VIRGINIA DEPARTMENT OF SOCIAL SERVICES

United Methodist Family Services
306 East Third Street, Suite B
Farmville, VA 23901
(434) 391-9076

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: Jan. 4, 2021

Complaint Related: No

Areas Reviewed:

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:

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. An announced renewal inspection was initiated on 1/4/2021 and concluded on 1/15/2021. The regional director was contacted by telephone to initiate the inspection. The agency reported 11 children in care, and 12 approved provider homes. Two children records, two provider home records, and four staff records were reviewed. Three staff were interviewed during this inspection. The regional director was available for questions throughout the inspection. An exit interview was conducted by telephone on 1/15/2021 from approximately 3:00 pm to 3:40 pm with the regional director, assistant program director, community based services supervisors, family services coordinator and assistant director of quality improvement and risk management to discuss preliminary inspection findings. There was one citation for violation of the Standards for Child-Placing Agencies. Upon receipt of the Violation Notice, the licensee should develop a plan of correction to include the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of non-compliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five business days from receipt of the inspection documents to complete the section entitled "Plan of Correction", sign each page of the inspection documents and return to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services public web site within five business days, regardless of whether or not the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on review of the record for S1 and interview with Agency Representative (AR) AR1, the licensee failed to ensure background checks were completed before three years since the dates of the last sworn statement, most recent central registry finding and most recent criminal history record check. Findings: 1. The most recent central registry finding provided for S1 is dated 12/15/17. 2. The most recent criminal record check provided for S1 is dated 12/4/17. 3. The most recent sworn disclosure statement provided for S1 is dated 12/4/17 4. During an interview with A1, when asked if more recent background checks were available for S1, AR1 stated HR confirmed background checks provided for S1 are the most recent checks completed.
Plan of Correction:	We acknowledge the observed gap in completing the three year background check for S1. Updated background check is in progress with results pending as of 1/21/21. Results will be submitted to licensing representative upon receipt. Confirmation of results will be updated and distributed as requested. Process gap review will be completed by Feb 15, 2021, corrected process documented/implemented by Feb 26, 2021.