VIRGINIA DEPARTMENT OF SOCIAL SERVICES

DePaul Community Resources
302 Shawnee Avenue
Big stone gap, VA 24219
(276) 524-2033

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Feb. 8, 2024 and Feb. 9, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 GENERAL PROVISIONS 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 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-330 Discussion regarding detailed documentation of visitation and contact.

Comments:

Type of inspection: Renewal An unannounced renewal inspection was conducted on 2/8/2024 from 12:50 p.m. to 4:10 p.m. A preliminary findings review was held on this date. Staff records were virtually reviewed on 2/9/2024 from 12:45 p.m. to 5:00 p.m. An exit interview was conducted on 2/20/2024 with the Director of Foster Care. Number of children in care: 11 Number of approved provider homes: 9 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 2 Number of provider home records reviewed: 1 The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) 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 violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) 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 Dawn Espelage, Licensing Inspector at 540-759-8852 or by email at dawn.espelage@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-290-C-4
Description:	Violation: Based on record review, the agency failed to ensure the medical report for foster child 1 (FC1) addressed growth and development. Findings: 1) A medical report dated 11/16/2023 was contained in the record. 2) The medical report did not address the required element of growth and development for FC1. 3) The Licensing Specialist did not find any documentation reflecting efforts by the agency to obtain an updated medical form. 3) Staff 1 (S1) and S3 were provided the opportunity to locate documentation demonstrating follow up with the provider?s office. 4) S1 and S3 were unable to locate additional information. 5) Findings were discussed during the preliminary review and staff acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-b
Description:	Violation: Based on review of documents received, the agency failed to obtain a criminal history background check for Staff 13 (S13) within 30 days of employment. Findings: 1) S13?s date of hire was 5/1/23. 2) The criminal history provided was dated 2/9/24. 3) S4 provided verification that a check was sent to Virginia State Police on 4/13/23. 4) No additional documentation was provided demonstrating follow up to obtain the background check. 5) S4 acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on review of documents received, the agency failed to obtain a criminal history background check for Staff 10 (S10) and S11 before three years since the date of the most recent criminal history record check report. Findings: 1) Background checks were reviewed for S10 and S11. 2) Criminal history record check reports for S10 were dated 5/14/20 and 2/9/2024. 3) Staff 4 (S4) provided documentation showing the signed request and check made out to Virginia State Police on 4/28/23. 4) Staff was unable to produce any follow up documentation. 5) Criminal history record reports for S11 were dated 9/22/20 and 2/9/24. 6) S4 provided documentation of the check sent to Virginia State Police on 7/19/23. 7) No additional information was available regarding follow up. 8) S4 acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.