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: Nov. 20, 2023

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 11/20/23 and concluded on 11/20/23 There were 47 children present with 10 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 11:50am. 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 #:	8VAC20-780-160-A
Description:	The center failed to ensure that each staff has documentation of a negative tuberculosis screening prior to working with children. Evidence: Staff #2, hire date 8/23/23, did not have a TB test or screening on file as required. The staff member has been working with the children since the hire date.
Plan of Correction:	The TB screening will be located or another one will be done and placed in the staff record.
Standard #:	8VAC20-780-510-E
Description:	The center failed to ensure that parental authorization to administer medication is renewed every 10 days as required, or obtain an authorization formfrom the physician for long-term use. Evidence: The parental authorization to administer medication to child B had expired on 10/9/23 and had not been renewed as required. The medication was stored in the medication box with the other current medications. There was no physician authorization to administer for long term use found.
Plan of Correction:	The authorization will be updated to ensure compliance. A long term authorization will be obtained by the parent of the child if the medication is to be kept on site over 10 days.
Standard #:	8VAC20-780-510-I
Description:	The center failed to ensure that prescription medication requested to be administered followed the licensing requirements as required. Evidence: 1. The medication for child A had expired as of 09/2023 and was still in the current medication box for emergency use. 2. There was no authorization to administer the medications found for child C, and the medications were in the current medication box. There were 3 medications for this child.
Plan of Correction:	The parents will be contacted and the medication renewed, as well as obtain an authorization to administer as required.
Standard #:	8VAC20-780-550-D
Description:	The center failed to ensure that monthly emergency drills were conducted as required. Evidence: There was no emergency escape drill recorded or practiced for October 2023. These are to be conducted and recorded monthly for compliance.
Plan of Correction:	Emergency escape drills will be conducted and recorded monthly as required.