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: Feb. 27, 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 8VAC20-770 Background Checks 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

An unannounced renewal inspection was conducted on 02/27/2024. There were 18 children, ages 2 years - 5 years, 5 staff members providing direct care and supervision present during the inspection and various 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, emergencies, and nutrition. The children were observed during child directed activities, mealtime, departing and arriving from a field trip. The inspector discussed the following with the provider: hazardous materials, allergy list and field trips. A total of 5 children?s records, 3 staff records, and 2 agent/applicant records were reviewed. The inspector arrived for the inspection at approximately 10:50 am and departed at approximately 1:15 pm. 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 #:	8VAC20-780-160-C
Description:	Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 2 was dated 07/28/2020: there was not a follow-up test/screening for 2022 available for review. Staff 1 confirmed there was no 2022 test/ screening available for review.
Plan of Correction:	Provider will obtain from staff.
Standard #:	8VAC20-780-40-K
Description:	Based on interviews with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff 1 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma.
Plan of Correction:	Provider will create written procedures.
Standard #:	8VAC20-780-260-B
Description:	Based on record review and interviews with staff, the center failed to obtain an annual approval from the health department. Evidence: The most recent approval from the health department available during the inspection was dated 10/11/2022. Staff 1 confirmed this was the most recent report available.
Plan of Correction:	Provider will reach out to the health department.
Standard #:	8VAC20-780-530-A
Description:	Based on record review and interviews with staff, the center failed to ensure that at least one staff in each classroom or area where children are present shall have: Current certification in CPR and current certification in first aid. Evidence: The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. Staff 2 was observed as the only staff member providing care in the yellow room.
Plan of Correction:	CPR/ First Aid training is scheduled.
Standard #:	8VAC20-780-540-C
Description:	Based on observation and interviews with staff, the center failed to ensure that first aid kits contain the required supplies. Evidence: The first aid kits did not contain triangular bandages.
Plan of Correction:	Provider will obtain triangular bandages.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interviews with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: Staff 1 confirmed a working battery-operated radio was not available during the inspection.
Plan of Correction:	Provider will obtain radio.