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: May 3, 2022

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 63.2 Adoption 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An onsite, unannounced, mandated monitoring inspection was completed on 5/03/2022 from 10:00 am until 4:00 pm. The agency reports 14 adoptive families and 12 foster families currently approved. The Program Manager for Adoption, the Program Manager for TFC, and the TFC Program Supervisor were available for the inspection. The Program Manager for TFC and the TFC Program Supervisor were available for the exit interview at the end of the day. Two adoptive home records were reviewed. Background checks for two additional adoptive families approved since the last inspection were also reviewed. Two foster home records were reviewed and two children?s records were reviewed. One personnel record was reviewed. There were two citations for violations of the Standards for Child Placing Agencies. They were both key health and safety standards. Upon receipt of the violation notice, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of non-compliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which non-compliance will be corrected. The licensee has ten (10) calendar days from receipt of the inspection documentation to complete the section entitled "Plan of Correction", sign each page of the Plan of Correction and return it to the Licensing Office. The licensee retains a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the VDSS web site within five (5) days, regardless of whether or not the Plan of Correction has been completed.

Violations:

Standard #:	22VAC40-131-260-B
Description:	Based on a review of two foster children?s records (FC-1 and FC-2) and an interview with agency representatives (AR-2 and AR-3) the agency failed to include elements in the children?s social histories as required. Evidence: 1. The ?Social History and Comprehensive Assessment? for FC-1 dated 3/28/22 and FC-2 dated 2/27/22 did not address the children?s medical histories or emotional problems the children experienced within the last 13 months. 2. In an exit interview on 5/03/22, AR-2 and AR-3 acknowledged that the elements were not included in the social histories of FC-1 and FC-2 as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-340-E
Description:	Violation: Based on a review of two foster children?s records (FC-1 and FC-2) and an interview with agency representatives (AR-2 and AR-3) the agency failed to include elements in the children?s individualized service plans as required. Evidence: 1) The ?Comprehensive Individualized Service Plan? for FC-1 dated 3/13/22 and FC-2 dated 2/13/22 did not include required elements. 2) The ?Comprehensive Individualized Service Plan? for FC-1 documents that the child is depressed and withdrawn. There was no goal or objective identified to address this specific need. 3) The ?Comprehensive Individualized Service Plan? for FC-2 did not include a comprehensive assessment of the child?s emotional, social, or developmental needs. 4) In an exit interview on 5/03/22, AR-2 and AR-3 acknowledged that the elements were not included in the individualized service plans of FC-1 and FC-2 as required.
Plan of Correction:	Not available online. Contact Inspector for more information.