VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Datz Foundation
311 Maple Avenue West
Suite E
Vienna, VA 22180
(703) 242-8800

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: June 20, 2024 , June 21, 2024 , June 24, 2024 , June 25, 2024 , June 27, 2024 and June 28, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 PROVIDER HOMES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Comments:

A monitoring inspection was initiated on 06/20/2024 and concluded on 06/28/2024. The Executive Director was contacted initiate the inspection. A list of documents required to complete the inspection was provided to the Executive Director. Two provider home records were reviewed. A review of findings and exit were conducted on 6/28/2024 where 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 were documented on the violation notice issued to the facility. Inspection findings will be posted to the Department?s public website within 5 days of receipt of the inspection documents. The department's inspection findings are subject to public disclosure. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) 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. 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 Dawn Caldwell, Operations Consultant, at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-200-G
Description:	Violation: Based on documentation review and interview, the agency failed to issue a certificate of approval for Provider Home 2 (PH2) following re-approval. Evidence: 1) A home study for PH2, dated 8/6/2021, as provided by the licensee, was reviewed. 2) Additional documentation provided by the licensee was reviewed and a certificate of approval for this home study was not located. 3) The licensing inspector requested all additional documentation for the home and specifically all certificates of approval. 4) S1 was interviewed athe certificate of approval for this home study was discussed. No information was provided to indicate a certificate of approval was issued for this home study. 5) Findings were reviewed during the exit interview with S1.
Plan of Correction:	Licensee will not issue home study approval without simultaneously issuing a certificate of approval.
Standard #:	22VAC40-131-230-C
Description:	Violation: Based on documentation review and interview, the agency failed to re-evaluate the provider and assess all evaluation elements required for the initial home approval prior to the end of each 36-month approval period for Provider Home 2 (PH2). 1) PH2 was initially approved 2/19/2028. 2) A home study update, dated 1/17/2020, was reviewed. 3) Documentation related to the 1/17/2020 home study update, as provided by the licensee, did not include a new signed corporal punishment statement, a new signed confidentiality statement, a new completed sworn disclosure statement, or a new certificate of approval. 4) A home study dated 8/6/2021 stated ?This is the second full home study?? 5) The home study dated 8/6/2021 was completed more than 41 months following the previous full home study. 6) Staff 1 (S1) was interviewed and discussions occurred regarding the agency's process for home study updates and home study re-evaluations. Findings were discussed. 7) The findings were reviewed during the exit interview and S1 acknowledged the information.
Plan of Correction:	Licensee will not issue home study re-evaluation approval unless the file contains(1) new corporal punishment statement, (2) new confidentiality statement, (3) new sworn disclosure statement. Certificate of approval will be issued when file is complete.
Standard #:	22VAC40-131-230-E-4
Description:	Violation: Based on documentation review and interview, the agency failed to obtain required new tuberculosis screenings information for Provider Home 2 (PH2) during the re-evaluation process for approving the home. 1) A home study for re-evaluation for PH2 was dated 8/6/2021. 2) Documentation included a physical exam report for Applicant 1 (A1) dated 5/14/2021. The physical exam document listed the date of tuberculosis screening/test as 8/29/2017. 3) Documentation included a physical exam report for Applicant 1 (A2) dated 5/14/2021. The physical exam document listed the date of tuberculosis screening/test as 5/19/2017. 4) Staff 1 (S1) was interviewed and explained her understanding of he regulation. 5) Findings were reviewed during the exit interview and the licensing inspector reviewed the regulation with S1.
Plan of Correction:	Licensee will require tuberculosis screenings with each physical exa.
Standard #:	22VAC40-191-40-D-6
Description:	Violation: Based on documentation review and interview, the agency failed to ensure required criminal history record reports and central registry checks were dated no more than 90 days prior to the date of approving Provider Home 2 (PH2). Evidence: 1) PH2 was approved 2/19/2018. 2) The required out of state central registry check for Applicant 1 (A1) and Applicant 2 (A2) in PH1were dated as being conducted on 6/8/2017. 3) Staff 1 (S1) was interviewed on 6/25/2024 by phone. 4) S1 explained her understanding of this regulation and discussion occurred. 5) The findings were reviewed during the exit interview. S1 indicated the regulation referenced has not been interpreted as the licensing inspector explained it and she has been doing the work for 30 years. 6) The licensing inspector explained the standard and answered S1?s questions. 7) S1 indicated that she understood the requirement and would comply going forward.
Plan of Correction:	Licensee will no issue home study approval unless file contains criminal history and central registry checks less than 90 days old.