VIRGINIA DEPARTMENT OF SOCIAL SERVICES

DePaul Community Resources
4859 Waterlick Road
Forest, VA 24551
(434) 455-3727

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Sept. 19, 2019 and Sept. 25, 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 initiated onsite on 9/19/2019 from 9:50 a.m. to 12:55 p.m. A Regional Director (AR1) participated in the entrance conference, inspection, and an exit interview this date. The inspection concluded on 9/25/2019 from 9:30 a.m. to 12:15 p.m. with review of personnel records at the agency?s Roanoke office. The Human Resource Administrator (AR5) was available for the entrance conference and inspection of personnel records this date. Staff AR5 was also interviewed regarding the staff listing. A Site Leader/Foster Care Supervisor (AR2) and Foster Care Supervisor (AR3) were also available during the inspection. An exit interview was conducted from 12:00 p.m. to 12:15 p.m. with a Site Leader/Foster Care Supervisor (AR2) and Foster Care Supervisor (AR3). The Director of Foster Care and Independent Living (AR4) also participated in the exit interview by phone. At the time of inspection, the agency had five foster children in placement and nine approved foster homes. This office is served by 20 staff members. There was one new hire since the last inspection. During this inspection two foster child, three foster home, and four personnel records were reviewed. Six additional personnel records have been reviewed during the licensing period. Background checks for all Board Officers/Agents were reviewed 8/26/2019 during a renewal inspection for the agency?s Abingdon office. Acknowledgement of Inspection forms were signed and left with the licensee at the end of the day on 9/19/2019 and 9/25/2019. There were three citations for violations of the Standards for 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 #:	22VAC40-131-250-O
Description:	Violation: Based on record review and interview, the agency failed to place the required written assessment in the record for foster child 1 (FC1) within 30 days of placement. Findings: The record for FC1 contained a written assessment addressing information gathered, reviewed, and considered during the child?s intake and acceptance for placement. The written assessment included a staff signature date 60 days following the child?s placement. The finding was discussed with the Regional Director (AR1) during the exit interview. AR1 acknowledged the finding. No harm to the child is known to have occurred as a result of the violation.
Plan of Correction:	The written assessment for FC1 is complete and in the file as of 10/7/2019. The supervisors will be reminded regarding the timeliness of admission paperwork.
Standard #:	22VAC40-131-290-E
Description:	Violation: Based on record review and interview, the agency failed to ensure foster child 1 (FC1) had a dental exam as required by regulation. Findings: The case record for FC1 did not contain a dental exam report completed within the 13 months prior to or within 60 days following the child?s placement. During the exit interview the finding was discussed with the Regional Director (AR1). AR1 acknowledged the finding. No harm to the child is known to have occurred as a result of the violation.
Plan of Correction:	FC1 has received a dental appointment and documentation is in the file as of 10/7/2019. Staff will be reminded of the timeline for dental exams upon admission.
Standard #:	22VAC40-131-340-B-2
Description:	Violation: Based on record review and interview, the agency failed to develop an individualized service plan within 45 days of placement for foster child 1 (FC1). Findings: The case record for FC1 contained an individualized service plan that was noted as a draft and was blank. The automated system filing date for this draft report was 64 days following the child?s placement with the agency. No additional Service Plan document was located. During the exit interview the finding was discuss with the Regional Director (AR1). AR1 acknowledged the finding. No harm to the child is known to have occurred as a result of the violation.
Plan of Correction:	Staff will be reminded of the importance of timely paperwork, especially with regard to treatment planning. ISP for FC1 will be completed and filed with appropriate providers.