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. 31, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-131 GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

Technical assistance provided regarding Standard 22VAC40-131-350: options discussed regarding meeting standards.

Comments:

Type of inspection: Renewal An unannounced renewal inspection was conducted on 8/31/22 from 9:00 a.m. to 5:10 p.m. An entrance conference was held with two Foster Care (FC) Supervisors and the Director of Foster Care and Independent Living. A preliminary findings review was held on 08/31/2022 with two FC Supervisors and the Director of Foster Care and Independent Living. The Acknowledgement of Inspection form was signed and left at the facility on the date of the inspection. Number of children in care: 25 Number of approved provider homes: 30 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 3 Number of provider homes reviewed: 4 Number of staff records reviewed: 3 An exit meeting was conducted on 9/8/2022 with the Director of Foster Care and Independent Living and Foster Care Supervisor. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. 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 Caldwell, Licensing Inspector at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-40-C
Description:	Violation: Based on review of documents received, the agency failed to establish that Board Officer 2 (B2) is of good character and reputation as defined in 22VAC80-10. Findings: 1) References for B2 were not submitted with the renewal application. 2) The Licensing Specialist advised the Director of Foster Care and Independent Living that B2 is a new board officer and references were needed. 3) Findings were discussed during the preliminary findings review. 3) The Licensing Specialist communicated with the Human Resources Specialist to request references for B2. 4) The Human Resources Specialist informed the Licensing Specialist that references were not on file for B2. 5) Findings were discussed during the exit interview.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-180-M
Description:	Violation: Based on record review, the agency failed to consider all information received about applicants prior to making a decision on the applicants in Provider Home 3 (PH3). Findings: 1) The record for PH3 contained Department of Motor Vehicle (DMV) records dated 5/18/2022 for both applicants. 2) The DMV record for applicant 2 documented convictions for four motor vehicle violations between 2018 and 2021. 3) The Home Study for PH3 stated ?Both members of the family have good driving records according to their point balances.? 4) The findings were discussed during the preliminary findings review and staff reviewed the home study. 5) Staff 6 (S6) was interviewed. 6) Staff acknowledged the findings. 7) The findings were further reviewed during the exit meeting.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-350-B
Description:	Violation: Based on record review and interview, the agency failed to address required elements in written summary progress reports for Foster Child 1 and 2 (FC1 and FC2) Findings: 1) Written progress reviews for FC1 the periods of 10/29/2021 to 1/29/2022 and 1/29/2022 to 4/29/2022 were reviewed. 2) A written progress review for FC2 for the period of 12/27/2021 to 3/27/2022 was reviewed. 3) The written progress reviews for FC1 did not address: ? Decision as to whether each projected date of accomplishment continues to be realistic or needs to change ? The child?s assessment of his progress and description of services needed ? Updating the projected discharge date. The projected discharge date was listed as 5/10/2020 in both written progress review reports. 4) The written progress review for FC2 did not address: ? Updating the projected discharge date. The projected discharge date was listed as 10/1/2021 5) Staff 4, 5, and 6 were interviewed 6) Staff reviewed the written progress reviews and acknowledged some elements were missing. 7) The findings were further discussed during the exit meeting.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on review of documents received, the agency failed to obtain a criminal history background check for Staff 2 (S2) before three years since the date of the most recent criminal history record check report. Findings: 1) Background checks were reviewed for S2. 2) Criminal history record check reports for S2 were dated 10/1/2018 and 2/9/2022. 3) The findings were discussed during the preliminary findings review. 4) The findings were further discussed during the exit interview.
Plan of Correction:	Not available online. Contact Inspector for more information.