VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Life Church of the Roanoke Valley
7422 Deer Branch Road
Roanoke, VA 24019
(540) 563-5140

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Feb. 7, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

A Subsidy Health and Safety inspection was conducted on February 7, 2020 to review supplemental health and safety requirements. Licensing Inspector arrived and started the inspection at 10:05 AM. There were seventy-two (72) children ages 5 months to 5 years old and fourteen (14) staff members present during today?s inspection. The Licensing Inspector reviewed 10 children and 5 staff records. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Violations found during the previous inspection were reviewed; there were some repeat violations. The Licensing Inspector conducted an exit interview on February 7, 2020. Areas of non-compliance and the Risk Assessment were reviewed with the Center Director. Inspection concluded at 4:15 PM. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:

Standard #:	22VAC40-665-520-B-11
Description:	Based on inspection, the Vendor failed to have a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. EVIDENCE: Licensing Inspector observed a posted list of children who have been diagnosed with food allergies. A written allergy care plan was unavailable for each child identified.
Plan of Correction:	Center Director will obtain a written allergy care plan for each child for each diagnosed food allergy. All staff will receive information & training for children with diagnosed food allergies.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on record review, the Vendor failed to ensure Background Checks (Child Protective Services) are completed for each staff person. EVIDENCE: Licensing Inspector reviewed five (5) staff records. Record for Staff #1 did not include documentation of a completed Child Protective Services Background Check.
Plan of Correction:	The program will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification.
Standard #:	22VAC40-665-540-B
Description:	Based on record review, the Vendor failed to ensure tuberculosis skin test or screenings are updated every 2 years for each staff person. EVIDENCE: Licensing Inspector reviewed five (5) staff records. Records for Staff #3 (TB completed 7/28/2017) , #4 (TB completed 7/28/2017) and #5 (TB completed 7/01/2017) did not include documentation of updated TB skin test or screening within 2 years of the most recent TB test or screening.
Plan of Correction:	Updated TB skin test or screening will be completed by each staff member. Documentation of the findings will be maintained in the staff record.
Standard #:	22VAC40-665-740-B-3-a
Description:	Based on inspection, the Vendor failed to ensure a sink with running warm water not to exceed 120?F is accessible at each area used for diapering. EVIDENCE: Licensing Inspector observed the diapering area in the 2 year old classroom did not include access to a sink with warm running water.
Plan of Correction:	Center Director will discuss options with the church officials to add sink in the classroom.
Standard #:	22VAC40-665-770-B-5
Description:	Based on review of the center's Emergency Preparedness Plan, the Vendor failed to have procedures for continuity of operations included in the Emergency Preparedness Plan EVIDENCE: Continuity of operations procedures were not included in the Emergency Preparedness Plan.
Plan of Correction:	Center will add plan of continuity procedures to the Emergency Preparedness Plan. Upon completion, staff will be train on the new procedures and parents will receive an updated copy of the Emergency Preparedness
Standard #:	22VAC40-665-770-E
Description:	Based on inspection, the Vendor failed to ensure all staff receives training regarding emergency evacuation, relocation, shelter in place, and lock down procedures on an annual basis and at the end of each plan update. EVIDENCE: Licensing Inspector reviewed five (5) staff records. 5 out of 5 records did not include documentation indicating that the staff members have received initial and/or annual training on the center's Emergency Preparedness Plan
Plan of Correction:	Staff will receive annual training on the center's Emergency Preparedness Plan.
Standard #:	22VAC40-665-780-A-2
Description:	Based on inspection, the Vendor failed to ensure shelter in place practice drills are conducted at least twice a year. EVIDENCE: Shelter in place practice drills were not conducted during 2019
Plan of Correction:	Shelter in place emergency drills will be conducted at least twice during the year.
Standard #:	22VAC40-665-780-A-3
Description:	Based on inspection, the Vendor failed to ensure lock down procedures are practice annually. EVIDENCE: Emergency lock down procedures were not practiced during 2019.
Plan of Correction:	Lock down drill will be conducted at least once during the year.
Standard #:	VENDSUB-000-030-C-2
Description:	Based on inspection of emergency supplies, the Vendor failed to have required battery operated radio. EVIDENCE: A battery operated radio was unavailable.
Plan of Correction:	Center will purchase a battery operated radio.