VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The PICF Training Institute, LLC
23 West Broad Street
Suite 402
Richmond, VA 23220
(804) 385-4171

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: Feb. 9, 2021 and Feb. 23, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 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 February 9, 2021 and concluded on February 23, 2021. The Executive Director was contacted by telephone to initiate the inspection. The Executive Director reported there were 9 youth in independent living arrangements and reported that no new staff had been hired since the last inspection. The inspector emailed the Executive Director a list of items required to complete the inspection. The inspector reviewed one youth records and one staff record submitted by the agency to ensure documentation was complete. Exit meeting was held with the Executive Director on February 23, 2021. The agency had submitted their COVID-19 policies and procedures previously. Information gathered during the inspection determined non-compliance with applicable standards or law, and a violation was documented on the violation notice issued to the agency. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return to the Licensing Office within 5 business days from receipt of the inspection documentation. You will need to specify how the deficient practice will be or has been corrected (merely writing the word corrected is not acceptable). Your plan of correction must contain the steps to correct the noncompliance with the standard(s), the measures to prevent the noncompliance from occurring again; and the position responsible for implementing each step and/or monitoring any preventive measure(s). 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 #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on review of the personnel record for Staff S1 and interview with S1, the agency failed to comply with the requirements for background checks before three years since the date of the last criminal history record check report for staff, S1. Findings: 1. The received dates on the criminal history record check, to include the child protective services (CPS) result and disclosure statement, confirmed that repeat background checks were not obtained before three years since the date of the current reports. 2. S1 was not able to provide a background check conducted before three years since the date of the last criminal history record check, CPS result, and sworn disclosure statement. S1 confirmed the Licensing Specialist?s findings.
Plan of Correction:	Operations Manager has submitted all background checks for all employees who have been with the agency for 3 years. Both VA State Criminal Background Checks as well as VA Department of Social Services CPS Checks have been submitted. The 3-year background check has been added to the Human Resource Checklist.