Greater Mt. Zion Tabernacle COGIC
4410 West Norfolk Road
Suite A, B & C
Portsmouth, VA 23703
(757) 535-3733
VDSS Contact: Trisha Brown (757) 404-2601
Inspection Date: Sept. 25, 2023
Complaint Related: No
- Areas Reviewed:
-
8VAC20-790 Subsidy Regulations.
- Comments:
-
A subsidy inspection was initiated on September 25 and concluded on September 26, 2023. A code compliance inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in the code were reviewed during this supplemental inspection.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice and discussed with the center representative during the exit interview.
- Violations:
-
Standard #: 22.1-289.035-B-2 Description: Based on record review the vendor failed to ensure that employees submit to fingerprint background checks as required.
Evidence:
1 - The following staff records did not contain any documentation that fingerprint background checks had been obtained: Staff #3 and Staff #11.
2 - These staff were present caring for children enrolled in the program, during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-40-D-2 Description: Based on record review the vendor failed to obtain necessary background checks as required.
Evidence:
1 - The records for the following staff did not contain any documentation that the required central registry finding was obtained: Staff #3, #6, #7, and #11.
2 - Each staff was present caring for enrolled children during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-520-F Description: Based on observation and interview the vendor failed to ensure that a written list of all children's allergies, sensitivities, and dietary restrictions, is accessible to all staff, is dated, kept confidential and present in each room or area where children are present.
Evidence:
1 - There was not a list of allergies, sensitivities and dietary restrictions available during the inspection.
2 - Staff #2 stated there was not a list of allergies, sensitivities and dietary restrictions available for review during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-530-B Description: Based on observation and interview the vendor failed to maintain attendance as required.
Evidence:
1 - Only one out of five classrooms had attendance documentation on September 25, 2023, the first day of the inspection.
2 - Staff #1 confirmed that the attendance documentation had been completed for only one out of five classrooms.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-530-C Description: Based on interview the vendor failed to ensure that records, reports and information are made accessible to the department representatives.
Evidence:
1 - On September 25, 2023, the staff records were not available for review.
2 - On September 25, 2023 Staff #2 stated that the files were locked up in the office and she did not have a key to access them.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-540-A Description: Based on interview the vendor failed to ensure that children's records are made accessible to the department's representative upon request,
Evidence:
1 - On September 25, 2023 the children's records were not available upon request at the center.
2 -On the 25th Staff #2 stated that she did not have a key to access the records.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-550-1 Description: Based on record review the vendor failed to maintain staff records as required.
Evidence:
1 - The following staff records did not contain documentation of date of hire: Staff #3, #4, #5, #6, #8, #11,
2 - The staff were present caring for children during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-560-A Description: Based on record review the vendor failed to ensure that each staff obtains a tuberculosis screening as required.
Evidence:
The following staff records do not contain any documentation that a tuberculosis screening was completed within the required time frames: Staff #3, #4, #6, #8, #11.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-560-B Description: Based on record review the vendor failed to ensure that subsequent tuberculosis screenings are obtained every two years as required.
Evidence:
1 - The records for Staff #1, #2, #7 and #13 contains a tuberculosis screening that is dated May 11, 2021 and therefore is past due for update.
2 - The record for Staff #9 contains a tuberculosis screening that is dated September 9, 2020 and therefore is past due for update.
3 - The record for Staff #12 contains a tuberculosis screening that is dated August 23, 2019 and therefore is past due for update.
4 - Staff #1 confirmed that the tuberculosis screens are past due for update.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-B Description: Based on record review the vendor failed to ensure that within the first 90 days of employment all staff all staff who work directly with children will complete Virginia Preservice Training for Child Care Staff.
Evidence:
1 - The following staff do not have evidence of completing the Virginia Preservice Training: Staff #3, #5, #6, #8, . These staff do not have any documented date of hire.
2 - These staff were present caring for enrolled children during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-D-1 Description: Based on record review the vendor failed to ensure that all staff have current certification in cardiopulmonary resuscitation (CPR).
Evidence:
1- The following staff records contain documentation that the CPR certification on file has expired.
a. Staff #2 CPR expired February 2022
b. Staff #9 CPR expired August 2022
2 - The following staff records contain no documentation the CPR was ever obtained: Staff #3, #5, #6, #7, #8,Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-D-2 Description: Based on record review the vendor failed to ensure that all staff have current certification in first aid.
Evidence:
1- The following staff records contain documentation that the first aid certification on file has expired.
a. Staff #2 first aid expired February 2022
b. Staff #9 first aid expired August 2022
2 - The following staff records contain no documentation the first aid was ever obtained: Staff #3, #5, #6, #7, #8,Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-630-A Description: Based on observation the vendor failed to ensure that areas and equipment of the center are maintained in safe condition.
Evidence:
1 - Throughout the center in each child care room there are dangling cords attached to electric equipment. The cords are dangling in such a way that they pose either an entanglement, tripping or toppling hazard if not all three. One computer cord was stretched across a door way near napping and awake children.
2 - Staff present on the 25th and 26th confirmed that there were dangling cords throughout the center.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-670-C-1 Description: Based on observation and interview the vendor failed to ensure that required ratios are followed.
Evidence:
1 - At approximately 12:15 on September 26, 2023 there were five infants in the infant area with one staff were two staff are needed.
2 - The second staff assigned to the group was in another classroom, a wall obstructing her view of the infant area, attempting to complete training for an unknown length of time.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-760-A-3 Description: Based on observation the vendor failed to ensure that staff wash their hands with soap and running water before and after helping a child use the toilet or changing a diaper, after the staff member uses the toilet, after any contact with body fluids, and before feeding or helping children with feeding, and before preparing or serving food or beverages.
Evidence:
Staff on the infant toddler side of building stated that they use hand sanitizer before and after diaper changes.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-760-B-6 Description: Based on observation the vendor failed to ensure disposable diapers are disposed in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.
Evidence:
On the infant toddler side of the child care building the trash can used to throw away soiled diapers requires that the diaper touch the lid in order for it to be thrown away.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-780-C-1 Description: Based on observation and interview the vendor failed to maintain one working, battery-operated flashlight.
Evidence:
Staff #1 stated that there was not a working battery operated flashlight available during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-790-A Description: Based on interview the vendor failed to have a written emergency preparedness plan that includes all require information.
1 - The emergency preparedness plan provided during the inspection is incomplete.
2 - Staff #1 stated that she could not locate the complete plan during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-800-A-1 Description: Based on record review and interview the vendor failed to ensure that evacuation procedures are practiced at least monthly.
Evidence:
1 - There were not any documented evacuation procedures after June 2023.
2 - Staff #1 confirmed that there were not any evacuation procedures documented after June 2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-820-E Description: Based on observation and interview the vendor failed to ensure that prepared infant formula is dated, and labeled with the child's name.
Evidence:
1 - There are five infants in care, however, none of the infant bottles are labeled with the child's name and date.
2 - Staff #8 stated that the bottles were not labeled with the date and child's name.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-830-C-4 Description: Based on observation the vendor vehicle does not meet the safety standards set by the Department of Motor Vehicles.
Evidence:
The state inspection sticker on the vehicle used to transport children on September 25, 2023 indicates that it expired August 2023.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.
