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: Nov. 1, 2022

Complaint Related: No

Areas Reviewed:

20 Access to minor?s records 22.1 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 8VAC20-790 Introduction 8VAC20-790 Administration 8VAC20-790 General Qualifications 8VAC20-790 Building or Home Maintenance 8VAC20-790 Supervision and Ratio Requirements 8VAC20-790 Programs 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Special Services

Comments:

Licensing Inspector conducted an unannounced Monitor Subsidy Inspection on November 1, 2022. There were 97children ages 5 months to9 years old present under the direct care of 18 staff. The Licensing Inspector reviewed 8 children?s records and 6 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-550-2-a
Description:	Based on record review, the Vendor failed to ensure Virginia Child Protective Services Central Registry Background check is completed for each staff. EVIDENCE: Licensing Inspector reviewed 6 staff records. Records for Staff #1, #3; and #6 did not have documentation of the CPS Background Check findings. Hire date for Staff #1 7/18/2022; #3 9/26/2022; and #6 10/03/2022.
Plan of Correction:	Director will submit electronic request to complete CPS Background Checks within 14 days. Documentation of the findings will be submitted to the Licensing Inspector.
Standard #:	8VAC20-790-560-A
Description:	Based on record review, the Vendor failed to ensure each staff if evaluated by a health professional and document the statement that the individual is determine to be free of communicable tuberculosis; submitted at the time of employment and prior to coming into contact with children. EVIDENCE: Licensing Inspector reviewed 6 staff records. Records for Staff #3 and Staff #6 did not include documentation of a negative tuberculosis skin test/screening. Start/hire date for Staff #3 9/26/2022 and Staff #6 10/3/2022.
Plan of Correction:	Director will schedule appointments for staff to complete TB Skin test/screenings. Documentation of the findings will be maintained in each staff record.
Standard #:	8VAC20-790-600-B
Description:	Based on record review, the Vendor failed to ensure within the first 90 days of employment, all staff who work directly with children complete Virginia Preservice Training for Child Care Staff. EVIDENCE: Licensing Inspector reviewed 6 staff records. Pre-Service training was not completed for Staff #1. Date of hire for Staff #1 7/18/2022
Plan of Correction:	Director will ensure staff complete the 10 hour Pre-Service training. Documentation of completing will be maintained in the staff training record.
Standard #:	8VAC20-790-600-C
Description:	Based on record review, the Vendor failed to ensure orientation training is completed for all staff within seven days of the date of employment. EVIDENCE: Licensing Inspector reviewed 6 staff records. Records for Staff #1, #3, #5 and #6 did not include documentation that they have completed orientation training within seven days of hire. Date of hire for Staff #1 7/18/2022; Staff #3 9/26/2022; Staff #5 4/07/2014; and Staff #6 10/03/2022.
Plan of Correction:	Director will review orientation requires with recently hired staff. Orientation for new staff hires will be completed on or before date of hire.
Standard #:	8VAC20-790-600-D-1
Description:	Based on record review, the Vendor failed to ensure all staff who work directly with children within 90 days of employment have current certification in cardiopulmonary resuscitation (CPR). EVIDENCE: Licensing Inspector reviewed 6 staff records. Staff #1 (date of hire 7/18/2022) has not completed CPR certification.
Plan of Correction:	Staff will complete first aid training. Documentation of current certification will be maintained in the staff record.
Standard #:	8VAC20-790-600-D-2
Description:	Based on record review, the Vendor failed to ensure all staff who work directly with children within 90 days of employment have current certification in first aid. EVIDENCE: Licensing Inspector reviewed 6 staff records. Staff #1 (date of hire 7/18/2022) has not completed first aid certification.
Plan of Correction:	Staff will complete CPR training. Documentation of current certification will be maintained in the staff record.
Standard #:	8VAC20-790-600-F
Description:	Based on record review, the Vendor failed to ensure staff who work directly with children annually attend at least 16 hours of training and staff development activities. EVIDENCE: Licensing Inspector reviewed 6 staff records. Records for Staff #2, #4 and #5 did not include documentation of at least 16 hours of training. In 2021, Staff #2 completed 8 hours, Staff #4 completed 4 hours and Staff #5 completed 5 hours of annual training.
Plan of Correction:	Director will seek training opportunities for each staff. 16 hours will be completed by each staff for year 2021. Required 16 hour annual training for 2022 will be completed in additional to the 2021 requirements.
Standard #:	8VAC20-790-630-C-2
Description:	Based on inspection, the Vendor failed to ensure electrical outlets have protective covers that are of a size that cannot be swallowed by children. EVIDENCE: In the boys and girls bathrooms used by the children in care, the electrical outlets were not protected with protective covers.
Plan of Correction:	Director will ensure all staff check outlets in each are occupied by children before the start of each day. Corrected during inspection
Standard #:	8VAC20-790-670-C-3
Description:	Based on observations, the Vendor failed to ensure adult to child ratios are maintained at 1 staff member to 8 children from ages 24 months to 36 months. EVIDENCE: In the 2 year old classroom, there were a total of 17 children present under the direct care and supervision of 2 staff. Adult to child ratios were not maintained at 1 staff to 8 children.
Plan of Correction:	Director will ensure ratios are maintained throughout each day in each group of children.