VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lifeline Services, Inc
27074 Lee Highway
Abingdon, VA 24212
(276) 623-2444

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Nov. 2, 2022 and Nov. 10, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-131 GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 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

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11/2/2022 8:30 a.m. to 12:17 p.m. and 11/2/2022 from 1:20 p.m. to 5:00 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of children in care: 20 Number of approved provider homes: 9 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 2 Number of staff records reviewed: none, no new staff hired since the last inspection Number of interviews conducted with staff: 3 An exit meeting was conducted on 11/7/22 by phone. 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 #:	22VAC40-131-230-E
Description:	Violation: Based on record review and interview, the agency failed to conduct all steps in the re-evaluation process for Provider Home 1 (P1). Findings: 1) The record for P1 included a Certificate of Approval for the period of 10/5/2022 to 10/4/2025. 2) The Licensing Specialist did not locate an addendum to the home study documenting a review of the information the licensee used to make the last approval decision considering and reassessing all new information received since the last home approval decision- completed prior to issuance of a new certificate of approval. 3) The findings were discussed during the preliminary findings review. 4) Staff 2, 3, and 4 were interviewed and provided the opportunity to review the record. 5) S4 explained the previous addendum was effective through 11/15/22 and she planned to complete the addendum for the current renewal by that date. 6) The findings were discussed during the exit interview and Staff 4 (S4) acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-350-B-1
Description:	Violation: Based on record review, the agency failed to document the progress Children 1 and 2 (C1 and C2) made toward reaching each goal and objective on their service plans and alleviating specific behavior problems. Findings: 1) A document titled Qtly. Report and Ongoing Service Plan for the period 11/17/2022 to 4/16/2022 for C1 did not document the child?s progress with all goals and objectives. 2) A document titled Qtly. Report and Ongoing Service Plan for the period of 2/4/2022 to 5/4/2022 for C2 did not document the child?s progress with all goals and objectives. 3) The findings were discussed during the preliminary findings review. 4) The findings were discussed during the exit interview and Staff 4 (S4) acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.