VIRGINIA DEPARTMENT OF SOCIAL SERVICES

United Methodist Family Services
815 Baker Road
Virginia beach, VA 23462
(757) 490-9791

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: Jan. 18, 2023 , Jan. 19, 2023 and Jan. 30, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-80-210. Renewal process: Complete renewal applications require a current staff list that identifies individuals involved in the day-to-day operation of the Licensed Child Placing Agency. The definition of ?Involved in the day-to-day operations is located in 22VAC40-191-10, Definitions. 22VAC40-340 and 22VAC40-350: Measurable goals and objectives, criteria for achievement

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 01/18/2023 from 12:00 p.m. to 3:00 p.m. and 3:25 p.m. to 5:30 p.m. 01/19/2023 from 9:15 a.m. to 12:15 p.m. and 12:45 p.m. to 4:40 p.m. The Acknowledgement of Inspection form was signed and left at the facility. Number of children in care: 25 Number of approved provider homes: 21 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 3 Number of staff records reviewed: 10 Number of provider home records reviewed: 3 Number of interviews conducted with staff: 1 Additional Comments/Discussion: The Licensing Specialist reviewed the agency?s Program Evaluation and Improvement plan (UMFS Strategic Plan FY 23-25) and discussed. An exit meeting was conducted on 1/30/2023 by Teams Meeting. 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 Caldwell, Licensing Inspector at 804-385-6864or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-290-F
Description:	Violation: Based on record review, the agency failed to arrange for Child 2 (C2) to receive recommended follow-up medical treatment. Findings: 1) C1 received a physical exam on 7/22/2022 at which time the medical provider recommended another medical examination. 2) Documentation of the arrangement for and the child?s receipt of the follow up medical examination was not located during record review. 3) The findings were discussed during the preliminary findings review. 4) Staff reviewed the record and were unable to locate documentation that the additional medical examination was arranged by the agency. 5) The Licensing Inspector provided additional time for the agency to located documentation regarding the arrangements for the medical examination. 6) The agency did not provide documentation of the agency?s arrangement for the additional medical examination. Documentation provided was an email, dated 1/20/2022, from C2?s custodial agency stating C2 was scheduled for the follow up medical examination 1/24/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-c
Description:	Violation: Based on record review, the agency failed to obtain before three years since the date of the last sworn disclosures, most recent central registry search, and most recent criminal history search results for Staff 2 and 3 (S2 and S3) Findings: 1) The record for S2 contained Sworn Disclosures dated 6/15/2017 and 10/27/2022. 2) The record for S2 contained criminal history search results dated 6/27/2017 and 12/15/2022. 3) The record for S3 contained Sworn Disclosures dated 2/25/2015 and 10/3/2022. 4) The record for S3 contained central registry search results dated 4/25/2018 and 11/21/2022. 5) The record for S3 contained criminal history search results dated 3/10/2015 and 12/15/2022. 6) The findings were discussed during the preliminary findings review. 7) Staff reported the agency identified errors in the work of a former staff member regarding background checks and the agency has been working to correct. 8) Staff acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.