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: Oct. 28, 2022

Complaint Related: 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations.

Comments:

A monitoring inspection was initiated on 10/28/22 and concluded on 10/28/22. There were 65 children present with 11 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. The inspection started at 9:30am and concluded at 1:00pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on review of staff files the center failed to maintain compliance with ensuring staff obtain a renewed central registry clearance every five years. Evidence: Staff record #5 did not have a renewed central registry clearance as required. The clearance on file was dated 05/25/2017. These clearances are to be renewed every 5 years.
Plan of Correction:	A clearance request will immediately be submitted for this staff. Staff files will be reviewed to ensure future compliance.
Standard #:	8VAC20-780-160-C
Description:	Based on review of staff files the center failed to ensure that staff have a renewed tuberculosis test or screening every two years as required. Evidence: Staff file #3 did not have a renewed tuberculosis test or screening as required. The screening in the file was dated 5/1/2020. These are to be renewed every 2 years.
Plan of Correction:	A screening will be obtained for this staff and placed in the file for future review and compliance. Staff files will be reviewed to ensure compliance.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of child files and discussions with administration the center failed to ensure that each child has a written care plan when the child has a diagnosed food allergy. Evidence: Child A has a diagnosed food allergy to peanuts and has emergency medication on site, but the center has not obtained the required written care plan or allergy action plan as required.
Plan of Correction:	An allergy action plan will be obtained for this child and placed in the child's file for future review and compliance.
Standard #:	8VAC20-780-270-A
Description:	Based on review of the facility the center failed to maintain areas in a clean, safe, and operable condition as required. Evidence: In the children's bathroom, in the preschool classroom, the sink stopper was not operational and was stuck in the down position allowing for the sink to hold water. Upon inspection the sink was over almost completely full with standing water. Staff verified that the sink had been broken for a few days. The water could only be drained if the stopper was manually lifted out using a pair of scissors.
Plan of Correction:	Maintenance will be contacted again to request that the sink be repaired. The stopper was removed and the water drained during the inspection. The stopper will not be left in the sink, so that the sink will not fill with water when the children use it for handwashing.