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: March 5, 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

Comments:

An unannounced renewal inspection was conducted on March 05, 2020 from 10:15 AM to 4:30 PM. The agency reports a total of 19 approved provider homes and 34 foster children in placement. As a result of this inspection, three provider home records, four foster child records, two (2) personnel records were reviewed. Records for five additional personnel and five board officers and the agency's 2019 Quality Improvement Plan were reviewed on January 07 and January 08, 2020 at the Bedford location. Two personnel were interviewed. 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 three 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 #:	22VAC40-131-190-F
Description:	Violation: Based on a review of the record for a provider home (PH) and interview with personnel (S), the licensee failed to document an assessment that bedrooms for children in care have adequate space, storage and square footage. Evidence: 1) The home study and certificate of approval approved PH2 for a capacity of four children receiving foster care services in addition to the approved provider?s own children. 2) PH2 has two children, one male and one female. 3) The home study reported that PH2 has three bedrooms, one of which is occupied by the parents. 4) The home study failed to include an assessment of the home?s ability to provide adequate closet space and square footage for six children in two bedrooms. 5) When discussed during the exit interview, S2 acknowledged that the square footage and home?s ability to provide adequate space for the placement of four children for foster care was not assessed.
Plan of Correction:	PM will work with recruitment specialist to include addendums to the home study to include why the agency is decreasing the number of approved children in the home. PM will review all foster family files to approve appropriate amount of children in the home while considering adequate space, storage, and square footage.
Standard #:	22VAC40-131-200-C
Description:	Violation: Based on a review of the record for a provider home (PH) and interview with personnel (S), the licensee failed to assess a requirement specified in 22VAC180.2.J.e.9 (has the financial resources to provide for current and on-going household needs and maintenance of the family) when recommending approval. Evidence: 1) The financial statement listing debts and obligations for PH1 listed an excess of $15.00 per month. The statement did not include budgeted amounts for emergencies. 2) The agency failed to assess PH1's ability to provide for on-going household needs and maintenance such as initial expenses of a foster child or an increase in food costs and other household expenses. 3) When asked during the exit interview how PH1?s ability to provide for on-going needs was assessed, S2 was unable to verify that this element was discussed and assessed carefully with PH1.
Plan of Correction:	PM will work with recruitment specialist to include addendums to the home study to include the foster family's ability to budget for emergencies, initial expenses of a foster child, on-going household needs and maintenance , and any other household expenses.
Standard #:	22VAC40-131-350-B-14
Description:	Violation: Based on a review of the record for a foster child (FC) and interview with personnel (S), the licensee failed to include dates of progress covered on a quarterly progress summary. Evidence: 1) A quarterly progress summary dated 12/02/2019 for FC1 did not contain the dates of progress covered by the review. 2) During the exit interview, S1 acknowledged the dates of progress were not on the quarterly progress summary dated 12/02/2019 for FC1. 3) S1 stated that the dates of progress covered is on the quarterly progress summary template but may have been accidentally erased on the 12/02/2019 quarterly summary for FC1.
Plan of Correction:	PM will provide additional training to staff on including the dates of progress on quarterly progress summary reports.