VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Impact Living Services
316 Brook Park PL
Suite A1
Forest, VA 24551
(434) 533-1088

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: May 9, 2023 and May 10, 2023

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 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-290.C Discussion regarding completion of the physical form in its entirety. 22VAC40-131-370.R.2 Discussion regarding filing of documents within 30 days of receipt/completion.

Comments:

Type of inspection: Monitoring An unannounced, on site, monitoring inspection was conducted on 5/9/2023 from 12:10 p.m. to 4:40 p.m. An electronic record review was completed on 5/10/2023 1/5/23 from 9:30 a.m. to 11:50 a.m. The Acknowledgement of Inspection form was signed and left at the facility on 5/9/2023. Number of children in care: 19 (12 Independent Living) 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/youth records reviewed: 3 Number of provider home records reviewed: 1 Number of staff records reviewed: 3 Number of interviews conducted with staff: 3 A preliminary findings review was held on 5/10/23 with the Program Director and Program Manager. An exit meeting was held on 5/11/23 with the Program Director. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. 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 Espelage, Licensing Inspector at 540-759-8852 or by email at dawn.espelage@dss.virginia.gov