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: Jan. 15, 2020 and Jan. 16, 2020

Complaint Related: No

Areas Reviewed:

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

Comments:

An unannounced monitoring inspection was conducted on January 15, 2020 from 9:05 a.m. to 4:55p.m.and January 16, 2020 from 8:35 a.m. to 12:35 p.m. The licensee reports 32 children in foster care and 31 approved provider homes. During this inspection four (4) foster child, four (4) foster home, and three (3) personnel records were reviewed. Two Foster Care Supervisors participated in the entrance conference, remained available during the inspection, and participated in the exit interview. The Director of Foster Care and Independent Living participated in the exit interview by phone. The Regional Director of Foster Care participated in the exit interview. The exit interview was conducted from 11:55 a.m. to 12:35 p.m. An Acknowledgement of Inspection form was signed and left with the licensee at the end of the inspection. 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-E-2
Description:	Violation: Based on record reviews and interviews with staff, during re-evaluations of Foster Homes 2, 3, and 4 (FH2, FH3, and FH4), the agency failed to review all information used to make the last approval decision. Findings: The written re-evaluation of the provider homes for FH2, FH3, and FH4 did not document that agency staff discussed, reviewed, and confirmed that each foster home continued to store the key or combination to the locked firearm and ammunition storage cabinets out of reach of all children in the homes. Each of these foster homes maintain firearms in their homes. The findings were discussed with agency staff during the exit interview. Staff reviewed the re-evaluation studies and acknowledged the findings.
Plan of Correction:	Program Director will revise re-evaluation template and firearms agreement to explicitly address storage of key and/or combinations for locket storage cabinets.
Standard #:	22VAC40-131-350-B-10
Description:	Violation: Based on record review, the agency failed to address and document all required elements in the quarterly progress summaries for Foster Child 2 (FC2). Findings: The record for FC2 contained a first quarter progress review summary signed 8/7/2019 and a second quarter progress review summary signed 11/5/2019. The first quarter review indicated the child was not involved due to his age. The second quarter review indicated the child was involved but there was no information documented about the child?s assessment of his progress. The findings were discussed with agency staff during the exit interview. Staff reviewed the record and acknowledged the findings.
Plan of Correction:	Program Director will provide clarification to staff regarding the methods to document child?s assessment of progress with treatment plan.
Standard #:	22VAC40-131-370-M-12
Description:	Violation: Based on record review, the agency failed to maintain all required documents in the record for Foster Homes 1 (FH1). Findings: The record for FH1 did not contain a Face Sheet. The finding was discussed with agency staff during the exit interview. Staff reviewed the record and acknowledged the finding.
Plan of Correction:	A face sheet was created for the home and is current.
Standard #:	22VAC40-131-440-C
Description:	Violation: Based on record review, prior to accepting Foster Child 1 (FC1) for placement in an Independent Living Arrangement, the agency failed to consider all required elements in assessing the child?s readiness for placement. Findings: The case record for FC1 contained a Readiness for Independent Living Evaluation form signed by agency staff on 8/22/2019. The form did not address how the agency evaluated the youth?s behavioral stability or whether the youth participated in designing service plan goals and objective. The evaluation did not explain the youth?s participation in meeting service plan goals and objectives including those for transition and self-sufficiency. The case record did not contain an Independent Living Assessment completed within the 90 days prior to the youth?s acceptance for placement. The finding was discussed with agency staff during the exit interview. Staff reviewed the record and acknowledged the finding.
Plan of Correction:	Program Director will revise Readiness Evaluation template to ensure these topics are clearly documented for all IL Admissions. Program Director will remind staff to ensure IL Assessments are current within 90 days prior to the admission decision.