VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Catholic Charities
507 Park Avenue SW
Norton, VA 24273
(276) 679-1195

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Dec. 13, 2021 , Dec. 14, 2021 and Dec. 16, 2021

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

Comments:

An unannounced monitoring inspection was conducted on 12/13/2021 from 1:00 p.m. to 5:00 p.m. and 12/14/2021 from 9:15 a.m. to 5:00 p.m. The Licensing Inspector contacted the Director of Operations to conduct a COVID pre-screening prior to the inspection. The agency reported 36 children in foster care and 23 approved provider homes. One new staff member was hired since the last inspection. During this inspection four (4) foster child, three (3) provider home, and three (3) personnel records were reviewed. Five (5) Staff member were interviewed. The Director of Operations participated in the entrance conference, office tour, and remained available during the inspection. A preliminary review of findings was conducted with the Director of Operations, Clinical Supervisor of Foster Care, and Foster Parent Specialist and Director of Children's Services. The Vice-President of Operation and Human Resources Manager were contacted during the preliminary findings review and interviewed. Staff were provided the opportunity to provide additional information and documentation. Acknowledgment of Inspection was signed at the end of the inspection. An exit interview was conducted with the Director of Operations on 12/16/2021. There were four (4) citations for violations of the Standards for Child-Placing Agencies. Violations are documented on the Violation Notice.

Violations:

Standard #:	22VAC40-131-180-J-2
Description:	Based on record reviews and interviews, the agency failed to address an element required by 22VAC40-131.J.2.A.f. in the home studies for Foster Home 1 and Foster Home 2 (FH1 and FH2). 1. The home study documents for FH1 and FH2 did not document the key or combination for stored firearms and ammunition was stored out of reach of children. 2. A Provider Home Checklist was located in the record for FH1 and FH2. The checklist did not document the key or combination for stored firearms and ammunition was stored out of reach of children. 3. The findings were discussed during the exit interview and Staff 1, 2, and 3 (S1, S2, and S3) were interviewed. 4. S1 and S3 explained the key and combination storage is assessed during the home study process and the language on the Provider Home Checklist and the home study documentation could more clearly document this assessment. 5. S1 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-K-1
Description:	Violation: Based on record reviews, the agency failed to obtain tuberculosis screening reports containing required elements for Household member 1 (HH1) in Foster Home 1 (FH1) and Household member 2 (HH2) in Foster Home 2 (FH2). Findings: 1. The records for FH1 and FH2 contained tuberculosis screening documents for HH1 in FH1 and HH2 in FH2. 2. The tuberculosis screenings for HH1 and HH2 documented a screening was conducted and the forms were signed by medical professionals. 3. The medical professional did not mark the statement to indicate whether HH1 and HH2 are free from tuberculosis in communicable form. 4. The findings were discussed during the exit interview. Staff 1, 2, and 3 reviewed case record and tuberculosis screening documents. 5. Staff 1 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-b
Description:	Violation Based on record review and interviews, child protective services central registry search result for Personnel 3 (P3) was not completed before the end of 30 days of employment at the agency. Findings: 1. P1 was hired 10/11/2021. 2. A Child Protective Services search result letter for P1 was dated 11/28/2021. 3. The finding was discussed during the exit interview. Staff 1 (S1) reviewed the search result letter. 4. S1 contacted Human Resources to determine the date the search request was submitted and whether follow up contact was made to the Office of Background Investigations within 4 days of the 30th day. 5. Human Resource Staff 4 and 5 (S4 and S5) were interviewed by phone. Additional documentation and information were not provided. 6. S1 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 record review and interviews, background checks for Personnel 1 (P1) were not completed before to three years since the dates of the last sworn disclosure statement and most recent criminal history record check. Findings: 1. The personnel record for P1 contained Sworn Disclosure Statements dated 7/11/2018 and 7/27/2021. 2. The personnel record for P1 contained criminal history search results dated 7/12/2018 and 8/9/2021. 3. The finding was discussed during the exit interview. Staff 1 (S1) reviewed the criminal search results and Sworn Disclosure Statements. 7. S1 contacted Human Resources. 8. Human Resource Staff 4 and 5 (S4 and S5) were interviewed by phone. Additional information and documentation were not provided. 9. S1 acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.