VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children's Home Society of Virginia
4200 FITZHUGH AVENUE
Richmond, VA 23230
(804) 353-0191

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: April 27, 2023 and May 2, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 63.2 ADOPTION 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Comments:

Type of inspection: Monitoring An on site inspection was conducted on 4/27/2023 from 10:00 am until 3:00 pm and 5/02/2023 from 11:00 am until 2:00 pm. The Acknowledgement of Inspection form was signed. Number of children in care: 3 in ILA apartments Number of approved provider homes: 21 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 3 (one child in foster care from another state proceeding toward adoption and one birth parent/infant file, and one youth record from My Path Forward) Number of staff records reviewed: 4 Number of interviews conducted with staff: 1 entrance interview with the Chief Programs Officer of Child and Family Services and the Foster Care and Adoption Program Manager and 1 entrance interview with the My Path Forward Program Manager. 1 exit interview with the Chief Programs Officer of Child and Family Services. Observations by licensing inspector: The license was posted along with inspection documents. Additional Comments/Discussion: 3 provider home records were reviewed. The evidence gathered during the inspection determined a non-compliance with an applicable standards or laws, and violations weres documented on the violation notice issued to the facility. The licensee has the opportunity to submit aplan of correction to indicate how the cited violations will be addressed in order to return the facility to compliance andmaintain 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 #:	22VAC40-131-160-B
Description:	Violation: Based on a review of the personnel records for three employees (P-2, P-3, and P-4) and an interview with an agency representative (AR1), the licensee failed to include a at least two written references, notations of oral references, or a record of interviews with references in the personnel files as required. Evidence: 1. There were no records of reference checks contained in the personnel files of P-2, P-3, or P-4. 2. In an email on 5/01/23, AR-1 acknowledged that references were not in the files as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-440-E
Description:	Violation: Based on a review of the ?Resident Agreement? for a foster youth (Y-1) and an interview with an agency representative (AR-3), the agency failed to include elements in the written agreement as required. Evidence: 1. The ?Resident Agreement? dated 2/22/23 between the agency and Y-1 did not include a description of the frequency of supervision provided by the licensee, including the conditions under which responsibility for supervision will be retained by the licensee and the youth?s responsibility to accept the level of supervision provided. 2. The ?Resident Agreement? dated 2/22/23 between the agency and Y-1 also did not include information pertaining to the youth?s responsibility to inform the licensee within a specified timeframe, but no later than 72 hours, of any major changes in their situation and serious injuries, illness, or need for surgery. 3. In an exit interview on 5/02/23, AR-3 acknowledged that the information was not included in the written agreement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-440-J
Description:	Violation: Based on a review of the Service Plan for a foster youth (Y-1) and an interview with an agency representative (AR-3), the agency failed to include elements in the service plan as required. Evidence: 1. The service plan for Y-1 covering the period from 2/22/23 through 3/21/23 did not include a statement of the type and frequency of supervision provided by the licensee as required. 2. In an exit interview on 5/02/23, AR-3 acknowledged that the information was not included in the service plan.
Plan of Correction:	Not available online. Contact Inspector for more information.