VIRGINIA DEPARTMENT OF SOCIAL SERVICES

DePaul Community Resources, Inc.
1020 Carrington Place, Suite 100
Charlottesville, VA 22901
(434) 977-9847

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Nov. 7, 2019 and Nov. 14, 2019

Complaint Related: No

Areas Reviewed:

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

Comments:

An unannounced renewal inspection was conducted on 11/7/2019 from 12:25 p.m. to 12:35 p.m. and on 11/14/2019 from 12:45 p.m. to 5:00 p.m. The licensee reports 11 children in foster care and 13 approved provider homes. During this inspection three foster child, three foster home, and two personnel records were reviewed. The Office Manager participated in the inspection on 11/7/2019. A Foster Care Specialist participated in the entrance conference and was available during inspection on 11/14/2019. The exit interview was conducted on 11/14/2019 from 4:30 p.m. to 5:00 p.m. by phone with the Foster Care and Independent Living Director. Acknowledgement of Inspection forms were signed and left with the licensee on each inspection date. There were three violation of the Standards for Licensed Child Placing Agencies. 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 #:	22VAC40-131-160-B-3
Description:	Violation: Based on record review and interview, the agency failed to obtain and place in the personnel record two references for an employee (P1). Findings: The personnel record for P1 contained one reference. The finding was discussed with the Director of Foster Care and Independent Living (S3) during the exit interview. S3 acknowledged the finding.
Plan of Correction:	HR Administrative staff and employee supervisor will acquire required reference and place in the employee file. Program Director has reviewed licensing requirements with HR staff.
Standard #:	22VAC40-131-250-O
Description:	Violation: Based on record review and interview, the agency failed to place the written assessment addressing all elements required by 22VAC40-131-250.G in the case record for foster child 1 (FC1) within 30 days of the child?s placement. Findings: The case record for FC1 contained the written assessment with a filing date 56 days following the child?s placement. The finding was discussed with the Director of Foster Care and Independent Living (S3) during the exit interview. S3 reviewed the record and acknowledged the finding.
Plan of Correction:	Program Director will remind staff of the importance of timeliness with paperwork, especially admissions paperwork
Standard #:	22VAC40-131-440-C-4
Description:	Violation: Based on record review and interview, the agency failed to consider the results of an Independent Living (IL) Skills assessment completed during the 90 days prior to the acceptance of foster child 2 (FC2) for placement in an Independent Living Arrangement. Finding: The case record for FC2 contained an IL skills assessment complete 169 days prior to the youth?s placement with the agency. The finding was discussed with the Director of Foster Care and Independent Living (S3) during the exit interview. S3 reviewed the record and acknowledged the finding.
Plan of Correction:	Program Director will remind staff of admission requirements for IL youth.