VIRGINIA DEPARTMENT OF SOCIAL SERVICES

StepStone Family & Youth Services operated by Braley & Thompson
2701 Emerywood Parkway
Suite 102
Richmond, VA 23228
(804) 756-3561

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Dec. 4, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131-1-GENERAL PROVISIONS/63.2 (1) GENERAL PROVISIONS 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:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 12/4/2023 from 10:34a.m to 4:00p.m. Number of children in care: 26 Number of approved provider homes: 14 Number of children?s records reviewed: 3. Number of provider home records reviewed: 2. Number of staff records reviewed: 5 Observations by the licensing inspector: positing of the license and inspection documents was observed. An exit meeting was conducted on the date of inspection. The evidence gathered during the inspection determined (4) violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. 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, Irvin D. Goode, Licensing Inspector at 804-543-5188 or by email at Irvin.Goode@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-260-B-1
Description:	Based on the review of the records presented for Foster Child (FC)-2 and based on an interview with Agency Representatives (AR), the licensee failed to document the date the social history was completed. Findings: 1. Based on the review of the social history for FC1, the documentation did not contain the date of completion. 2. During the exit interview AR-1 and AR-3 acknowledged the absence of the date on this documentation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-C-8
Description:	Based on the review of the records presented for Foster Child (FC)-3 and based on an interview with Agency Representatives (AR), the licensee failed to document the child?s evidence of freedom from communicable disease, including tuberculosis. Findings:1. Based on the physician visit summary for FC3 dated 10/23/2023, there was no evidence that the child was free from communicable disease, including tuberculosis. 2. During the exit interview AR-1 and AR-3 acknowledged the absence of this evidence.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-F
Description:	Based on the review of the records presented for Foster Child (FC)-1 and based on an interview with Agency Representatives (AR), the licensee failed to document the child?s follow-up medical appointment. Findings: 1. Based on the review of the record and physician visit summary for FC1 dated 11/29/2022, the child was scheduled for a follow-up medical appointment on 5/29/2023. There was no documentation that this arrangement was made. 2. During the exit interview AR-1 and AR-3 acknowledged the absence of this documentation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-350-F
Description:	Based on the review of the records presented for Foster Child (FC)-2 and based on an interview with Agency Representatives (AR), the licensee failed to evaluate and update the comprehensive treatment and service plan for the upcoming year. Findings: 1. Based on a review of the record for FC 2, the last comprehensive treatment service review was dated 10/24/2022, the licensee failed to document the completion of the annual comprehensive treatment service plan review for 10/24/2023. 2. During the exit interview AR-1 and AR-3 acknowledged the absence of this documentation.
Plan of Correction:	Not available online. Contact Inspector for more information.