VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Residential Care
950 N. Washington Street
Suite 227
Alexandria, VA 22314
(202) 550-0545

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: May 14, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A focused inspection was initiated on 5/14/20 to follow up on violations cited at the previous inspection. The inspection was concluded on 5/20/20. The Child Placing Supervisor/Case Manager was contacted by telephone to initiate the inspection. The agency reports 3 children in care and 3 approved provider homes. The inspector emailed the Child Placing Supervisor/Case Manager a list of items required to complete the inspection. The inspector reviewed documents from 3 provider home records and 2 children's records submitted by the agency. An exit interview was conducted on 5/20/20 with the Executive Director and the Child Placing Supervisor/Case Manager. Information gathered during the inspection determined non-compliances with applicable standards or law, and violations were documented on the violation notice issued to the agency. Upon receipt of the violation notice, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: 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 non-compliance will be corrected. The licensee has ten (10) calendar days from receipt of the inspection documentation to complete the section entitled "Plan of Correction", sign each page of the Plan of Correction and return it to the Licensing Office. The licensee retains a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the VDSS web site within five (5) days, regardless of whether or not the Plan of Correction has been completed.

Violations:

Standard #:	22VAC40-131-290-F
Description:	Based on an interview with agency representatives, the agency failed to arrange and document routine and recommended medical care for the child. Evidence: 1) The medical examination reviewed at the last inspection on 2/5/20 and 2/6/20 for FC-1 dated 4/19/19 recommended that "Pt. should follow up with her psychiatrist for medication and ongoing mental health issues". No documentation regarding a follow up appointment was provided at this focused inspection. 2) The medical evaluation reviewed at the last inspection on 2/5/20 and 2/6/20 for FC-1 dated 5/16/19 recommended "full time spectacle Rx wear". No documentation was provided regarding glasses for FC-1 at this focused inspection. 3) Agency representatives reviewed the file at the time of the inspection and agreed that documentation of the follow up care was missing.
Plan of Correction:	RCI will ensure that routine medical care for the child will be documented to ensure compliance with the standards. Case Manager and Child-Placing Supervisor will have to provide on a monthly basis proof of all monthly appointments and follow up and documentation.
Standard #:	22VAC40-131-350-B
Description:	Based on a review of the file for the child (FC-1) and an interview with agency representatives, the agency failed to document target dates and progress the child has made for each goal and objective in the quarterly report covering the period from 1/11/20-4/11/20. Evidence: 1) Target dates for discharge, Goal 2. addressing behavioral and emotional needs, and Goal 4. addressing medical needs were dated 6/01/19, 1/11/20, and 1/11/20 respectively. These target dates are not current. 2) The child's progress made toward Goals 1 through 4 in the quarterly report is not addressed. 3) Agency representatives reviewed the file at the time of the inspection and agreed that the target dates were not updated and that the progress toward the goals was not described in the plan as required.
Plan of Correction:	RCI will ensure that quarterly reports stated goals and objectives reflect the actual progress that was made during the quarter. Description of progress shall be based on actual interviews and discussion as well as written descriptions by team members regarding the target dates. Case Manager's supervisor will continue to attend all quarterly meetings, edit draft of the plan and review corrections with the case manager to ensure that target dates actually meet the stated goals and objectives of the quarterly plan. Supervisor will provide ongoing feedback to the case manager to ensure compliance with the standards.