VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Bair Foundation of Virginia
184 Business Park Drive
Suite 200
Virginia beach, VA 23462
(757) 424-2861

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: Dec. 5, 2019 and Dec. 6, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 63.2 General Provisions. 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Technical Assistance provided regarding Standard 22VAC40-131-180.E.2-summary of the content of interview for foster home applicants was discussed. Technical Assistance provided regarding standards 22VAC40-131-180.H and 22VAC40-131-180.I; the licensee is encouraged to follow up and gather information regarding previous applications submitted by the provider applicant.

Comments:

An unannounced mandated renewal inspection was conducted to The Bair Foundation, Virginia Beach location on December 5, 2019 from 8:50 am to 4:30 pm and on December 6, 2019 from 8:30 am to 2:45 pm. The Bair Foundation continues to provide foster care, short-term foster care and treatment foster care services. The agency reports forty-three (43) children in care and forty-eight (48) approved foster homes. During the inspection, the following activities transpired: 1. Six (6) complete foster home records were reviewed 2. One (1) additional foster home record (background only) 3. Five (5) foster child records were reviewed 4. Two (2) staff records were reviewed; including One (1) new staff record 5. Serious Incident Reports were reviewed 6. Policy and Procedures were reviewed 7. Interviews with agency representatives were conducted 8. One Board Member Record was reviewed (background only) There were eight (8) citations for violation of the Standards for Child Placing Agencies. An exit meeting was conducted with agency representatives on December 6, 2019 at 1:15 p.m. to discuss the inspection findings. Upon receipt of the violation notice, the licensee should develop a plan of correction for each violation. The plan of correction should include the following: the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of noncompliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five (5) calendar days from receipt of the inspection documentation to complete the section entitled "Plan of Correction", sign each page of the Plan of Correction and return it to the Licensing Office. The licensee retains a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the VDSS web site within five (5) days, regardless of whether or not the Plan of Correction has been completed.

Violations:

Standard #:	22VAC40-131-140-F-2
Description:	Based on the review of the record for Staff (S) 2 and based on an interview with agency representatives, S2 did not have evidence of one year of experience in providing casework services to children and families. Findings: 1.During the entrance interview AR1 and AR2 identified S2 as a Case Worker/?Social Service Worker.? The case assignment-?staff information sheet? identified S2 as a Case Worker-?Social Service Worker.? The job description in the record for S2 identified S2 as a Case Worker/ ?Social Service Worker.? The employment letter located in the record identified S2 as a ?Social Service Worker?/Case Worker. 2.Based on the review of the resume and application located in the record, S2 did not have one year of experience in providing casework services to children and families. 3.During the exit interview, AR1 and AR3 reviewed the personnel file for S2 and acknowledged that S2 did not have one year of experience. AR3 then stated that S2 is a trainee.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-210-A
Description:	Based on the review of the Foster Home (FH) record for FH1 and based on an interview with agency representatives, the licensee failed to document evidence that pre-service training was provided to FH1. Findings: 1.Based on the review of the record for FH1, the record did not contain any evidence that the licensee provided pre-service training to FH1. 2.During the exit interview, AR1 and AR3 carefully reviewed the record for FH1 and were not able to locate evidence of pre-service training for FH1. 3.Following the exit interview, AR3 submitted an email stating that they were able to locate the pre-service training for FH1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-280-C-8
Description:	Based on the review of the record for Foster Child (FC) 1 and based on an interview with AR1, the licensee failed to document arrangements for visits for parents in the foster home agreement. Findings: 1.The foster home agreement located in the record for FC1 did not contain arrangements for visits by the parent. Number 40 on the agreement states that specific visitation information is listed below however, there was no arrangements listed below, the section of the agreement was left blank. 2.During the exit interview, AR1 referenced a generic statement on the placement agreement for FC1 however, there were no specific arrangements for visitations on this agreement either. In addition, the standard violation is in reference to the foster home agreement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-C-8
Description:	Based on the review of the record for FC4 and based on an interview with agency representatives, the licensee failed to obtain a medical examination report for FC4 that included evidence of freedom form communicable disease, including tuberculosis. Findings: 1.The record for FC4 contained a medical examination which indicated that the foster child had been administered a tuberculosis test as evident by the exam reporting ?TB placed? return for results. However, there was no documentation in the record of the child?s results or return for results. 2.During the Exit interview, AR1 and AR3 carefully reviewed the medical records for FC4 and was not able to determine the results of the tuberculosis test that was ?placed? on the date documented in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-K
Description:	Based on the review of the record for FH3 and based on an interview with agency representatives, the licensee failed to ensure that the provider applicant submit a tuberculosis screening or test and provide documentation on the appropriate report of tuberculosis form for the foster father. Findings: 1.The record for FH3 did not contain any evidence of a submission of a tuberculosis screening or test and provide documentation on the appropriate report of tuberculosis form for the foster father. 2.During the exit interview, AR1 and AR3 reviewed the record for FH3 and determined that the tuberculosis screening was not located in the record at the time of the review for the foster father.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-L
Description:	Based on the review of the record for FH3 and based on an interview with agency representatives, the licensee failed to ensure that the provider applicant submit the results of a medical examination for the foster father. Findings: 1.The record for FH3 did not contain any evidence of a submission of a medical examination for the foster father. 2.During the exit interview, AR1 and AR3 reviewed the record for FH3 and acknowledged the absences of a medical examination form the record for the foster father.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-F-1
Description:	Based on interviews with agency representatives and based on the review of the file for Foster Child (FC) 1, FC3 and FC4, the licensee failed to document in the child?s record, the birth parents involvement in developing the child?s individualized service plan, child?s treatment plan as appropriate and quarterly progress reports and in updating the service plan and treatment plans as necessary. Findings: 1.Based on all documentation throughout the child?s file, FC1?s birth mother remains involved in the child?s life, maintains contact with the child and her parental rights have not been terminated. 2.Based on all documentation throughout the child?s file, FC3?s and FC4?s birth mother remains involved in the child?s life, maintains contact with this child, engages in supervised visits with the child and her parental rights have not been terminated. FC3?s birth father was released from jail and is active as well with his rights not terminated. 3.Based on documentation in the child?s file, the court goal for FC1, FC3 and FC4 is return home. 4.Based on interviews with AR1 and AR3 who reviewed the records during the exit interview, they acknowledged that there is a section on the plans that indicate that the birth parents can have a copy of the plan but did not locate evidence suggesting that they were not eligible to participate in service planning in accordance to this standard.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-C-1-d
Description:	Based on the review of the record for FH3 and based on an interview with agency representatives, there was no evidence of a search of central registry-search of child abuse and neglect registry for the foster mother. Findings: 1.The record for FH3 did not contain a Central registry-search of child abuse and neglect registry for the foster mother. 2.During the exit interview AR1 and AR3 carefully reviewed the record for FH3 and reviewed their various electronic systems and acknowledged the absence of a central registry-search of child abuse and neglect registry for the foster mother.
Plan of Correction:	Not available online. Contact Inspector for more information.