VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Catholic Charities
2131 Valley View Blvd. NW
Roanoke, VA 24012
(540) 342-0411

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Dec. 13, 2019

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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 General Provisions. 63.2 Adoption 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced renewal inspection was conducted on 12/13/2019 from 9:50 AM - 3:03 PM and on 12/17/2019 from 11:00 AM - 2:30 PM. Commonwealth Catholic Charities reports a total of 21 provider homes in the foster care program and 35 foster children in placement. In the Adoption Program, the agency reports 9 adoptive homes and 2 children in placement under agency adoptions. During this inspection, five provider home records, four foster child records, four Board Officer records (background checks), and eight personnel records were reviewed. Two personnel were interviewed during the inspection. An exit interview was conducted at the conclusion of the inspection with the Program Manager and Director of Children's Services to review preliminary inspection findings. An acknowledgement form was signed. There was one violation. Upon the receipt of the violation notice, the licensee should identify the necessary corrective action and develop a plan of correction for each violation. The plan of correction should include the following: The steps to correct noncompliance 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 titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 5 days, regardless of whether the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-131-230-E-4
Description:	Violation: Based on a review of the record for a Provider Home (PH1) and interview with personnel (S1), the licensee failed to obtain the results of a new tuberculosis screening for the applicants (P1 and P2 from PH1). Evidence: 1. According to the re-evaluation for PH1, the re-evaluation process for PH1 did not include obtaining the results of a new tuberculosis screening documenting the absence of tuberculosis in a communicable form for P1 and P2. 2. During the exit interview S1 was asked if tuberculosis screenings were completed for the applicants during the re-evaluation. Personnel, S1, stated that she was unaware of this requirement and she did not obtain results of a TB assessment for P1 and P2 as part of the re-evaluation process for approving PH1.
Plan of Correction:	Staff charged with conducting re-evaluations of foster homes will be trained in the requirement of obtaining a TB screening or test as part of the re-evaluation requirements, to occur within the 12 months prior to the re-evaluation. Program Manager will monitor for compliance.