VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Northern Virginia Family Service, Inc.
10455 White Granite Drive
Suite 100
Oakton, VA 22124
(571) 748-2500

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: Dec. 20, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131-1-GENERAL PROVISIONS/63.2 (1) GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 12/20/2023 from 10:00 to 12:30 p.m. The Licensing Inspector met with the Director and Case Manager to initiate and to finalize the inspection the inspection. Number of approved provider homes: (5) Number of children in care: (5) Number of children?s records reviewed: (1). Number of provider home records reviewed: (1) Number of staff records reviewed: (0) No new since the last inspection. Observations by licensing inspector: posting of the license and inspection documents was observed. An exit meeting was conducted on 12/20/2023. There were no major changes made to the policies or procedures since the last inspection. The licensee plans to move to new office location sometime in April or May of 2024. The evidence gathered during the inspection determined (3) 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, Irvin D. Goode, Licensing Inspector at 804-543-5188 or by email at Irvin.Goode@dss.virginia.gov Additional Comments/Discussion: The evidence gathered during the inspection determined non-compliances with applicable standards or law, and violations were 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.

Violations:

Standard #:	22VAC40-131-290-C-5
Description:	Violation: Based on the record review for FC1, the agency failed to demonstrate visual acuity was addressed on the medical examination report signed and dated on 5/23/2023. Findings: 1. Physical examination documentation dated 5/23/2023 in the record for FC1 did not address visual acuity. The visual acuity section on the medical examination form was not completed in the space provided. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-C-6
Description:	Violation: Based on the record review for FC1, the agency failed to demonstrate that auditory acuity was addressed on the medical examination report signed and dated on 5/23/23. Findings: 1. Physical examination documentation dated 5/23/23 in the record for FC1 did not address auditory acuity. The auditory acuity section on the medical examination form was not completed in the space provided. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-350-F
Description:	Violation: Based on a review of child record for (FC-1) and an interview with an agency representative (AR-1), the agency failed to include comprehensive service plan update. Evidence: 1) The NVFS comprehensive service plan dated 7/2022 was not evaluated and updated for the upcoming year of 2024 2) In an exit interview on 12/20/2023, AR-1 and AR-2 acknowledged that the information was not updated as required.
Plan of Correction:	Not available online. Contact Inspector for more information.