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: May 22, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 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:

Type of inspection: Renewal A renewal/monitoring inspection was initiated May 17, 2024 & May 20, 2024. The Executive Director was contacted to initiate the inspection. The exit meeting was conducted on 5-22-2024. Number of youth: 27 Number of approved provider homes: 26 Number of youth records reviewed: 2 Number of staff records reviewed: 2, plus Board Members. Number of provider homes reviewed: 4 Number of interviews conducted with staff: 1 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 Kevin Lassiter at 804-241-2093 kevin.lassiter@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-150-B-1
Description:	Based on record review for S3, the agency failed to provide pre-service training core competencies within 30 days of the date of employment for S3. Findings: 1. In review of S3?s record (hire date 3-11-24), which also contained the Employee Orientation Checklist, the section labeled ?Pre-Service Training Competencies?) was not dated as completed however, that section contained a statement which read, ?will get done?. As of the date of this inspection 5-21-24, it had not been completed. 2. As of 5-21-24, LS was unable to locate any evidence based on available documentation that Pre-Service Training Competencies had been obtained within 30 days of the date of employment. 3. Findings were reviewed during the exit review on 5-22-24 and S1 acknowledged the findings.
Plan of Correction:	The FCS Executive Director is meeting with the trainer to come up with a condensed course that will be used to train new staff on the core competencies. At this time, new staff were attending all of PRIDE, but not within 30 days of hire date. The FCS Trainer will have a new course created by June 21st so that new staff can utilize that training.
Standard #:	22VAC40-191-40-D-1-b
Description:	Violation: Based on record review, the agency failed to obtain the required Sworn Statements for S3(date of hire 3-11-24) & S4 (DOH- 5-6-24), prior to first day of employment. Findings: 1. Sworn Statement for S3 was sign dated 3-12-24 but was not obtained until after the first day of employment of 3-11-24. 2. Sworn Statement for S4 was sign dated 5-7-24 but was not obtained until after the first day of employment of 5-6-24. 3. Findings were reviewed during the exit review on 5-22-24 and S1 acknowledged the findings.
Plan of Correction:	Effective immediately, the FCS Compliance Coordinator and Executive Director will ensure all new staff sign their Sworn Statement prior to their state date. This will be signed when they come to the office prior to their start date to complete their other background checks. The Compliance Coordinator will review all employee files quarterly to ensure dates are not missed.
Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on record review and interview, the agency failed to obtain the required central registry for B2 & B5 and sworn statement or affirmation for B2 before 3 years since the date of the last most recent central registry and sworn statement or affirmation. Findings: 1) Central Registry for B2 &B5 was not available for review as of 5-21-24 to determine compliance. 2) S1 confirmed on 5-21-24 that Central Registry was not available for review for B2 & B5 3) Sworn Statement or Affirmation for B2 was not available for review as of 5-21-24 to determine compliance. 4) S1 confirmed on 5-21-24 that the Sworn Statement or Affirmation for B2 was not available for review. 5) Findings were reviewed during the exit review on 5-22-24 and S1 acknowledged the findings.
Plan of Correction:	Effective immediately, the Executive Director will review each file for the FCS Board Members. Background checks that are not present will be completed no later than 05/31/2024 and sent with a copy in their file. Executive Director will review board files every quarter to ensure that dates are not missed.