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: May 22, 2024

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

Technical Assistance:

22VAC40-131-140.E.4 a-c Discussion regarding qualifications in job descriptions. 22VAC40-131-230.E.5 Discussion regarding documentation of required confidentiality, corporal punishment statements etc on a re-evaluation. 22VAC40-131-350.B.1 Discussion regarding documented detail for service plan objectives? progress.

Comments:

Type of inspection: Monitoring A monitoring inspection was initiated on 5/20/24 and concluded on 5/22/24. The Regional Manager was contacted by telephone to initiate the inspection. The Regional Manager reported that the current census was 8. The inspector emailed the Regional Manager a list of items required to complete the inspection. The inspector reviewed 1 resident record, 2 staff records, and 1 provider home record submitted by the facility to ensure documentation was complete. An exit interview was conducted with the Regional Manager on the date of inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. 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 #:	22VAC40-191-40-D-1-f
Description:	Violation: Based on review of documents received, the agency failed to obtain a central registry background check for Provider Home 1 (PH1), Household Member 1 (HM1) before three years since the date of the most recent child protective services background report. Findings: 1) Background checks were reviewed for HM1. 2) The central registry background checks were dated 12/11/20 and 1/4/24. 3) Staff 1 (S1) double-checked the request date for the background check and acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-4-a
Description:	Violation: Based on review of documents received, the agency failed to obtain a sworn statement and criminal history from the Office of Background Investigations for PH1 within 30 days of HM3?s 18th birthday. Findings: 1) HM3 turned 18 on 8/17/23. 2) The sworn statement was dated 12/6/23. 3) The fingerprint background check results were dated 9/27/23. 4) S1 acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.