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 1, 2023 and March 7, 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 LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

Case Record requirements: 22VAC40-131-370. R. The licensee shall maintain documentation in provider and child files as required by this chapter and including: 2. Placing documentation in the appropriate file within 30 days unless otherwise specified by this chapter New household members: 22VAC40-131-290. K. The provider applicant and all other household members who come into contact with children shall submit to tuberculosis screening or tests. Keeping Background checks: 22VAC40-191-70 Availability of records

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: 3/1/2023 from 9:15 a.m. to 1:25 p.m. by two Licensing Inspectors. The agency?s assigned Licensing Inspector continued the inspection on 3/7/2023. An entrance conference and preliminary findings review were conducted on 3/1/2023. An Acknowledgment of Inspection form was completed and left on 3/1/2023. Draft inspection documents were provided, prior to the exit interview, on 3/7/2023. An additional Acknowledgment of Inspection for, related to a background check violation, was provided to the agency by email on 3/7/2023. Number of children in care: 8 Number of approved provider homes: 8 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 1 Number of Provider record reviewed: 1 Number of staff records reviewed: 3 Number of staff interviews conducted: 3 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 #:	22VAC40-131-220-B
Description:	Violation: Based on record review and interview, the agency failed to require, as a condition of continued approval, Foster Home 1 (FH1) to complete all required training. Findings: 1) FH1 was re-evaluated and approved 10/23/2022. 2) The record for FH1 contained documentation that the agency requires foster parents to complete 24 hours of training annually. 3) The record for FH1 documented the foster parents completed 14.5 hours of training in 2021. 4) Staff 1 and 2 (S1 and S2) were interviewed. 5) S2 reviewed documentation in the record of FH1. 6) S1 and S2 confirmed the agency requires foster parents to complete 24 hours of training annually. 7) The findings were reviewed during the preliminary findings review and staff were provided opportunity to review documentation and provide additional information. 8) The findings were discussed during the preliminary findings review. 9) The findings were reviewed during the exit interview and Staff 1 (S1) acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-350-B
Description:	Violation: Based on record review, the agency failed to address required elements in the Quarterly Progress Reviews for Foster Child 1 (FC1). Findings: 1) Quarterly Progress Reviews for FC1 for the periods of 3/30/22 to 6/28/22 and 9/26/22 to 12/23/22 were reviewed. 2) The Quarterly Progress Reviews did not address the following elements: a. Summary of contacts made between the child and his family b. The child's assessment of his progress and description of services needed c. projected discharge date 3) The findings were discussed during the preliminary findings review and staff were provided opportunity to review the Quarterly Progress Reviews. 4) Staff 1 (S1) acknowledged the findings. 5) The findings were reviewed during the exit interview and Staff 1 (S1) 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 review of documentation provided, the agency failed to obtain, before three years since the most recent criminal history record check report, updated criminal history record checks for Personnel 1 Findings: 1) Criminal history record checks for P1 provided to the Licensing Inspector were from West Virginia. 2) The Licensing Inspector requested the criminal history record checks, completed through the Virginia Department of State Police, for P1. The agency was unable to locate and provide such reports. 3) The findings were not discussed during the preliminary findings review as requested documents had not been received prior to the Licensing Inspector?s departure. 4) The findings were reviewed and discussed during the exit interview and Staff 1 (S1) acknowledged the fidnings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-80-160-D
Description:	Violation: Based on the Licensing Inspector?s observations, the agency failed to afford the department's representative reasonable opportunity to inspect all of the agency's records. Findings: 1) The Licensing Inspector emailed Staff 1 (S1) on 2/21/2023 to inquire about the agency?s ability to provide record access to two Licensing Inspectors during the pending renewal inspection. 2) S1 responded on 2/22/2023 indicating access would be provided. 3) The Licensing Inspector emailed S1 on 3/1/2023 at 7:50 a.m. and advised that the renewal inspection would be conducted that morning. 4) The Licensing Inspector, and an assisting Licensing Inspector, arrived at the agency on 3/1/2023 at 9:15 a.m. and conducted the entrance conference. S1 participated in the entrance by phone and email. Staff 3 (S3) participated in the entrance in person. 5) The Licensing Inspector emailed S1 at 9:48 a.m. with the list of personnel record documentation needed for inspection. 6) The Licensing Inspector received log in credentials at 10:15 a.m. 7) The Licensing Inspector emailed S1 at 10:22 a.m. to advise the log in credential did not work. 8) S1 provided another log in credential at 10:30 a.m. and the Licensing Inspector was able to begin reviewing the Foster Child record. 9) Staff 2 (S2) provided the Foster Home record and the record review was able to begin at 10:30 a.m. 10) The Licensing Inspector called S1 at 12:30 p.m. on 3/1/2023 to begin the preliminary findings review. Personnel records were not received prior to the Licensing Inspectors? departure at 1:25 p.m. 11) The Licensing Inspector received and reviewed a portion of requested personnel documentation on 3/2/2023. 12) The Licensing Inspector emailed S1 on 3/2/23 and requested the remaining personnel documentation be provided by 5:00 p.m. on Monday 3/6/2023. Available records were received on 3/6/2023. 13) The findings were discussed during the preliminary findings review. 14) The findings were reviewed during the exit interview and Staff 1 (S1) acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.