VIRGINIA DEPARTMENT OF SOCIAL SERVICES

DePaul Community Resources, Inc.
2677 Steelsburg Highway, Suite 10
Cedar bluff, VA 24609
(276) 963-2360

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Feb. 11, 2020

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 conducted on February 11, 2020 from 11:15 a.m. to 4:45 p.m. The licensee reports 12 children in foster care and 9 approved foster homes. During this inspection two (2) foster child, two (2) foster home, and one (1) personnel records were reviewed. The Foster Care Supervisor and a Caseworker 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 exit interview was conducted from 4:15 p.m. to 4:45 p.m. An Acknowledgment of Inspection and a Supplemental Acknowledgment of Inspection forms were completed 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 #:	22VAC40-131-110
Description:	Violation: Based on record review and interview, the agency failed to indicate the date received on all material in the record for Foster Home 1 (FH1). Findings: The case record for FH1 contained Sworn Disclosure statements, Central Registry search result letters, and health statements for both applicants that did not include a date stamp or notation of the date the material was received. The findings were discussed with agency staff during the exit interview. Agency staff acknowledged the findings.
Plan of Correction:	Program Director has informed administrative and casework staff of the importance of date stamping received documents.
Standard #:	22VAC40-131-290-K-2
Description:	Violation: Based on record review and interview, the agency failed to obtain a Tuberculosis Screening report that contained all required elements for Applicant 1 (A1) in Foster Home 1 (FH1). Findings: The case record for FH1 contained a Tuberculosis Screening report for A1 that did not include the date of the screening. The line for the date of screening/exam was left blank. The findings were discussed with agency staff during the exit interview. Staff reviewed the screening form and acknowledged the findings.
Plan of Correction:	Staff will ensure a completed TB Screening is placed in the home file. Program Director will remind staff to double check TB forms for full completion.
Standard #:	22VAC40-131-340-F
Description:	Violation: Based on record review and interview, the agency failed to involve all required parties in a quarterly progress review for Foster Child 1 (FC1). Findings: The case record for FC1 contained a quarterly progress review for the child?s first quarter in placement. The report indicated the birth parents were not involved in the progress review due to incarceration. Efforts to involve the parents in the review were not documented. The findings were discussed with agency staff during the exit interview. Staff acknowledged the finding.
Plan of Correction:	Program Director will remind staff of the importance of engaging incarcerated parents and methods of contact to ensure engagement is made possible.
Standard #:	22VAC40-191-40-D-1-b
Description:	Violation: Based on record review and interview, the agency failed to obtain the results of the Child Protective Services Central Registry search for Personnel 1 within 30 days of hire. Findings: The personnel record for P1 contained a Child Protective Services Central Registry search result letter dated 39 days after the employee?s hire date. The record did not document that the agency submitted the search request within 7 days of the employee?s hire date or agency follow up with the Office of Background Investigations (OBI) within 34 days of the employee?s hire date. The findings were discussed with agency staff during the exit interview. Staff reviewed the documents and inquired with Human Resource (HR) staff for additional documentation. HR provided an internal cover/tracking sheet. The cover/tracking sheet did not include documentation to confirm the search request was submitted within 7 days of the employee?s hire date or agency follow up with OBI.
Plan of Correction:	The 30 days passed over the holidays when HR staff were not in the office. Program Director has established new procedure to ensure backup for follow up of background checks. Program Director also revised process to ensure finance personnel document when background checks are sent from the office.