VIRGINIA DEPARTMENT OF SOCIAL SERVICES

United Methodist Family Services of Virginia, Inc.
3900 West Broad Street
Richmond, VA 23230
(804) 353-4461

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: Jan. 25, 2023

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

Comments:

Type of inspection: Renewal An on site inspection was conducted on 1/25/23. An exit interview was conducted on 2/03/23. The Acknowledgement of Inspection form was signed and left at the facility on the date of the inspection. Number of children in care: 17 Number of approved provider homes: 36 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 2 Number of staff records reviewed: 27 personnel, 3 corporate officers, 2 agents Number of interviews conducted with staff: 1 entrance interview with the Program Director. 1 exit interview with the Program Director, the Associate VP of HR, the Senior Manager, the HR &Benefits Manager, the Assistant Director of Quality Improvement and Risk Management and the VP of Community Base Services. Observations by licensing inspector: The license was posted along with inspection documents. 4 provider home records were reviewed. Additional Comments/Discussion: The evidence gathered during the inspection determined non-compliances with an applicable standard or law, and a violation was documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation will be addressed in order to return the facility to compliance and maintain future compliance with the applicable standard or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector?s immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. 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 Cindy Horne, Licensing Inspector at (804) 382-3964 or by email at cynthia.horne@dss.virginia.gov

Violations:

Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on a review of three personnel records (P-10, P-15, and P-17) and an interview with agency representatives (AR-1), the agency failed to obtain repeat background checks within the required timeframe. Evidence: 1) P-10?s most recent criminal history record report was dated 10/17/19. P-10?s most recent central registry finding was dated 11/19/19. P-10?s most recent sworn statement was dated 10/10/19. 2) P-15?s most recent criminal history record report was dated 3/27/19. P-15?s most recent central registry finding was dated 11/20/19. P-15?s most recent sworn statement was dated 10/14/19. 3) P-17?s most recent criminal history record report was dated 3/28/19. 4) AR-1 acknowledged in an exit interview on 2/03/23 that the background checks were not obtained before three years since the date of the most recent background checks as required.
Plan of Correction:	Not available online. Contact Inspector for more information.