VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Embrace Foster Care
10705 Spotsylvania Avenue
Suite 101
Fredericksburg, VA 22408
(540) 815-6908

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: March 8, 2021 and March 15, 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 22VAC40-191 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 8, 2021 and concluded on March 15, 2021. The Executive Director was contacted by telephone to initiate the inspection. The Executive Director reported there were 9 children in care and 17 approved foster homes. The inspector emailed the Executive Director a list of items required to complete the inspection. The inspector reviewed two foster home records, one child?s record, background checks for two agency representatives, and one personnel record submitted by the agency to ensure documentation was complete. Exit meeting was held with the Executive Director on March 15, 2021. The agency 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 #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on a review of the personnel record for agency representative AR1 and interview with agency representative AR2, the agency failed to obtain a search of the central registry before three years since the date of the most recent central registry finding. Findings: 1. The most recent central registry search for AR1 is dated 03/29/2017. 2. AR2 reported that a request for a central registry search has been submitted to the Office of Background Investigations (OBI) as of 03/15/2021.
Plan of Correction:	The Central Registry Background check will be completed and sent off immediately. Once received the check will be stored in the HR file. To avoid a repeat violation, AR1 will be included in the list of ancillary staff who have all background checks monitored on an annual bases to ensure CPS (Central Registry) is acquired every 3 years in compliance with this regulation.