Graceway Ministries GraceAChildUSA, Inc - Christiansburg

8VAC20-790-670-C-4

“The following ratio is required: one staff member to 10 children from ages 36 months to five years. SYSTEMIC: Interviews determined that on 9/4/26 1 staff had 18 children aged 3y-5y all day, approximately 8am-4:30pm.”

8VAC20-790-670-C-3

“The following ratio is required: one staff member to eight children from ages 24 months to 36 months. SYSTEMIC: Interviews determined that on 9/4/26 2 staff had 17 children aged 2 yrs all day, approximately 8am-4pm.”

8VAC20-790-670-C-1

“The following ratio is required: one staff member to four children from ages zero to 16 months. SYSTEMIC: Interviews determined that on 9/2/26 1 staff had 15 children aged 8mos-2yrs for approximately 1 hour, 7am-8am. Interviews determined that on 9/4/26 2 staff had 12 children aged 8mos-12mos until 2 pm that day. Interviews determined that most mornings during the week of 8/31/26 thru 9/4/26 there were 2 staff with 15 children aged 8mos-2yrs for approximately 30 minutes, 7:30am-8:00am.”

8VAC20-790-670-C-2

“The following ratio is required: one staff member to five children from ages 16 months to 24 months. SYSTEMIC: Interviews determined that on 9/4/26 1 staff had 20 children aged 16mos-2yrs for approximately 30 minutes, 7:30a-8:30a. Also, from 8am until approximately 4pm there were 2 staff with 11 children aged 16mos-2yrs.”

8VAC20-790-810-B-1

“Vendors offering both meals and snacks shall serve a variety of nutritious foods and sufficient portions. Interviews determined that on 9/4/26 lunch for all classes was 1-1.5 hours late. The infant room only had peaches and carrots for "lunch" and the toddler room only had cheese-sticks, due to the pizza not being delivered on time and ratio issues with kitchen staff going into different classrooms to assist. The other rooms had pizza for lunch, 1.5 hours late. The infant and toddler rooms then had the "lunch pizza" for snack after naptime.”

8VAC20-790-800-A-2

“Shelter-in-place procedures shall be practiced twice a year. There was only one (1) practiced shelter-in-place drill conducted for 2025.”

8VAC20-790-800-A-1

“Evacuation procedures shall be practiced at least monthly. There was no practiced emergency escape drill conducted for March 2026.”

8VAC20-790-650-C-4

“Be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of the children. In the 3y-4y classroom there were disposable towels available to the children for use after handwashing.”

8VAC20-790-640-A

“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. Under the hand sink, in the 3y-4y classroom, there were various cleaning agents stored. The cabinet door was not locked allowing accessibility by the children.”

8VAC20-790-560-B

“Subsequent TB screenings are required at least every two years from the date of the initial screening. The TB document for staff #4 had expired as of 6 months ago and had not yet been renewed.”

8VAC20-790-560-A

“Staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. There was no proof of completed TB test or screening for staff #3 who has been employed and actively working with the children for over 2 months.”

22.1-289.057-A

“Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher's lounge sinks, nurse's office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption. The program had not yet completed the required potable water testing as required.”

8VAC20-790-770-A

“The vendor may administer prescription medication to a child with written permission of the parent. The parental permission to administer an emergency medication to child A had expired over 6 months ago and had not been renewed. The medication was still in the active medication storage container and the child had been in attendance over the 6 month period.”

8VAC20-790-770-A

“The vendor may administer prescription medication to a child with written permission of the parent. The parental permission to administer an emergency medication to child A had expired over 6 months ago and had not been renewed. The medication was still in the active medication storage container and the child had been in attendance over the 6 month period.”

22.1-289.031-A-3-d Complaint related: Yes

“The ratio of one staff member to ten children from ages 36 months to 5 years is required to be met at all times. Interviews with staff on 04/28/25 confirmed that most mornings over the last 2 weeks there are a total of 13 children with only 1 staff for approximately 20 minutes.”

22.1-289.031-A-3-c Complaint related: Yes

“The ratio of one staff member to eight children from ages 24 months to 36 months is required to be met at all times. Interviews with staff on 04/28/25 confirmed that on 4/24/25 there were a total of 16 children with only 1 staff from approximately 8am-10:30am. Also, staff interviews confirmed that most mornings, for approximately 30 minutes, ratios have not been met over the last 2 weeks.”

22.1-289.031-A-3-b Complaint related: Yes

“The ratio of one staff member to five children from ages 16 months to 24 months is required to be met at all times. Interviews with staff on 04/28/25 confirmed that on 4/24/25 there were a total of 10 children with only 1 staff from approximately 8am-9:30am. One 4/24/25 an injury did occur during this time where a child fell resulting in a busted lip. Also, staff interviews confirmed that most mornings, for approximately 30 minutes, ratios have not been met over the last 2 weeks.”

22.1-289.031-A-3-a Complaint related: Yes

“Statements obtained during staff interviews verified that this morning, 3-6-25, from 7:45am-8:00am there were 6 infant aged children with 1 staff. During these interviews staff stated that most mornings this week the ratio was not met during this same time period. The required ratio is 1 staff to 4 children.”

22.1-289.031-A-3-b Complaint related: Yes

“Statements obtained during staff interviews verified that this morning, 3-6-25, from 8:00am-8:15am there were 10 waddler (14 months-16 months) and toddler (16months-2 years) aged children with 2 staff. During these interviews staff stated that most mornings this week the ratio was not met during this same time period. The required ratio is 1 staff to 4 children for this mixed age group.”

22.1-289.031-A-3-c Complaint related: Yes

“Statements obtained during staff interviews verified that this morning, 3-6-25, from 7:45am-8:00am there were 10 two year old children with 1 staff. During these interviews staff stated that most mornings this week the ratio was not met during this same time period. The required ratio is 1 staff to 8 children.”

22.1-289.035-B-2 Complaint related: Yes

“Two new staff were hired approximately a month ago, and started working in the classrooms alone with the children several days after hire. The completed finger-print letters were not received by the center until 10 days after hire and working with the children. No staff may be hired without completed finger-print results.”

22.1-289.035-B-3 Complaint related: Yes

“Two staff had been working alone in the classrooms with the children for the past several days without having the results of the central registry findings. The center did not meet the provisional hire standard as required.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. On 10/03/2024 the center self-reported that a 4 year old child had been left unsupervised on the playground by staff #1, at 3:39pm, for no more than 15 seconds. The child was seen on the playground by staff #4, who was sitting in his car. Staff #4 immediately went to the playground where the child was coming out of the tunnel of the climber crying. Staff #4 brought the child back inside to the front desk.”

22.1-289.031-B-2

“Appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children. On 10/03/2024 the center self-reported that a 4 year old child had been left unsupervised on the playground by staff #1, at 3:39pm, for no more than 15 seconds. The child was seen on the playground by staff #4, who was sitting in his car. Staff #4 immediately went to the playground where the child was coming out of the tunnel of the climber crying. Staff #4 brought the child back inside to the front desk.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. On 10/03/2024 the center self-reported that a 4 year old child had been left unsupervised on the playground by staff #1, at 3:39pm, for no more than 15 seconds. The child was seen on the playground by staff #4, who was sitting in his car. Staff #4 immediately went to the playground where the child was coming out of the tunnel of the climber crying. Staff #4 brought the child back inside to the front desk.”

22.1-289.031-B-2

“Appropriate supervision of all children in care, including daily intake and dismissal procedures to ensure safety of children. On 10/03/2024 the center self-reported that a 4 year old child had been left unsupervised on the playground by staff #1, at 3:39pm, for no more than 15 seconds. The child was seen on the playground by staff #4, who was sitting in his car. Staff #4 immediately went to the playground where the child was coming out of the tunnel of the climber crying. Staff #4 brought the child back inside to the front desk.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. Video and administration confirmed that on 07/08/24 at approximately 4:45pm child #1, 3 years old, was left in the classroom unsupervised when staff #1 and the rest of the children exited the classroom and went to another roomin the center. Approximately 15 minutes later another child's parent entered the classroom and found child #1 alone. Staff #1 did not know that child #1 was not present in the room with the class. The classroom has a back door that exits out onto the front of the building and parking lot.”

8VAC20-790-670-C-1

“The required ratio for children aged zero to 16 months is one staff member to four children. Staff and administration confirmed that on 07/17/24 from approximately 8:50am-9:00am there were 5 infants in care with only 1 staff member present.”