VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Intercept Youth Services, Inc. operating as Intercept Health
5673 Airport Road
Roanoke, VA 24012
(540) 344-7700

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Aug. 13, 2019 and Aug. 14, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced monitoring inspection was completed on 8/13/2019 from 9:40 a.m. to 4:30 p.m. and 8/14/2019 from 8:40 a.m. to 4:00 p.m. The licensee reports 28 children in placement and 24 approved foster homes. There were four new hires since the last inspection. In addition, one staff member transferred from Intercept's Day Treatment program into the Foster Care program since the last inspection. During this inspection three child, three foster home and five personnel records were reviewed. The Director, two Child Placing Supervisors, Documentation Manager, and a Caseworker participated in the inspection and the exit interview. An exit interview was completed on 8/14/2019 from 3:00 p.m. to 4:00 p.m. An acknowledgement form was completed and left with the licensee at the end of the inspection. There were five citations for violations of the Standards for Child-Placing Agencies. See the violation notice on the Department?s public web site for violations of the Standards. Upon receipt of the Violation Notice, the licensee should develop a plan of correction to include the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of non-compliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five business days from receipt of the inspection documents to complete the section entitled "Plan of Correction", sign each page of the inspection documents and return to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services public web site within five business days, regardless of whether or not the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-131-230-E-4
Description:	Violation: Based on record review and interview, the agency failed to include all elements in the re-evaluation process for Foster Home 3 (FH3). Findings: A Certificate of Approval was issued on 1/17/2019 following the re-evaluation of FH3. The foster family record included a TB screening dated 1/19/2017 for household member 3 (HH3). During the exit interview the licensing inspector and agency staff S1, S2, S3, S4, and S5 discussed the family circumstances. Staff reviewed the record to determine if a more recent TB screening had been completed. Agency staff participating in the exit conference acknowledged a more recent TB screening could not be located. There were no negative outcomes related to the violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-250-G-4
Description:	Violation: Based on a review of the record for Foster Child 2 (FC2), the agency failed to gather, review, and document a list of the strengths of the child's birth family prior to accepting the child for placement. Findings: FC2 was accepted for placement 6/12/2019. Documentation in the child's case record did not indicate the agency received or reviewed information about the strengths of the child's birth family prior to accepting the child for placement. The finding was discussed with S1, S2, S3, S4, and S5 during he exit conference. Agency staff acknowledged the birth family strengths were not documented prior to accepting the child for placement. The child did not experience negative outcomes due to the violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-330-G-3
Description:	Violation: Based on record review and interview, the agency failed to make at least on face-to-face contact in the foster home for FC1 in June 2019. Findings: The case record for FC1did not contain documentation of a face-to-face contact in the foster home during June 2019. During the exit interview, agency staff noted that they track visits for a month based on a 30 day period that starts on the date a child is accepted and placed into their program. FC1 was placed 8/9/18. The agency completed face-to-face contacts in community settings on 6/12/2019 and 6/24/2019. A face-to-face contact with the child in the foster home occurred on 7/3/2019 which falls within the 30 day period the agency uses to track monthly contacts. Agency staff acknowledged the required contact in the foster home setting did not occur in the calendar month of June 2019. The child did not experience negative outcomes related to the violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-E-1
Description:	Violation: Based on record review and interview, the agency failed to include a comprehensive assessment of all required elements in the service plan for FC2. Findings: The case record for FC2 documents the child is diagnosed with a mental health condition. The child's initial physical exam report, dated 6/24/2019 states the child needs a referral to therapy services. An additional physical exam report dated 7/24/2019 also indicates the need for referral to therapy services. The child's service plan documents the child's emotional/behavior functioning as including aggressive behaviors such as hitting, kicking, and biting. The plan states the child is not receiving therapy and is not in need of therapy at this time. During the exit interview the case was discussed with S1, S2, S3, S4, and S5. Staff reviewed the service plan for information that would explain the discrepancy between the physician's recommendations and the child's observed behaviors and the statement in the service plan that the chid does not need therapy. Staff acknowledged the service plan did not comprehensively assess the child's behavioral needs. The child did not experience negative outcomes related to the violation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-F-1
Description:	Violation: Based on record review and interview, the agency failed include all required parties in a quarterly progress report for FC1. Findings: The quarterly report dated 5/9/2019 for FC1 did not document the participation of the child's father was included in the progress review. The child's initial Service Plan indicated the father would be a team member. The record documented the father being incarcerated and that the goals and objective from this progress review were mailed to him in jail. The case record did not contain documentation of the father's involvement or attempts to involve him. Parental rights for this child were not terminated. During the exit interview, the case was discussed with S1, S2, S3, S4, and S5. Staff acknowledged the the father was not involved in the progress review. The child did not experience negative outcomes as a result of the violation.
Plan of Correction:	Not available online. Contact Inspector for more information.