VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Youth for Tomorrow New Life Center, Inc.
11835 Hazel Circle
Bristow, VA 20136
(703) 368-7995

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: Feb. 23, 2023 and Feb. 24, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 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:

Type of inspection: Monitoring An on site inspection was conducted on 2/23/2023 from 10:00 am until 4:00 pm and on 2/24/2023 from 10:00 am until 3:00 pm. Number of children in care: 22 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 (1 UC child, 2 TFC children) Number of staff records reviewed: 4 Number of interviews conducted with staff: 1 entrance interview with the Vice President of Community Based Services and 1 exit interview with the Vice President of Community Based Services, the Assistant VP of ORR services, the Director of Quality Assurance, the Senior QA Coordinator of UIM, the QA Coordinator of IFC, the Foster Care Coordinator, and the Accounting and Billing Specialist. Observations by licensing inspector: The license was posted along with inspection documents. Additional Comments/Discussion: 3 provider home records were reviewed. The evidence gathered during the inspection determined non-compliance with applicable standards or laws, and violations 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 violations will be addressed in order to return the facility to compliance and maintain future compliance with the applicable standard 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 Cindy Horne, Licensing Inspector at (804) 382-3964 or by email at cynthia.horne@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-150-B
Description:	Violation: Based on a review of four personnel records (P-1, P-2, P-3, and P-4) and an interview with an agency representative (AR-3), the agency failed to document that employees received an initial orientation that included required elements listed under 150.B, 150.B.2, and 150.B.4. Findings: 1) The personnel records for P-1, P-2, P-3, and P-4 documented that they each received an initial orientation but all required elements listed above were not addressed. 2) In an interview with AR-3 during the inspection to review preliminary findings, AR-3 acknowledged that the orientation the employees received was related to children's residential facilities rather than licensed child-placing agencies as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-250-G
Description:	Violation: Based on a review of two children's (FC-2 and FC-3) Intake Assessments, the agency failed to include required information. Findings: 1) The Biopsychosocial and Intake Assessment for FC-2 dated 9/26/22 did not include the reason the placement was requested (250.G.1) as required. 2) The Biopsychosocial and Intake Assessment for FC-3 dated 9/25/22 did not include the current medication, including names, dosages, and instructions (250.G.3.f.) or the emotional and psychological needs of the child (250.G.3.g) as required. 4) In an interview with AR-1 and AR-3 during the inspection to review preliminary findings, they acknowledged that the information listed above was not documented in the children's Intake Assessments as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-250-O
Description:	Violation: Based on a review of the foster child's record (FC-1) and an interview with agency representatives (AR-2, AR-4, and AR-5), the agency failed to place a written assessment within the file of FC-1 that contained elements specified in 22VAC40-131-250.G within 30 days of the child's placement. Findings: 1) FC-1 was placed on 1/04/2023. No assessment containing elements specified in 22VAC40-131-250.G was contained in the file of FC-1. 2) In interviews with AR-2, AR-4, and AR-5, it was explained that some elements specified in 22VAC40-131-250.G were addressed in documentation contained in the record of FC-1 that is required by the Office of Refugee Resettlement but that no written assessment containing elements specified in 22VAC40-131-250.G was completed and placed in the file of FC-1 as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-260-B
Description:	Violation: Based on a review of the records of three children (FC-1, FC-2, and FC-3) and interviews with agency representatives (AR-1 and AR-3), the agency failed to include required elements in the children's social history reports. Findings: 1) The history of prenatal neglect or substance abuse (260.B.7), the education and occupation of the child's parents, siblings, aunts, uncles, and grandparents (260.B.8), and the medical and psychiatric history of the child's parents, siblings, aunts, uncles, and grandparents (260.B.9) was not included in documentation in the file of FC-1. 2) The child's previous placement history (260.B.5) documented in the Biopsychosocial and Intake Assessment dated 9/26/22 for FC-2 was inaccurate. The addresses of providers of medical treatment (260.B.6) was not included in the Biopsychosocial and Intake Assessment dated 9/26/22 for FC-2. The emotional and psychological problems the child has experienced within the last 13 months (260.B.10) was not documented in the Biopsychosocial and Intake Assessment dated 9/26/22 for FC-2. 3) The family's involvement with the child (260.B.4) was not documented in the Biopsychosocial and Intake Assessment dated 9/25/22 for FC-3. The emotional and psychological problems the child has experienced within the last 13 months (260.B.10) were not documented in the Biopsychosocial and Intake Assessment dated 9/25/22 for FC-3. 4) In an interview with AR-1 and AR-3 during the inspection to review preliminary findings, they acknowledged that the information listed above was not documented in the children's social histories as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-E
Description:	Violation: Based on a review of the service plans for two children (FC-1 and FC-2), the agency failed to include required elements in the children's service plans. Findings: 1) The service plan for FC-1 did not include a comprehensive assessment of the child's social nutritional, and psychiatric needs (340.E.1) as required. 2) The Master Treatment Plan for FC-2 did not include a comprehensive assessment of the child's emotional needs (340.E.1) as required. 3) In an interview with AR-1 and AR-3 during the inspection to review preliminary findings, they acknowledged that the information listed above was not documented in the children's service plans as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-F
Description:	Violation: Based on a review of a child's treatment plan (FC-3), the agency failed to document the involvement of the birth parents in the development of the plan as required. Findings: 1) The Master Treatment Plan for FC-3 dated 9/25/22 documents a return home goal. 2) The Master Treatment Plan for FC-3 dated 9/25/22 does not document the involvement of the birth parents in the development of the plan as required. 3) In an interview to review preliminary findings with AR-1 and AR-3 during the inspection, agency representatives acknowledged that the birth parents were not involved in the development of the plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-K
Description:	Violation: Based on a review of the service plan for a child (FC-3) and an interview with agency representatives (AR-1 and AR-3), the agency failed to provide a copy of the service plan to the child's birth parents as required. Findings: 1) The Master Treatment Plan for FC-3 dated 9/25/22 documents a return home goal. 2) The Master Treatment Plan for FC-3 dated 9/25/22 does not document that a copy of the plan was sent to the birth parents as required. 3) In an interview to review preliminary findings with AR-1 and AR-3 during the inspection, agency representatives acknowledged that a copy of the service plan was not sent to the birth parents.
Plan of Correction:	Not available online. Contact Inspector for more information.