VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Presbyterian Homes and Family Services operating as HumanKind
1903 Humankind Way
Lynchburg, VA 24503
(434) 384-3131

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Oct. 31, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Technical assistance provided to agency around ensuring that all pieces of required documentation obtained as part of the home study process (such as pet immunizations) continue to be current at the time of provider home approval.

Comments:

An unannounced monitoring inspection was conducted on 10/31/2019 from 9:35 AM to 12:58 PM. At the time of the inspection, the agency reports a total of 26 provider homes and 26 foster children in placement. During this inspection, eight provider home records, three foster child records, and three personnel records were reviewed. Two personnel interviews were held. An exit interview was conducted at the conclusion of the inspection with the program manager and recruitment specialist to review preliminary inspection findings. An acknowledgement form was signed. 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 each 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 #:	22VAC40-131-180-I
Description:	Violation: Based on a review of the file for a provider home (PH1) and interview with personnel (S5), the agency failed to ensure the signed authorization allowing release of information from a previous child-placing agency was filed and maintained in the applicant's (PH1) file. Evidence: 1. PH1 was approved previously by another child-placing agency. The file for PH1 contained a reference from the prior agency. The file did not contain a signed authorization allowing the previous child-placing agency to release information to the licensee as required by 22VAC40-131-180.I. 2. Personnel (S5) stated that a release was obtained and sent to the prior child-placing agency but, after reviewing the file, acknowledged that the release was not in the file.
Plan of Correction:	Foster parent recruiter will ensure that any foster parent candidate has completed and signed an authorization allowing release of information. This authorization will be kept in the foster parent file.
Standard #:	22VAC40-131-360-E-5
Description:	Violation: Based on a review of the record for a discharged foster child (FC3) and interview with personnel (S4), the comprehensive discharge summary failed to address a summary of the child's progress towards meeting his goals and objectives as required by 22VAC40-131-360.E.5. Evidence: 1. The discharge summary for FC3 did not contain a summary of child's progress toward meeting each goal and objective identified in the comprehensive treatment plan/45 day plan dated 27 days before FC3's discharge. 2. S4 agreed that the discharge summary provided an overview of the child's progress while in placement but did not contain a summary of the progress toward meeting each goal and objective. 3. S4 stated that the agency gives an overview and has not addressed progress towards objectives in the past.
Plan of Correction:	The discharge and transfer summary paperwork will be updated by program manager and program manager will train all staff on ensuring goals and objectives are contained in discharge and transfer summaries.