VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Embrace Foster Care, LLC.
4656 Brambleton Avenue
Roanoke, VA 24018
(540) 376-3968

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: March 16, 2021 and April 7, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on March 16, 2021 and concluded on April 7, 2021. The Executive Director was contacted by telephone to initiate the inspection. The Executive Director reported there were 47 children in care and 34 approved foster homes. The agency reported no new hires since the last inspection. The inspector emailed the Executive Director a list of items required to complete the inspection. The inspector reviewed (5) five children?s record and (4) four foster home records submitted by the agency to ensure documentation was complete. Exit meeting was held with the Executive Director on April 7, 2021. The agency previously submitted their COVID-19 policies and procedures. Information gathered during the inspection determined non-compliance with applicable standards or law, and a violation was documented on the violation notice issued to the agency. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return to the Licensing Office within 5 business days from receipt of the inspection documentation. You will need to specify how the deficient practice will be or has been corrected (merely writing the word corrected is not acceptable). Your plan of correction must contain the steps to correct the noncompliance with the standard(s), the measures to prevent the noncompliance from occurring again; and the position responsible for implementing each step and/or monitoring any preventive measure(s). The licensee should retain a copy to be posted at the agency. 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 #:	22VAC40-131-250-H
Description:	Violation Based on review of the record for foster child FC1 and interview with agency representative AR2, the agency failed to document consideration of all required elements prior to recommending the placement type best suited to FC1. Findings: 1. The Intake Assessment and Social History report documents information regarding the placement type best suited to a child. The area in the report used to document this information prior to placement was left blank. 2. AR1 acknowledged that the area that usually includes this information was left blank.
Plan of Correction:	1.Program Manager will work with the CW to complete an addendum to the Intake Social History for this client. 2.A reminder training for all staff on the importance of this narrative will take place.
Standard #:	22VAC40-131-340-E-4
Description:	Violation: Based on a review of the records for foster child (FC1), foster child (FC2) and interview with agency representative AR2, the agency failed to include a required element in the comprehensive individualized service and treatment plans (CTSP). Findings: 1. The plans did not include the target date for the children's discharge from the program. 2. AR2 confirmed that this required element was missing
Plan of Correction:	Program Manager will re-train staff that the anticipated discharge date is required to be in date format, not an approximate number of months.