VIRGINIA DEPARTMENT OF SOCIAL SERVICES

StepStone Family & Youth Services
2201 Graves Mill Road
Suite D
Forest, VA 24551
(434) 832-1326

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Nov. 9, 2022 , Nov. 10, 2022 and Nov. 14, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 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:

Type of inspection: Monitoring An unannounced monitoring inspection was held on site 11/9/22 from 11:15 a.m. to 4:30 p.m., 11/10/22 from 1:00 p.m. to 5:00 p.m. and virtually 11/14/22 from 12:00 p.m. to 1:30 p.m. The Acknowledgement of Inspection form was signed and e-mailed to the facility on the last date of the inspection. Number of children in care: 16 Number of approved provider homes: 25 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 2 Number of provider home records reviewed: 3 Number of staff records reviewed: 4 (background checks) Number of interviews conducted with staff: 1 An exit meeting was held on 11/15/2022 with the treatment foster care director and clinical supervisor. 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 Dawn Espelage, Licensing Inspector at 540-759-8852 or by email at dawn.espelage@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-250-O
Description:	Violation: Based on record reviews and interview, the agency failed to place in the record two written assessments within the required 30 day timeframe. Findings: 1) FC1 was placed 7/12/22. 2) FC1?s written assessment was completed 8/11/22. 3) FC1?s written assessment was uploaded in the file on 9/26/22. 4) FC2 was placed 9/26/22. 5) FC2?s written assessment had been completed but had not been uploaded into child?s record. 6) The findings were discussed during the preliminary findings review on 11/14/22.
Plan of Correction:	QAM will be hired to audit files. Until then, supervisors will audit files to make sure written assessments are completed and in the ER file within 30 days of placement.
Standard #:	22VAC40-131-290-E-1
Description:	Violation: Based on record review and staff interview, the agency failed to obtain dental documentation or a dental exam within 60 days of placement. Findings: 1) FC1 was placed 7/12/22. 2) FC1 record did not have documentation regarding efforts to obtain the most recent dental record. 3) FC1 record did not have documentation of a current dental examination completed or scheduled. 4) S1 acknowledged the findings.
Plan of Correction:	QAM will be hired to audit files. Until then, supervisors will audit files to make sure dentals are completed and uploaded into ER within 60 days of placement.
Standard #:	22VAC40-191-40-D-1-b
Description:	Violation: Based on record reviews and interview, the agency failed to obtain the criminal history record check (CCRE ) on a staff member within 30 days of hire. Findings: 1) Staff 1 (S1) was hired on 5/16/22. 2) The CCRE results were dated 9/28/22. 3) S2 provided verifications on 11/10/22 regarding criminal history and sex offender background checks completed timely from an external agency; however those reports do not comply with the standards for CCRE. 4) The findings were discussed during the preliminary findings review on 11/14/22. S7 acknowledged the findings as there was a change in the agency?s human resources department during the time of the new hire.
Plan of Correction:	HR files will be audited to make sure background checks are in the file and completed on time.