VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Embrace Foster Care, LLC
5014 Monument Avenue
Richmond, VA 23230
(757) 847-9385

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: April 9, 2024

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:

22VAC40-131-370 Case record requirements. The Licensee shall ensure that each case file is kept up to date. The licensee's shall ensure that all fields are completed on form documentation. 22VAC40-131-160- Personnel records. The Licensee shall ensure performance evaluations by staff contain all signatures

Comments:

An unannounced renewal inspection was conducted on 4/9/2024 from 10:30 p.m. to 2:00. p.m. by this Licensing Specialist. Staff records were reviewed on 4/10/2024. . An entrance conference and preliminary findings review were conducted on the date of inspection. An Acknowledgment of Inspection form was completed and left on the date of inspection. An exit interview was conducted on 4/12/2024. Number of children in care: 6 Number of approved provider homes: 5 Number of children?s records reviewed: 1. Number of Discharge records reviewed 1. Number of provider homes reviewed: 1. Number of staff records reviewed: 4. 50% of personnel records have been reviewed during the license period. \ Background checks for the Members and Managers of the Limited Liability Company were reviewed. Technical assistance was provided regarding the licensee's own form documentation and personnel evaluations 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. Should you have any questions, please contact Irvin D. Goode, Licensing Inspector at 804-543-5188 or by email at Irvin.Goode@dss.virginia.gov.

Violations:

Standard #:	22VAC40-131-290-F
Description:	Violation: Based on the record review for FC-2, the agency failed to demonstrate that follow-up for dental restoration was addressed from the dental examination report signed and dated on 2/13/2024. Findings: 1. Dental examination documentation dated 2/13/2024 in the record for FC-2 addressed the need for follow-up dental care. 2. The licensing specialist requested the dental examination follow-up information and documentation. 3. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-B-1
Description:	Violation: Based on the record review for FC-2, the agency failed to demonstrate that individualized measurable objectives and strategies were described in the treatment service plan dated 6/16/2023. Findings: 1. Individual treatment plan documentation dated 6/16/2023 in the record for FC-2 did not contain measurable goals and objectives. Excerpt: FC-2: ?will be compliant with any prescribed medication? and FC-2 ?will learn to contribute the home by completing age-appropriate chores.? This documentation did not list measurable outcomes and strategies. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Not available online. Contact Inspector for more information.