VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Grace A Child Academy USA
125 Scattergood Drive
Christiansburg, VA 24073
(540) 382-9591

Current Inspector: Julia Kimbrough (804) 921-7596

Inspection Date: June 12, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

6/12/2019 Arrived 1:35pm Departed 3:30pm An unannounced monitoring inspection was conducted today. Eighty-eight children were in care with 12 classroom staff, an administrator and a cook. Children were having a snack, playing outdoors and resting. Previous violations, medications, nine children's files and five staff files were reviewed. Congratulations on the new playground. Thank you for your cooperation. Please contact me if I may be of service. 276 608 3749

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on the review of nine children's files, the facility failed to ensure that all enrolled children have a physical exam on file within 30 days of enrollment. Evidence: 1. There is no physical exam on file for child #1. (enrolled 6/15/18)
Plan of Correction:	The director will ensure that a physical health exam is requested from parent and that all children have physical exams on file.
Standard #:	22VAC40-185-70-A
Description:	Based on the review of files for five staff members, the facility failed to ensure that all staff have a complete file. Evidence: 1. There is no staff record for staff #6 who is working today.
Plan of Correction:	The director will ensure that a file is completed for staff #6.
Standard #:	22VAC40-185-340-A
Description:	Based on observation, the facility failed to ensure the care and protection of each child in care. Evidence: 1. 06/12/19 At 1:49pm the licensing inspector observed child #10 sleeping on a cot in the toddler room. There was no one else in the room. The class was outside.
Plan of Correction:	The director will ensure that staff count children before going outside and when they get outside. The corners of the room will be checked. The director will talk with the owner about a formal write-up for staff.
Standard #:	22VAC40-185-340-F
Description:	Based on observation, the facility failed to ensure sight and sound supervision of each child in care. Evidence: 1. Child #10 was left alone, and was sleeping, in the toddler room when the class went outdoors.
Plan of Correction:	The director will ensure that staff count children before going outside and when they get outside. The corners of the room will be checked. The director will talk with the owner about a formal write-up for staff.
Standard #:	22VAC40-185-440-L
Description:	Based on observation the facility did not ensure that children under two years of age do not use pillows. Evidence: 1. Child #10, who is less than two years old was using a pillow at nap time.
Plan of Correction:	The director will ensure that no child under two uses a pillow.
Standard #:	22VAC40-185-500-B
Description:	Based on a tour of the diapering areas, the facility failed to ensure that all diapering mats are nonabsorbent. Evidence: 1. In the toddler room, the diapering mat is torn. 2. In the infant room, there are two diapering mats which are torn.
Plan of Correction:	The director will order new diapering mats.
Standard #:	22VAC40-185-550-D
Description:	Based on a review of documentation and an interview with the director, the facility failed to ensure that all required emergency drills are conducted and documented. Evidence: 1. There was one shelter-in-place drill conducted in 2018.
Plan of Correction:	The director will conduct an SIP drill this month.
Standard #:	22VAC40-185-560-F
Description:	Based on the review of the menu, the facility failed to ensure that all snacks meet USDA requirements, containing two elements. Evidence: 1. The menu detailed snack menus and on two days shows a snack of cookies and water.
Plan of Correction:	The director reported that the snack menus will be adjusted to serve two elements of food.
Standard #:	22VAC40-191-60-B
Description:	Based on the review of five staff files, the facility failed to ensure that all staff have all required background checks on file. Evidence: 1. There is no sworn statement on file for staff #6 who is working today.
Plan of Correction:	The director will ensure that all staff complete all required background checks within the required time frames.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on the review of five staff files, the facility failed to ensure that all staff have all required background checks on file. Evidence: 1. There is no fingerprint background check on file for staff #6. Staff #6 is working today.
Plan of Correction:	The director will ensure that all staff complete all required background checks within the required time frames.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on the review of five staff files, the facility failed to ensure that all staff have all required background checks on file. Evidence: 1. There are no out-of-state background checks on file for staff #1 and #3. The sworn statement for staff #1 and 3 indicates that they lived outside of Virginia in the last five years.
Plan of Correction:	The director will ensure that all staff complete all required background checks within the required time frames.