VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Embrace Foster Care
817 Cedar Creek Grade #202
Winchester, VA 22602
(540) 376-3968

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: March 10, 2021 and March 29, 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 10, 2021 and concluded on March 29, 2021. The Executive Director was contacted by telephone to initiate the inspection. The Executive Director reported there were six (6) children in care and ten (10) approved foster homes. The inspector emailed the Executive Director a list of items required to complete the inspection. The inspector reviewed one child?s record, two foster home records, 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 29, 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 #:	22VAC40-191-60-D-1
Description:	Violation: Based on review of the personnel record for Staff S1 and interview with agency representative, AR2, the agency failed to document contact with the Office of Background Investigations (OBI) regarding S1?s central registry search. Findings: 1. The results of the request for a search of the central registry was not returned within 30 calendar days for S1. 2. Review of the personnel record for S1 revealed no documentation of contact with OBI. 3. Agency representative AR2 acknowledged that documentation, as required by this regulation, was not obtained.
Plan of Correction:	Executive Director and HR Specialist have created a new system for Central Registries: 1. All staff Central Registries will be sent out with a postal tracking number. 2. Prior to sending out Central Registries a copy will be made with the mailing date and tracking number from the post office 3. If it is not returned within 30 days, an email will be sent to OBI and placed with the Central Registry report in HR file.