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 4, 2024

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 8VAC20-820 THE LICENSING PROCESS 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 renewal inspection was initiated on 4/4/24 and concluded on 4/4/24. There were 65 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 9:15am and concluded at 12:10pm. 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 facility failed to ensure that each staff member had a negative tuberculosis test or screening prior to hire as required. Evidence: Staff record #1, hire date 2/23/24, had a TB test dated 9/7/23 which was older than the allowed 30 days at the time of hire. Staff record #2, hire date 3/7/24, did not have a TB test as required.
Plan of Correction:	TB tests or screening will be obtained and placed in the files for compliance. All new staff will have an up to date TB test or screening upon hire as required. These will not be over 30 days old upon hire.
Standard #:	8VAC20-780-60-A
Description:	The facility failed to ensure that children's records contained the required information. Evidence: Review of children's files found that children #1-#5 did not have the second parents employment information as required.
Plan of Correction:	The employment information of the parents is done electronically, but it does not show up when printed, and is also not accessible by the center staff. It is only accessible by the IT manager. This is currently being worked on with the IT department and the developer of the software to figure out how to obtain this information so the staff can see it within the system. The employment information will be obtained by the IT manager and forwarded to the center so that it may be recorded in the files while we work on a system fix.
Standard #:	8VAC20-780-270-C
Description:	The facility failed to ensure that areas used by the children were no lower than 68 degrees as required. Evidence: At the time of and during the inspection the temperature in the infant room and the toddler room was 60 degrees; the preschool room was 64 degrees.
Plan of Correction:	The administrator did not realize the heat in those rooms had been turned down over night and immediately adjusted the heat in the rooms so that they would be 68 degrees or above. Room temperatures will be monitored throughout the day moving forward to ensure compliance.