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 1, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Comments:

Type of inspection: Renewal An unannounced renewal inspection was conducted on-site 02/28/2024 from 10:30 a.m. to 2:00 p.m. Remote review was conducted on 02/29/2024 to review documents forwarded by the facility. The Acknowledgement of Inspection form was signed and left at the facility on the date of the on-site inspection. A preliminary findings review was held on 02/28/2024. The exit meeting was conducted on 3/1/2024. Number of youth: 1 Number of approved provider homes: 4 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of youth records reviewed: 1 Number of staff records reviewed: 3, plus prior records during the renewal period. Number of provider homes reviewed: 1 Number of interviews conducted with staff: 2 The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 Kevin Lassiter at 804-241-2093 kevin.lassiter@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-230-B
Description:	Violation: Based on record review and interview, the agency failed to monitor the home at least every 90 days. Findings: 1. In review of FH1?s record, the last 90-day monitoring report on file was dated for 4-4-2023. 2. Findings were discussed during the preliminary findings review. 3. S1 reviewed the record with Licensing Inspector during the exit interview to confirm the findings. 4. S1 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-e
Description:	Violation: Based on record review and interview, the agency failed to obtain the required central registry on FH1 before 3 years since the date of the last most recent central registry. Findings: 1) Central Registry for Provider 1 (P1) in FH1 were dated 9-24-2020 and 10-28-2023. 2) Central Registry for P2 in FH1 were dated 9-24-2020 and 10-3-2023. 3) Findings were discussed during the preliminary findings review. 4) Findings were reviewed during the exit review and S1 acknowledge the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-f
Description:	Violation: Based on record review and interview, the agency failed to obtain the required central registry on adult household member (HHM-1) in FH1 before 3 years since the date of the last most recent central registry. Findings: 1. Central Registry for HHM1 in FH1 were dated 9-24-2020 and 10-11-2023. 2. Findings were discussed during the preliminary findings review. 3. Findings were reviewed during the exit review and S1 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.