VIRGINIA DEPARTMENT OF SOCIAL SERVICES

DePaul Community Resources, Inc.
106 Abingdon Place
Abingdon, VA 24211
(276) 623-0881

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Aug. 21, 2019 , Aug. 22, 2019 and Aug. 26, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDRENS SERVICES 22VAC40-191 BACKGROUND CHECKS

Comments:

An unannounced renewal inspection was initiated on 8/21/2019 from 9:18 a.m. to 4:55 p.m. and continued on 8/22/2019 from 8:45 a.m. to 2:25 p.m. at the agency?s Abingdon office. The inspection concluded on 8/26/2019 from 9:20 a.m. to 11:45 a.m. at the agency?s Roanoke office for review of personnel records and interview with the Foster Care and Independent Living Director. The licensee reported 40 children in foster care and 34 approved provider homes. This office is served by 20 staff members. There were two new hires. During this inspection, four children?s records, four foster home and six personnel records were reviewed. An additional four personnel records were reviewed during the last monitoring inspection. Background checks for all Board Officers/Agents were reviewed. Two Foster Care Supervisors were available on 8/21/19 and 8/22/19 for the entrance conference, inspection and exit interview. The Regional Foster Care and Independent Living Supervisor was available as needed by phone on 8/21/19 and in person on 8/22/19 during the inspection. On 8/26/19, the Foster Care and Independent Living Director was available for inspection of personnel records, interview, and exit interview at the agency?s Roanoke office. Acknowledgment of inspection forms were left with the agency on 8/22/19 and 8/26/19. There were four 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-B
Description:	Violation: Based on a review of the record for foster home 3 (FH3), the agency failed to obtain results of new tuberculosis screenings for both foster parents during the re-evaluation of the home. Findings: The provider file for FH3 contained tuberculosis screening forms for each foster parent with the date of 6/14/2019 beside the medical provider?s signatures. Within the body of the screening form, the screening dates are noted as 2/10/2016. During the exit interview AR1 and AR2 acknowledged the record did not contain documentation confirming that new screenings were conducted for each foster parent during the re-evaluation.
Plan of Correction:	A new TB screening will be acquired for the foster parents. Program Director will review the TB screening procedures with staff to ensure full understanding of the form and requirements.
Standard #:	22VAC40-131-290-F
Description:	Violation: Based on a review of the record for foster child 2 (FC2), the agency failed to document arrangements for and child?s receipt of all recommended mental health, psychological, and psychiatric follow-up care and treatment. Findings: Quarterly progress reviews dated 1/9/2019 and 7/7/2019 for FC2 indicate the child was to receive a full scale evaluation to further determine and assess needs. The case record did not contain documentation to clarify what type of full-scale evaluation was needed, agency efforts to arrange, the child?s receipt of this evaluation, or explanation of reasons such an evaluation had not been completed. During the exit interview, agency representatives (AR 1 and AR 2) acknowledged the record did not include information to explain the status of the evaluation or whether the child received it. Other identified services were documented as being provided.
Plan of Correction:	Caseworker will ensure appropriate follow up regarding the cited evaluation occurs. Program Director will remind staff of the importance of reviewing all medical documentation and documenting any required follow up care.
Standard #:	22VAC40-131-290-I
Description:	Violation: Based on a review of the record for FC2 the agency failed to include a listing of all medications in the child?s file. Findings: The case record for FC2 included a report for a medical appointment on 11/6/2018. The document indicates the physician prescribed two over-the-counter medications for the child. The child?s case record did not contain a listing of medications that included these two medications. The findings were discussed during the exit interview and AR1 and AR2 acknowledged the missing documentation.
Plan of Correction:	The cited medications have been added to the child's chart. Program Director will provide additional guidance to staff on documenting OTC medications.
Standard #:	22VAC40-131-350-B-11
Description:	Violation: Based on a review of the record for FC2, the agency failed to document all required information in quarterly progress reviews. Findings: The case record for FC2 contained a report of a medical appointment on 11/6/2018. The report documented the physician prescribed two over-the-counter (OTC) medications and a prescription end date of 5/4/2019. A quarterly report dated 1/9/2019 did not include the OTC?s in the list of medications the child is taking. During the exit interview AR1 and AR2 acknowledged the OTC medications were not included in the quarterly report.
Plan of Correction:	The cited medications have been added to the chart and will be incorporated into future documentation. Additionally, the worker will ensure that all medications are reviewed at the next physical date. Program Director will provide additional guidance to staff on documenting OTC medications.