VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Extra Special Parents, INC.
1344 Maple Avenue SW
Roanoke, VA 24016
(540) 981-1776

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Oct. 25, 2022 and Oct. 31, 2022

Complaint Related: Yes

Areas Reviewed:

22VAC40-131 PROVIDER HOMES 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/25/2022 from 9:10 a.m. to 5:45 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 8/17/2022 regarding allegations in the areas of: Provider Homes Number of children in care:16 Number of approved provider homes: 15 Number of children?s records reviewed: 0 Number of provider homes reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with staff: 3 An exit meeting was conducted on 10/31/2022 to review the inspection findings by Teams Meeting. The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can be found on the violation notice. 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 Caldwell, Licensing Inspector at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-230-K
Complaint related:	No
Description:	Violation: Based on record review and interview, the agency failed to maintain documentation in the provider?s file of each visit and contact with Provider Home 1 (PH1). Findings: 1) The record for PH1 included an Internal Investigation Report signed 7/11/2022. The report stated that ?ESP Roanoke staff will conduct monthly reach outs.? 2) The Licensing Specialist did not locate documentation of monthly reachouts with PH1 following the report date. 3) The findings were discussed during the preliminary findings review and Staff 2, 3, and 4 (S2, S3, and S4) were interviewed. 4) During interviews S3 and S4 reported they held meetings with PH1 on 07/21/2022, 07/22/2022, 08/15/2022, 08/22/2022, and 08/25/2022. In addition, staff sent emails to PH1 on 9/15/2022 and 10/04/2022. 5) Staff 2 (S2) reviewed the record and was unable to locate documentation of the meetings and emails referenced above. 6) The findings were discussed during the exit interview on 10/31/2022.
Plan of Correction:	Training conducted with clinical and family service staff regarding documenting all contact with the foster families within their files. This shall include any meetings held with the family, trainings needed, and completed as well as any outstanding items to be in compliance. This documentation shall be completed within 48 hours from contact