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. 7, 2021 and Dec. 8, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 63.2 Adoption 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced monitoring inspection was conducted on December 7, 2021 from 12:00 pm to 3:00 pm and on December 8, 2021 from 9:30 am to 3:00 pm. Commonwealth Catholic Charities continues to provide foster care, treatment foster care, short term foster care services and adoption services to include parental and agency placements, post-placement supervision, and home studies for adoptive families. Commonwealth Catholic Charities reports 15 children in care and 12 provider homes in their foster care program. The adoption program reports 11 provider homes. During this inspection, two foster home records and two adoptive home records were reviewed. Three foster child records and three personnel records were also reviewed. An interview to review preliminary findings was conducted on 12/08/21 with the Foster Care Program Manager, the Adoption Program Manager, and the Program Supervisor. An acknowledgement of inspection form was signed on 12/08/21. Information gathered during the inspection determined non-compliance with applicable standards or law, and the violations were documented on the violation notice issued to the agency. Upon 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 #:	22VAC40-131-210-D
Description:	Violation: Based on a review of a foster home record (FH-2) and an interview with agency representatives (AR-1, AR-2, and AR-3), the agency did not ensure that the foster family received annual training as required. Evidence: 1) FH-2 is an approved provider that was re-evaluated on 1/26/20. 2) The most recent training documented in the foster home file is dated 7/18/17. 3) In an interview on 12/08/21, AR-2 acknowledged that the family has not received annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-250-G
Description:	Violation: Based on a review of a foster child record (FC-3) and an interview with agency representatives (AR-1, AR-2, and AR-3), the agency did not document required information in the child's file prior to placement. Evidence: 1) The "Pre-Placement and Intake" form for FC-3 dated 11/10/21 did not document: a) 22VAC40-131-250.G.3.a current information on the health of FC-3. b) 22VAC40-131-250.G.3.f the reason for the prescription medication for FC-3. 2) In an interview on 12/08/21, AR-2 and AR-3 acknowledged that this information was not documented adequately in the child's intake assessment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-260-B
Description:	Violation: Based on a review of two foster children's record (FC-1and FC-2) and an interview with agency representatives (AR-1, AR-2, and AR-3), the agency did not include required information in the children's social history reports. Evidence: 1) The social history for FC-1 dated 5/09/21 and the social history for FC-2 dated 10/01/21 did not include addresses of providers of medical treatment as required by 22VAC40-131-260.B.6. 2) In an interview on 12/08/21, AR-2 and AR-3 acknowledged that the addresses of providers of medical treatment were not included in the social history reports as required.
Plan of Correction:	Not available online. Contact Inspector for more information.