VIRGINIA DEPARTMENT OF SOCIAL SERVICES

United Methodist Family Services
6935 Columbia Pike
Annandale, VA 22003
(703) 941-9008

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: March 9, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 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 on site inspection was conducted on 3/09/2023 from 10:00 am until 3:00 pm. Number of children in care: 8 Number of approved provider homes: 8 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 1 Number of staff records reviewed: 2 Number of interviews conducted with staff: 1 entrance interview with the Administrative Services Manager and 1 exit interview with the Administrative Services Manager, the Family Systems Coordinator, and the Assistant Director of Quality Improvement and Risk Management. Observations by licensing inspector: The license was posted along with inspection documents. Additional Comments/Discussion: 3 provider home records were reviewed. An exit interview was conducted on 3/10/23. The evidence gathered during the inspection determined non-compliance with an applicable standard or law, and the violation was 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 will be addressed in order to return the facility to compliance and maintain future compliance with the applicable standard 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 Cindy Horne, Licensing Inspector at (804) 382-3964 or by email at cynthia.horne@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-150-B
Description:	Violation: Based on a review of a personnel record (P-1) and an interview with an agency representative (AR-3), the agency failed to provide an orientation within 30 days of employment that addresses elements listed under 22VAC40-131-150.B.1, 22VAC40-131-150.B.2, 22VAC40-131-150.B.3, and 22VAC40-131-150.B.4. Evidence: 1) P-1 began employment with the agency on 8/09/22. 2) In a phone interview on 3/14/23. AR-3 acknowledged that the "Onboarding Checklist" for P-1 which lists the required orientation elements was not uploaded for this licensing specialist to review. AR-3 also acknowledged that upon reviewing the "Onboarding Checklist" for P-1, AR-3 discovered that it was signed on 10/08/22 which is outside the 30 day timeframe.
Plan of Correction:	Not available online. Contact Inspector for more information.