VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Skill Builders
1320 Francis Street
Norfolk, VA 23523
(757) 233-2896

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: April 12, 2021 , April 14, 2021 , April 23, 2021 , April 30, 2021 and May 7, 2021

Complaint Related: No

Areas Reviewed:

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

Technical Assistance:

Discussed describing background checks as it pertains to the sworn statement or affirmation as noted in 22VAC40-191-20.D. Discussed admission criteria for the independent living arrangement program as noted in 22VAC40-131-440.B.3. Discussed the written agreement for participation in the arrangement (with the youth, the guardian, and as appropriate, the family) as it pertains to the purpose of the independent living arrangement, with timeframe for completing the program as noted in 22VAC40-131-440.E.1. Discussed the written agreement for participation in the arrangement (with the youth, the guardian, and as appropriate, the family) as it pertains to the information pertaining to the physical setting arrangements and requirements that all arrangements must be approved by the licensee unless those arrangements are exempt from licensee approval as noted in 22VAC40-131-440.E.6. Discussed the written agreement for participation in the arrangement (with the youth, the guardian, and as appropriate, the family) as it pertains to a plan to seek emergency assistance from medical professionals and emergency responders as noted in 22VAC40-131-440.E.8. Discussed after placement, maintaining supervision over the independent living arrangement by conducting a face-to-face visit with the youth at least one time each month and as often as necessary to protect the youth?s interest as noted in 22VAC40-131-440.M.1. Discussed after placement, maintaining supervision over the independent living arrangement by ensuring that over 50% of these face to face visits occur in the youth?s place of residence within a calendar year as noted in 22VAC40-131-440.M.3. Discussed documentation regarding the arrangements for and child?s receipt of care in the child?s file as it pertains to the child receiving any routine and recommended medical, dental, mental health, psychological, and psychiatric follow-up care and treatment as noted in 22VAC40-131-290.F. Discussed documentation regarding the arrangements for and child?s receipt of care in the child?s file as it pertains to the child receiving necessary medical, dental, mental health, psychological, and psychiatric care and treatment resulting from injuries, illness, emergencies, or other conditions that occur in between examinations or appointments as noted in 22VAC40-131-290.G.

Comments:

This inspection was conducted by the licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 4/12/21 and concluded on 5/7/21. The Executive Director was contacted by email on 4/12/21 to initiate the inspection. The Executive Director reported that the current census was four (4) youth. The Licensing Specialist emailed the Executive Director a list of items required to complete the inspection. The following is a listing of the activities for this inspection: Reviewed one current resident record. Two personnel records were reviewed, which consist of the new staff members hired since the June 2020 inspection. The Executive Director and the Senior Case Manager were interviewed on 4/23/21. Upon receipt of this violation notice, a plan of correction is requested for the violation. The Plan of Correction should include, as appropriate: - steps to correct noncompliance of a regulation, - measures to prevent reoccurrence of noncompliance, - person(s) responsible for implementing each step and/or monitoring any preventive measure(s), and - the date by which the noncompliance will be corrected. Be advised that the Violation Notice, including the Plan of Correction and this Summary page will be posted on the VDSS web page and available for review by the general public. Do not write any names or other confidential information into your plan of correction. The licensee should retain a copy of this document to be posted at the facility. The results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services? website within 5 business days.

Violations:

Standard #:	22VAC40-131-260-B-2
Description:	Violation: Based on review of the foster youth?s, FY1?s, documentation and interview with staff, the agency failed to document the reasons for the placement in the social history. Findings: 1) During the interview on 4/23/21, the Licensing Specialist asked staff, S3 and S4, where the reasons for the placement was documented in the social history. The answer provided by S3 does not meet compliance as it pertains to this element. Therefore, the social history does not correctly document the reasons for placement.
Plan of Correction:	Skill Builders will add an additional section to the social history of each youth?s documentation. The section will address the reason for the youth?s placement in the ILA.. Also, the document will reflect permanency planning goal for the child?s placement as determined by the courts and the custodial agency.