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Graceway Ministries Graceachild USA, Inc.
602 13th Street
Radford, VA 24141
(540) 831-7222

Current Inspector: Julia Kimbrough (804) 921-7596

Inspection Date: April 4, 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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations

A renewal inspection was initiated on 4/4/24 and concluded on 4/4/24. There were 65 children present with 10 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. The inspection started at 9:15am and concluded at 12:10pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Standard #: 8VAC20-780-160-A
Description: The facility failed to ensure that each staff member had a negative tuberculosis test or screening prior to hire as required.

Staff record #1, hire date 2/23/24, had a TB test dated 9/7/23 which was older than the allowed 30 days at the time of hire.
Staff record #2, hire date 3/7/24, did not have a TB test as required.

Plan of Correction: TB tests or screening will be obtained and placed in the files for compliance. All new staff will have an up to date TB test or screening upon hire as required. These will not be over 30 days old upon hire.

Standard #: 8VAC20-780-60-A
Description: The facility failed to ensure that children's records contained the required information.

Review of children's files found that children #1-#5 did not have the second parents employment information as required.

Plan of Correction: The employment information of the parents is done electronically, but it does not show up when printed, and is also not accessible by the center staff. It is only accessible by the IT manager. This is currently being worked on with the IT department and the developer of the software to figure out how to obtain this information so the staff can see it within the system.
The employment information will be obtained by the IT manager and forwarded to the center so that it may be recorded in the files while we work on a system fix.

Standard #: 8VAC20-780-270-C
Description: The facility failed to ensure that areas used by the children were no lower than 68 degrees as required.

At the time of and during the inspection the temperature in the infant room and the toddler room was 60 degrees; the preschool room was 64 degrees.

Plan of Correction: The administrator did not realize the heat in those rooms had been turned down over night and immediately adjusted the heat in the rooms so that they would be 68 degrees or above. Room temperatures will be monitored throughout the day moving forward to ensure compliance.


A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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