VIRGINIA DEPARTMENT OF SOCIAL SERVICES

StepStone Family & Youth Services
6330 North Center Drive
Building 13, Suite 100
Norfolk, VA 23502
(757) 466-1052

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: June 27, 2024

Complaint Related: No

Areas Reviewed:

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

Technical Assistance:

22VAC40-131-110-Received Date for Materials

Comments:

T ype of Inspection: Monitoring On 6/27/2024 Licensing inspector initiated a monitoring inspection. The Director was contacted by telephone to initiate the monitoring inspection. The Director reported that he current census was (15). The Licensing Inspector emailed the Director a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed (2) child record, (2) staff records, and (2) Provider home records submitted by the agency to ensure documentation was complete. Provider has not had any updates to policies and procedures since last inspection. An exit interview was conducted with the Director on 6/28/2024 via TEAMS, where findings were reviewed, technical assistance was provided and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations documented on the violation notice issued to the facility. There were no changes to facility's policies or procedures since the last inspection. Number of approved provider homes: (7) Number of children in care: (15) Number of children?s records reviewed: (2). Number of provider home records reviewed: (2) Number of staff records reviewed: (2) The evidence gathered during the inspection determined 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, Sherry. Woodard, Licensing Inspector at 757-987-0839 or by email at Sherry.Woodard@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-260-A
Description:	Based on the record review for FC#2. Social history in record was not completed within 45 days of the FC#2 placement. Findings: 1. Foster child #2 initial placement was 1/11/2023. 2. Social history document reviewed in agency?s electronic health record was completed and signed by staff on 6/7/23. 3. Inspection findings were discussed during the exit interview with AR-1 and acknowledged the findings following AR-1 review of document in agency?s electronic health record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-E
Description:	Based on the record review for FC-2, the agency failed to conduct an dental exam within 60 days following the date of placement. Findings: 1. FC#2 was placed with agency on 1/11/23. 2. At time of inspection there was no evidence in the record for FC-2 to demonstrate that a dental exam had been completed within 13 months prior to the time of placement. 3. Licensing inspector reviewed documentation in the record of FC-2 for two dental visits dated 4/8/23 and a follow-up dental visit on 12/12/23. There was no documentation to demonstrate that a dental examination was completed within 60 days following FC-2 placement. 4. Inspection findings were discussed during the exit interview with AR-1 and acknowledged the findings following AR-1 review of the agency?s electronic health record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-350-A
Description:	Based on the record review for FC#2, the agency failed to document the progress in a written summary report every 90 days from the child's placement. Findings: 1. FC #2 was admitted on 1/11/23. Last quarterly review found in the electronic health record was dated 1/2024. There was no evidence that the quarterly review for FC#2 due April 2024 was completed and in the record per agency standards at time of licensing inspector's review. 2. Inspection findings were discussed during the exit interview with AR-1 and acknowledged the findings following AR-1 review of the agency?s electronic health record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-b
Description:	Based on the review of employee records for Staff (1) and Staff (2), the agency failed to demonstrate that central registry searchs were completed before 30 days of employment at the agency ends. Findings: 1. Staff (#1) date of hire was 2/12/24. As of 6/24/24, access to agency's electronic health record was provided to licensing specialist. No documentation was found in the record to demonstrate that a central registry search was completed within 30 days of employment for Staff (#1) and no evidence of results were documented in the record at time of review. 2. Staff (#2) date of hire was 12/11/23. As of 6/24/24, access to agency's electronic health record was provided to licensing specialist. No documentation was found in the record to demonstrate that a central registry search was completed within 30 days of employment for Staff (2) and no evidence of results were documented in the record at time of review. 3. Inspection findings were discussed during the exit interview with AR-1 and acknowledged the central registry searches were not conducted per 22VAC40-191-40-D-1-b.
Plan of Correction:	Not available online. Contact Inspector for more information.