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Mt. Zion Holy Church
3401 Chapel Drive
Richmond, VA 23224
(804) 232-7924

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: Sept. 6, 2019

Complaint Related: No

Areas Reviewed:
63.2(17) License & Registration Procedures
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
An unannounced Subsidy Health & Safety inspection was conducted today, September 6, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at 2:15pm and concluded at approximately 4:10pm. Three children were in attendance being supervised by two staff during this inspection. All subsidy requirements were reviewed and compliance determined. Administrative records and all areas in the center used by children were inspected. See attached notice for violations found during this inspection.

If you have any questions, please contact the licensing inspector at (804) 662-9771.

Violations:
Standard #: 22VAC40-665-520-B
Description: Based on the inspection of administrative records, the required information was not listed in the record.

Evidence:
During the inspection of five children's records, it was discovered child #1 did not have the street address and telephone number of the emergency contact listed.

Plan of Correction: Per administrator: I will have the parent to complete the missing information.

Standard #: 22VAC40-665-530-2-a-1
Description: Based on the inspection of administrative records, the required fingerprint background check documentation was not present to review.

Evidence:
During the inspection of three staff records, it was discovered staff #3 with a hire date of April 2015 did not have documentation of a completed fingerprint background check in the record. Fingerprint background checks were to be obtained by September 30, 2018 with documentation maintained to review.

Plan of Correction: Per administrator: We will locate the form or have staff to submit to a new fingerprint background check.

Standard #: 22VAC40-665-540-B
Description: Based on the inspection of administrative records, the required tuberculosis test (TB) or screening update was not present to review.

Evidence:
During the inspection of three staff records, it was discovered that staff #1 (TB dated 7/27/17) and staff #2 (TB dated 8/14/17) did not have an updated TB test or screening in the record. The TB test on file dated 7/27/17, expired on 7/27/19 and the TB test dated 8/14/17 expired on 8/14/19 in which an updated test or screening should have been obtained prior to expiration.

Plan of Correction: Per administrator: I will have the staff to get updated TB tests soon as possible.

Disclaimer:

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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