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: April 28, 2022

Complaint Related: No

Areas Reviewed:

General Procedures Personnel Provider Homes Children's Services Background Checks Treatment Foster Care

Comments:

An unannounced monitoring inspection was conducted on 4/28/2022 from 12:00 p.m. to 2:45 p.m. An entrance conference was conducted with the Site Leader/Foster Care Supervisor. The agency reported nine (9) children in placement and 10 approved provider homes. No new staff were hired since the last inspection. The inspector reviewed one (1) foster child, one (1) provider home, and three (3) personnel records. The office setting was inspected. A preliminary findings review was conducted with the Regional Manager and Site Leader/Foster Care Supervisor on the date of inspection where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. Acknowledgement of Inspections were signed and left. An exit interview was conducted by phone on 5/2/2022 with the Regional Manager. The information gathered during the inspection determined non-compliance with applicable standards or lawn and one citation was issued for a violation. 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 #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on document review for Personnel 2 (P2), the agency failed to obtain background check results within 3 years. Findings: 1. The Licensing Specialist received requested personnel documents by email from Staff 3 (S3). 2. The Sworn Disclosure statements for P2 were dated 10/12/2017 and 9/9/2021. 3. The Central Registry search results letter for P2 were dated 11/8/2017 and 12/23/2021. 4. The Criminal record search results for P2 were dated 10/13/2017 and 9/10/2021. 5. The Licensing Specialist emailed S3 and asked if additional background checks were completed between 2017 and 2021 for P2. S3 reported no additional background checks were completed and the error ??was caught in a file audit.? 6. The findings were discussed during a preliminary findings review on the date of inspection. 7. The findings were reviewed during an exit interview, by phone, with Staff 2 (S2) on 5/2/2022.
Plan of Correction:	The error was identified by the agency during file audit. Since then, a new policy is in place to ensure these things do not happen again. The supervisor and director are now copied on emails to staff requesting the forms. Notes are made on the calendar to reach out if the forms are not returned within a certain time frame. Personnel files have been reviewed and a date has been added to the background re-check dates in the H.R. / Payroll system as a double check process.