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: Nov. 13, 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:

Date of inspection: 11/13/23; 10:30-5pm and 11/14/23; 9:30-5pm. Licensing inspectors present: Irvin Goode and Sherry Woodard. Licensing inspectors met with Program Director Jennifer Gillam and Program assistant LaVanjulena Hawkins. Number of approved provider homes: (25) Number of children in care: (25) Number of children records reviewed (3) and (1) Discharge record. Number of provider home records reviewed (3). Board of Directors were reviewed during this inspection. Observations by licensing inspection: Posting of license was observed. Provider has hired three new staff since last visit. Case Manager hired 9/2023 was interviewed and was able to verbalize understanding of job responsibilities. A preliminary findings meeting was conducted on 11/14/23 with the program Director, Program Assistant, and the State Director of Foster Care. The acknowledgement form was provided. The inspection documents were sent to the licensee on 11/29/2023. The evidence gathered during the inspection determined (4) violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. 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, Irvin D. Goode, Licensing inspector at 804-543-5188 or email at Irvin.Goode@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-290-C-5
Description:	Violation: Based on the record review for FC1, the agency failed to demonstrate visual acuity was addressed on the medical examination report signed and dated on 3/21/23. Findings: 1. Physical examination documentation dated 3/21/23 in the record for FC1 did not address visual acuity. The visual acuity section on the medical examination form stated ?not done? in the space provided. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Program Director will train staff on checking medical forms to make sure they are fully completed before being put in the file. Foster parents will be trained on what needs to be filled out on medical forms by the doctor
Standard #:	22VAC40-131-290-C-6
Description:	Violation: Based on the record review for FC1, the agency failed to demonstrate that auditory acuity was addressed on the medical examination report signed and dated on 3/21/23. Findings: 1. Physical examination documentation dated 3/21/23 in the record for FC1 did not address auditory acuity. The auditory acuity section on the medical examination form stated ?not done? in the space provided. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Program Director will train staff on checking medical forms to make sure they are fully completed before being put in the file. Foster parents will be trained on what needs to be filled out on medical forms by the doctor
Standard #:	22VAC40-131-290-F
Description:	Violation: Based on the record review for FC2, the agency failed to include documentation from the medical specialist visit on 6/13/2023. Findings: 1. The follow-up medical visit in the record dated 6/13/23 for FC2 did not include the medical documentation. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Program Director will train staff on documenting upcoming visits in the file reminding staff to schedule follow-up recommendations by the doctor.
Standard #:	22VAC40-191-60-C-1
Description:	Violation: Based on record review for S1 hired 10/16/23, the agency was not able to demonstrate an original criminal history record report within 30 days of employment. Findings: 1. At time of renewal inspection visit on 11/14/23, State police documentation in record for S1 was returned to the requestor on 10/20/23 due to incomplete documentation. Written correspondence reviewed in the record for S1 from State Police outlined additional information needed for processing. Agency/requestor resubmitted documentation to State Police on 10/26/23. Criminal history results are pending as of 11/14/23. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Program Assistant will ensure background checks are completed before sending them out