VIRGINIA DEPARTMENT OF SOCIAL SERVICES

StepStone Family & Youth Services
3045 J Ordway Drive
Roanoke, VA 24017
(540) 400-0717

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: May 19, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 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 May 19, 2020 and concluded on May 21, 2020. The program manager was contacted by telephone to initiate the inspection. There were three youth placed in independent living arrangements. The agency reports two new staff to the ILA program since the last inspection. The inspector emailed the program manager a list of items required to complete the inspection. The inspector reviewed one youth's record and three staff records submitted by the agency to ensure documentation was complete. Two additional personnel records were reviewed by another inspector at a different office location. Five Board Officer records were reviewed: two by licensing inspector at the Christiansburg Office and three by another licensing inspection at a different office location. An exit interview to discuss findings was held with the program manager by phone at the conclusion of the inspection. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and one violation was documented on the violation notice. The licensee has five (5) calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office. The plan of correction should include the following: The steps to correct noncompliance with the standard(s); measures to prevent re-occurrence of noncompliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee should retain a copy to be posted at the facility. 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 #:	22VAC40-131-440-I-2
Description:	Violation: Based on a review of the record for a youth (Y1) and interview with personnel (S1), the licensee failed to include a required element in Y1's individualized service plan. Evidence: 1. The "IL Transition Service Plan" completed on 04/10/2020 for Y1 did not describe the strengths of the youth as identified in the completed Casey Life Skill Assessment dated 03/08/2020. 2. During an interview with S1, S1 acknowledged that the information listed in the section of the plan for Y1 titled "strengths and needs of youth identified in completed life skills assessment" included strengths noted during interactions with the youth but did not include strengths identified in the life skill assessment.
Plan of Correction:	Staff will be trained on how to write this particular part of the Service Plan. While strengths had been written, moving forward we will use the wording "strengths based off of the Casey Life Skills", listing the youth "YES" % and then writing strengths for each of the Casey Life Skills areas.