VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The James Barry Robinson Institute
6353 Center Drive
Building 8, Suite 106
Norfolk, VA 23502
(757) 455-6233

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: June 11, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-110 - Received Dated of Materials 22VAC40-131-290.C.9- Medical, Dental, and Psychiatric Examination and Care

Comments:

Type of Inspection: Monitoring On 6/11/2024 Licensing inspector initiated monitoring inspection. The Program Director was contacted by telephone to initiate the monitoring inspection. The Program Director reported that the current census was (25). The inspector emailed the Program Director a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed (#2) resident. records, (2) staff records, and (2) provider home records submitted by the facility/ to ensure documentation was complete. Provider has not had any updates to policies and procedures since last inspection and hired two new staff since last inspection. An exit interview was conducted with Executive Director, Program Director, Compliance supervisor, case worker supervisor and compliance manager on 6/24/2024 via TEAMS, where findings were reviewed, technical assistance was provided and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations documented on the violation notice issued to the facility. Licensing specialist discussed process for initiating and submitting facility's background request. for employees with agency representatives during the exit meeting on 6/24/24. There were no changes to facility's policies or procedures since the last inspection. Number of approved provider homes: (22) Number of children in care: (25) Number of children?s records reviewed: (2) Number of provider home records reviewed: (2). Number of staff records reviewed: (2). Two new staff since last inspection. The evidence gathered during the inspection determined (0) violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov. Should you have any questions, please contact, Sherry Woodard, Licensing Inspector at 757-987-0839 or by email at Sherry.Woodard@dss.virginia.gov

Violations:

Standard #:	22VAC40-191-40-D-1-b
Description:	Based on review of Staff record (S#2), sworn statement submitted for review to the licensing inspector did not provide evidence that the sworn statement was completed prior to Staff #2 first day of employment. at the facility./agency. 1. Staff #2, date of employment with the facility/agency is 4/29/2024. 2. Sworn statement in the record for employee S#2 was completed and dated on 4/29/2024. 3. The findings were reviewed during the exit meeting and acknowledged by agency representative.
Plan of Correction:	Human Resources will provide our offered candidates the sworn statement at the time of initial application.