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All Saints Apostolic Church
2001 Royall Avenue
Richmond, VA 23224
(804) 232-3164

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Oct. 10, 2023

Complaint Related: No

Areas Reviewed:
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
8VAC20-790 Staff Qualifications & Training
32.1 Report by person other than physician
8VAC20-790 Physical Plant
54.1 Must be MAT Certified.
8VAC20-790 Staffing & Supervision
63.2 Child abuse and neglect
8VAC20-790 Programs
8VAC20-770 Background Checks
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Introduction
8VAC20-790 Special Services
8VAC20-790 Administration

Comments:
A code compliance inspection was conducted on October 10, 2023 from approximately 10:30 am to 12:15 pm. A follow up inspection was conducted on 10/26/23 from approximately 10:30 am to 11:30 am There were 9 children present, ranging in ages from 15 months to four years, with 6 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 4 children's records and 5 staff records were reviewed.

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

Violations:
Standard #: 22.1-289.031-B-3
Description: Based on interview, the center failed to ensure that there is at least one staff member trained to perform a daily simple health screening.
Evidence: During interviews, management was not able to identify a staff member who is trained to perform daily health screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-A
Description: Based on records review, the center did not ensure that two employees underwent background checks every five years.
Evidence:
1. The record for staff #2 contained fingerprints dated 07/25/2018. A criminal background fingerprint check was due on or before 07/25/2023.
2. The record for staff #2 contained a Sworn Statement dated 04/18/2017. A Sworn Statement was due on or before 04/18/2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-B-2
Description: Based on review of 5 staff records and observation, the center failed to ensure that staff submit to fingerprinting prior to employment.
Evidence:
1. The record for staff #3, date of employment 04/17/23, did not contain documentation of fingerprint results.
2. The record for staff #4, date of employment 08/08/23, did not contain documentation of fingerprint results.
3. The record for staff #5, date of employment 08/16/2023, did not contain documentation of fingerprint results.
4. Staff #3, staff #4, and staff #5 were observed working.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-40-D-2
Description: Based on review of 5 staff records, it was determined that not all staff had Central Registry Search results as required.
Evidence:
1. The record for staff #3, date of employment 04/17/23, did not contain the results of a Central Registry check.
2. The record for staff #4, date of employment 08/08/23, did not contain the results of a Central Registry check.
3. The record for staff #5, date of employment 08/16/23, did not contain the results of a Central Registry check.
4. Staff #3, staff #4, and staff #5 were observed working.

Plan of Correction: Not available online. Contact Inspector for more information.

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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