VIRGINIA DEPARTMENT OF SOCIAL SERVICES

DePaul Community Resources, Inc.
5650 Hollins Road
Roanoke, VA 24019
(540) 265-8923

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Feb. 4, 2020 and Feb. 5, 2020

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:

An unannounced monitoring inspection was conducted on February 4, 2020 from 9:00 a.m. to 3:55 p.m. and February 5, 2020 from 8:55 a.m. to 4:05 p.m. The licensee reports 32 children in placement and 26 approved foster homes. During this inspection four (4) foster child, three (3) foster home, and five (5) personnel records were reviewed. A Regional Supervisor and the Site Lead/Foster Care Supervisor participated in the entrance conference, remained available during the inspection, and participated in the exit interview. An additional Foster Care Supervisor participated in the exit interview. The exit interview was conducted from 3:15 p.m. to 4:05 p.m. An Acknowledgement of Inspection form was signed and left with the licensee at the end of the inspection. There were four citations for violations of the Standards for Child-Placing Agencies. See the violation notice on the Department?s public web site for violations of the Standards. See the violation notice on the Department?s public web site for violations of the Standards. Upon receipt of the Violation Notice, the licensee should develop a plan of correction to include the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of non-compliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five business days from receipt of the inspection documents to complete the section entitled "Plan of Correction", sign each page of the inspection documents and return to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services public web site within five business days, regardless of whether or not the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-131-110
Description:	Violation: Based on personnel record reviews for employees P1and P2, the agency failed to indicate the date received on all material. Findings: The personnel records for P1 and P2 contained Sworn Disclosure statements that did not indicate the date the agency received the statements. The personnel record for P2 contained a Central Registry search result letter that did not indicate the date the agency received the statement. The findings were discussed with agency staff during the exit interview. Staff acknowledged the findings.
Plan of Correction:	Program Director has informed HR of the need to date stamp all materials in the HR file.
Standard #:	22VAC40-131-160-B-9
Description:	Violation: Based on review of personnel records for employees P4 and P5, the agency failed to maintain all required documentation in the records. Findings: The personnel records for P4 and P5 did not document that the employees completed annual training in 2019. The findings were discussed with agency staff during the exit interview. Staff explained training is documented in an online system and printed each January to be placed in the records. Staff provided documentation that P4 and P5 participated in trainings during 2019. Staff acknowledged the records did not contain the documentation. Staff printed the training documentation and placed it in the records.
Plan of Correction:	Program Director has informed all staff to ensure electronic training records are transferred to the HR files as soon as possible.
Standard #:	22VAC40-131-180-J-2
Description:	Violation: Based on record review for Foster Home 3 (FH3), the agency failed to document in the Home Study that all elements for the home environment as required by 22VAC40-131-190 were assessed and in compliance. Findings: The Home Study for FH3 documented the family having three (3) pets. The Home Study states the pets ?appear to be friendly and well mannered? and that the caseworker viewed verification of the pet vaccinations. The Home Study did not include statements indicating the pets are safe to be around children and present no health hazard to children in the home. The findings were discussed with agency staff during the exit interview. Staff reviewed the record and acknowledged the finding
Plan of Correction:	Program Director will revise template to ensure clarity around how to address pets in the home.
Standard #:	22VAC40-131-260-B
Description:	Violation: Based on record review for Foster Child 1 and 2 (FC1 and FC2), the agency failed to include all required elements in the children?s Social Histories. Findings: The Social History for FC1 was completed on 12/6/2019 and for FC 2 on 11/1/2019. The Social Histories did not include education, occupation, medical, or psychiatric information for the child?s parents, aunts, uncles and grandparents. The Social Histories indicated the agency requested the information from the LDSS and it wasn?t received. The records for FC1 and FC2 documented that agency staff had opportunities during which the children, their family members, and other sources could be interviewed to attempt to gather the information. The findings were discussed with agency staff during the exit interview. Agency staff reviewed the Social Histories and acknowledged the findings.
Plan of Correction:	Program director will remind staff of the importance of utilizing all resources available to complete social history information.