VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Melrose Adventist Child Development Center
1523 Melrose Avenue, NW
Roanoke, VA 24017
(540) 685-4739

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: July 28, 2022

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 Provision and Emergencies 8VAC20-780 Special Services 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 07/28/2022. There were 28 children, ages 2 years-11years, 7 staff members providing direct supervision and support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, special care provisions and emergencies and special services. The children were observed during arrival, free choice activities, outdoor time, and teacher directed activities. The inspector discussed the following with the provider: food allergies, playground, attendance and evacuation records. A total of 5 children?s records, and 5 staff records were reviewed. The inspector arrived for the inspection at 8:30 am and departed at 11:30 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 04/18/2022. No eligibility letter was available for review.
Plan of Correction:	Staff will ensure required information is obtained by 08/01/2022.
Standard #:	8VAC20-770-60-B
Description:	Based on the record review and discussion with staff, the center failed to ensure an employee must not be employed until the agency has the person?s completed sworn statement or affirmation. Evidence: The record for Staff 4 had a documented hire date of 12/19/2020. The sworn statement was dated 12/19/2021.
Plan of Correction:	Staff will ensure required information is obtained by 08/01/2022.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: 1.The record for Child 1 indicated the child first date of attendance was 04/18/2022. The immunization record was dated 04/21/2022. 2.The record for Child 5 indicated the child first date of attendance was 10/25/2021. The immunization record was dated 10/27/2021.
Plan of Correction:	Staff will ensure required information is obtained by 08/01/2022
Standard #:	8VAC20-780-160-C
Description:	Based on record review, the center failed to ensure that at least every two years from the date of the initial screening to testing, staff members shall obtain and submit the results of a follow-up tuberculosis screenings. Evidence: 1.The most recent tuberculosis test/screening for Staff 1 was dated 01/04/2019; there was not a follow-up screening for 2021 available at for review. 2.The most recent tuberculosis test/screening for Staff 4 was dated 07/09/2018; there was not a follow-up screening available at for review.
Plan of Correction:	Staff will ensure required information is obtained by 08/01/2022
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for second contact was incomplete and no phone number for second contact); allergy care plan for diagnosed food allergy (record indicated a diagnosed food allergy); and documentation of health information as required. 2. The record for Child 2 did not contain the following required information: the phone number of child?s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached ( the addresses for both designated people were incomplete); and documentation of health information as required. 3.The record for Child 4 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (no contacts were provided); and documentation of health information as required. 4.The record for Child 5 did not contain the following required information: documentation of health information as required.
Plan of Correction:	Staff will ensure required information is obtained by 08/01/2022.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence. In the green room, there was an unlocked cabinet under the sink to the right of the room that contained 18 various containers of cleaning products such as Clorox wipes, Carpet Fresh, and Pine Sol. Staff 1 confirmed the lock broke earlier that day.
Plan of Correction:	Staff moved all hazardous substances by 07/28/2022.