locking all hazardous substances. The pre-k classroom has a new lock for the cabinet. The director installed lock on the cabinet containing chemicals. 5-5-22
Standard #:	22VAC40-185-330-B
Description:	Based on a tour of the playground, the facility failed to ensure that resilient surface material complies with the minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. There are four inches of rubber mulch at the base of the yellow slide facing the small playground and under the double orange slide.
Plan of Correction:	The program has stopped use of the playground until the resilient surface can be added to meet the standard. 5-30-22
Standard #:	22VAC40-185-330-C
Description:	Based on a tour of the playground, the facility failed to ensure that all ground supports are covered by materials to protect children from injury. Evidence: At the base of the steps of the large climber, there is a concrete footer.
Plan of Correction:	The program director has stopped use of the playground until the resilient surface material can be added to meet the standard. 5-30-22
Standard #:	22VAC40-185-350-B
Description:	Based on a tour of the classrooms, the facility failed to ensure that the staff to child ratio is maintained in each class. Evidence: During the inspection, there were 12 children in the threes' and fours' class with one staff member.
Plan of Correction:	The director has put in place multiple plans to ensure that ratios are maintained. 4-25-22
Standard #:	22VAC40-185-430-C
Description:	Based on a tour of the playground, the facility failed to ensure that there are no pinch points on play equipment. Evidence: On the large climber, there are many pinch points where plastic has aged and cracked creating points where children's fingers may become stuck or cut.
Plan of Correction:	The program director will ensure that the children do not use the playground until it can be repaired or replaced. 5-30-22
Standard #:	22VAC40-185-550-D
Description:	Based on interviews with staff and a review of records, the facility failed to ensure that there are monthly emergency evacuation drill. Evidence: Four staff members reported that they have never participated in an emergency drill.
Plan of Correction:	The program director conducted a fire drill on 4-30-22 and fire drills will be practiced monthly and documented.
Standard #:	22VAC40-185-560-F
Description:	Based on observation of snack time and a review of the menu, the facility failed ensure that centers follow most recent requirements of CACFP. Evidence: 1. Milk is not noted on the menu. 2. Snack during the inspection was veggies straws and water. 3. Staff reported that snack is sometimes pretzels or Goldfish crackers with water. 4. Breakfasts listed on the menu do not include two elements.
Plan of Correction:	The director has corrected all menus in the center to ensure that all meals and snacks reflect CACFP guidelines. 4-25-22
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records, the facility failed to ensure that all staff persons complete all required background checks. Evidence: There is no central registry clearance on file for staff #2. Hire date 3-11-22
Plan of Correction:	The program will ensure that all required background checks are completed within the required time frames. 4-25-22