VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Coordinators 2 Inc. Operating As C2Adopt
8100 Three Chopt Road
Suite 220
Richmond, VA 23229
(804) 354-1881

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: May 8, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 263.2 ADOPTION 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES 2VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS

Technical Assistance:

22VAC40-131.40.C Discussion of verification regarding ?good character and reputation.? 22VAC40-131-160.B.9 Discussion regarding orientation/training documented in personnel records.

Comments:

Type of inspection: Renewal An unannounced renewal inspection was conducted on 5/8/24 from 10:25 a.m. to 1:10 p.m. An entrance conference and preliminary findings review were held on 5/8/24. The Acknowledgement of Inspection form was signed, and a copy left at the facility. Number of children in care: 0 Number of approved provider homes: 18 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of provider home records reviewed: 5 Number of staff records reviewed: 3 Number of staff interviewed: 1 An exit meeting was held on 5/13/24. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) 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(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. 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 Dawn Espelage, Licensing Inspector at 540-759-8852 or by email at dawn.espelage@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-370-R-2
Description:	Violation: Based on record review, the agency failed to file required background checks prior to approval for Adoptive Home 4 (AH4). Findings: 1) AH4 was approved on 8/30/23. 2) The file did not contain a Virginia Central Registry for Adoptive Parent 2 (AP2). 3) The agency was allowed additional time to locate the Central Registry by reaching out to the OBI unit. 3) The agency provided the Virginia Central Registry, dated 8/1/23, on 5/17/24. 4) Preliminary findings were discussed on 5/8/24.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-a
Description:	Violation: Based on record review and interview, the agency failed to obtain all required background checks before the end of 30 days after a Board member appointment. Findings: 1) B1 was appointed in 2020. 2) A Sworn Statement was not in B1?s file. 3) B3 was appointed 2/26/24. 4) A criminal history was not in B3?s file. 5) S1 acknowledged the findings.
Plan of Correction:	Ex Dir has completed State Police form and mailed on 5/8/24 (B3). Ex Director has mailed sworn statement to B1 and received back.
Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on record review and interview, the agency failed to obtain required background checks within 3 years from the prior background checks for Board member 1 (B1) and Board member 2 (B2). Findings: 1) B1?s initial Central Registry was dated 4/13/20 and Criminal History was dated 4/16/20. 2) Updated background checks were not produced. 3) B2?s initial background checks were dated as follows: Central Registry 4/9/19, Criminal History 4/24/19, and Sworn Statement dated 4/9/19. 4) Updated background checks were not produced. 5) S1 was aware of and acknowledged the findings.
Plan of Correction:	Ex. Director has completed forms and mailed for B1 & B2 and sent in 5/9/24 (criminal) & 5/14/24 (central reg.). Updated sworn statement obtained for B2.
Standard #:	22VAC40-191-40-D-6
Description:	Violation: Based on record review, the agency failed to obtain required background checks within 90 days prior to the home study approval for AH5. Findings: 1) AH5 was approved on 2/13/24. 2) The file contained the national criminal background check for Adoptive Parent 2 (AP2) dated 11/3/23. 3) An updated criminal history was not obtained prior to the home study approval. 4) Preliminary findings were discussed on 5/8/24.
Plan of Correction:	Ex Director has provided updated training to staff relative compliance with 90 day approval window. Staff stated a miscalculation. Ex Dir will also pay more attention to 90 day prior to signing.