VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pressley Ridge
649 Main Street
Tazewell, VA 24651
(276) 979-0544

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: March 11, 2020

Complaint Related: No

Areas Reviewed:

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 LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Licensing Specialist provided guidance to the agency regarding methods for clearly documenting compliance with 22VAC40-131-340-K.

Comments:

An unannounced renewal inspection was conducted on March 11, 2020 from 10:00 AM - 4:20 PM. Pressley Ridge reports a total of 11 approved provider homes and 20 foster children in placement. During this inspection, two provider home records, two foster child records, four personnel records and records for four board officers were reviewed. Three personnel were interviewed. An exit interview was conducted with the program director by phone to review preliminary inspection findings. An acknowledgement form was signed at the conclusion of the inspection by the office manager. There were two violations. Upon the receipt of the violation notice, the licensee should identify the necessary corrective action and develop a plan of correction for the violation. The plan of correction should include the following: The steps to correct noncompliance with the standard(s); measures to prevent re-occurrence of noncompliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five (5) calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 5 days, regardless of whether the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-131-290-F
Description:	Violation: Based on a review of the record for a foster child (FC) and interview with personnel (S), the licensee failed to arrange for a child to receive recommended dental follow-up care and treatment. Evidence: 1) The record for FC1 contained a dental examination dated 10/23/2019 which stated that the child needed dental follow-up dental treatment. 2) The record did not contain documentation that the follow-up treatment was received as required by 22VAC40-131-290.F. 3) During the exit interview, S1 stated that FC1 experienced a sudden move in foster homes and acknowledged that she was unaware of the recommendation for dental treatment for FC1, which was made during his first placement. 4) S2 contacted the current foster mother who was unaware of the recommendation for dental treatment for FC1.
Plan of Correction:	Staff will be retrained on the licensing regulations pertaining to the requirement that the licensee is to arrange for the child to receive any routine dental and follow-up care and treatment, and that the child's receipt of care shall be maintained in the child's file. This will be corrected moving forward for all dental treatment documentation.
Standard #:	22VAC40-131-350-B-10
Description:	Violation: Based on a review of the record for two foster children (FC) and interview with personnel (S), the licensee failed to document a required element in the quarterly progress summary. Evidence: 1) The quarterly progress summary for the period of 10/25/2019 - 01/25/2020 for FC1 failed to contain FC1's assessment of his progress and description of services needed. 2) The quarterly progress summary for for the period of 12/10/2019 - 03/06/2020 for FC2 failed to contain FC2's assessment of his progress and description of services needed. 3) S3 reviewed the quarterly progress summaries and acknowledged that the the child's assessment of progress and description of services needed was not part of the summaries for FC1 and FC2 as required by 22VAC40-131-350.B-10.
Plan of Correction:	Staff will be retrained on the licensing regulation pertaining to the specific information required in Quarterly Progress Summaries, specifically that the written summary report address the child's assessment of his progress and description of services needed, where appropriate. This will be corrected moving forward for all Quarterly Progress Summaries.