VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hopetree Family Services
860 Mount Vernon Lane
Salem, VA 24153
(540) 444-0566

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Feb. 14, 2023 and Feb. 16, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSING PROCESS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-190.R.3 Discussion occurred regarding clarifying documentation that the key or combination to the locked closet and cabinet shall at all times be maintained out of reach of all children in the home.

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/14/2023 from 8:40 a.m. to 2:00 p.m. and 3:00 p.m. to 5:45 p.m. Number of children in care: 18 Number of approved provider homes: 23 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 5 Number of staff records reviewed: 4 Number of interviews conducted with staff: 2 Additional Comments/Discussion: The agency?s Evaluation and Improvement plan were reviewed and discussed. Caseloads and capacity were evaluated. An exit meeting was conducted by Teams Meeting on 2/16/2023. 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 Caldwell, Licensing Inspector at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-200-G
Description:	Violation: Based on record review and interview, the agency issued a Certificate of Approval for Foster Home 3 (FH3) prior to obtaining current tuberculosis screenings results for all household members. Findings: 1) The record for FH3 documented the home?s initial Certificate of Approval expired 12/10/2019. 2) The record for FH3 documented activities to complete the re-evaluation by 12/10/2022. 3) The records for FH3 contained documentation of communication requesting current tuberculosis screening or test results be provided to the agency by the provider prior to 12/10/2022. 4) The record for FH3 did not contain current tuberculosis screening or test results for the provider or household members. 5) The record for FH3 contained a Certificate of Approval and a letter, dated 12/10/2022, documenting re-approval of the home. 6) Findings were discussed during the preliminary findings review. 7) Staff 2 and 3 (S2 and S3) were interviewed. 8) S3 reported determining FH3 would be suspended due to failure to return the tuberculosis screening or test results. S3 provided email documentation that FH3 was informed of the suspension on 12/9/2022. 9) S3 acknowledged a new Certificate of Approval should not have been issued. 10) The findings were reviewed during the exit interview and S3 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-C-1-d
Description:	Violation: Based on record review and interview, the agency failed to obtain, prior to approval, a completed Sworn Disclosure statement from Applicant 1 (A1) in Foster Home 2 (FH2). Findings: 1) The record for FH2 contained a Sworn Disclosure for A1 dated 6/3/2022. A1 did not answer the question ?Have you ever been subject to founded complaints of Abuse or Neglect outside the Commonwealth of Virginia?? 2) FH2 was approved a7/22/2022. 3) The findings were discussed during the preliminary findings review and Staff 2 and 3 (S2 and S3) were interviewed and reviewed the Sworn Disclosure document. 4) S2 and S3 and acknowledged the findings. 5) The findings were reviewed during the exit interview and S3 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on record review, the agency failed to obtain before three years since the date of the last background checks, a current sworn disclosure, central registry search, and criminal history search for Personnel 5 (P5). Findings: 1) The record for P5 contained Sworn Disclosures dated 8/27/2019 and 12/12/2022. 2) The record for P5 contained central registry search results dated 9/19/2019 and 1/24/2023. 3) The record for P5 contained criminal history search results dated 9/11/2019 and 1/6/2023. 4) The findings were reviewed with Staff 1 (S1) and S1 acknowledged the findings. 5) The findings were discussed during the preliminary findings review. Staff 3 (S3) acknowledged the findings. 6) The findings were reviewed during the exit interview and S3 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.