VIRGINIA DEPARTMENT OF SOCIAL SERVICES

For Children's Sake of Virginia
14900 Bogle Drive
Suite 200
Chantilly, VA 20151
(703) 817-9890

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: Sept. 17, 2019 and Sept. 18, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced, mandated, monitoring inspection took place on September 17, 2019 from 10:00 am to 2:00 pm and on September 18, 2019 from 10:00 am to 3:00 pm at For Children's Sake located at 14900 Bogle Drive, Suite 200, Chantilly, Virginia, 20151. The agency reports 22 children in foster care placement and 20 approved provider homes. The Executive Director, the Program Manager and the Compliance Coordinator were available for the inspection and the exit interview at the end of the second day. During this inspection, two foster home records and three foster child records were reviewed. One personnel record was reviewed. There were four citations for violations of the Standards for Child Placing Agencies. They were key, health, and safety standards. An Acknowledgement Form was signed by the Executive Director on September 19, 2019. 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 #:	22VAC40-131-230-E-5
Description:	Based on a review of the foster home record (FH-2) and interviews with agency representatives, the agency failed to obtain new signed agreements from the provider regarding confidentiality and corporal punishment as part of the provider's re-evaluation. Evidence: 1) FH-2 received a re-evaluation dated 4/18/2019. There were no new signed agreements regarding confidentiality or corporal punishment contained in the file. 2) The agency representatives acknowledged that this was an oversight.
Plan of Correction:	The Compliance Coordinator has added the confidentiality and corporal punishment policy to be included in the rest of the re-evaluation paperwork. TFC Case Managers will get both forms signed at the time of re-evaluation.
Standard #:	22VAC40-131-230-F
Description:	Based on a review of the foster home record (FH-2) and interviews with agency representatives, the agency failed to document required elements as part of the provider's re-evaluation. Evidence: 1) FH-2 received a re-evaluation dated 4/18/2019. 2) There was no documentation in the re-evaluation of the ability of the provider to establish and maintain a consistent and stable environment for each child. 3) There was no description in the re-evaluation of the relationship between the child and each family member, including the names of the family members. 4) The agency representatives acknowledged that this was an oversight.
Plan of Correction:	The Compliance Coordinator reworded the current question in regards to describing the relationship between each household member. The compliance coordinator added a question in regards to the ability of the provider to establish and maintain a stable environment for each child to the home recertification. TFC Case Managers will complete the updated reevaluation to include all documents.
Standard #:	22VAC40-131-260-B-10
Description:	Based on a review of the child's record (FC-1) and interviews with agency representatives, the agency failed to include required elements in the child's social history. Evidence: 1) The social history completed for FC-1 dated 9/02/2019 did not include emotional and psychological problems the child has experienced within the last 13 months as required. 2) Agency representatives acknowledged that this was an oversight.
Plan of Correction:	TFC Case Manager will complete the entire social history for each client, to include details for each question. The Program Director will review the social histories to ensure it includes all detailed information abut the youth, including the emotional and psychological problems of the youth.
Standard #:	22VAC40-131-340-B-1
Description:	Based on a review of the child's record (FC-1) and interviews with agency representatives, the agency failed to develop an individualized service plan for the child within 14 days of the child's placement. Evidence: 1) The initial plan of care completed for FC-1 in the record, was not individualized. 2) Agency representatives acknwoledged that this was an oversight.
Plan of Correction:	The TFC Case Manager will write the initial plan of care to be client specific. The Program Director will review the initial plan of care (14 day plan) to be sure it is individualized toward each client.