VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Impact Living Services
1454 Mexico Way NE
Roanoke, VA 24012
(434) 533-1088

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Feb. 5, 2020 , Feb. 6, 2020 and Feb. 12, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced monitoring inspection was conducted on February 5, 2020 from 10:19 a.m. to 4:25 p.m. A desk audit to review additional documentation was conducted on February 6, 2020. The agency reports a total of four youth in independent living arrangements (ILA), four children in foster care placements, and four approved foster homes. One staff was hired since the last inspection. During this inspection, two staff interviews were conducted and personnel and youth records were reviewed for one staff, one youth in an ILA, one child in a foster care placement, and one foster home. Preliminary inspection findings were reviewed at the conclusion of the inspection with Staff S1, S2, and S3. An acknowledgement form was signed. An exit meeting was held via telephone with S1 on February 12, 2020. Upon the receipt of the violation notice, the licensee should identify the necessary corrective action and develop a plan of correction for each violation. 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 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 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 #:	22VAC40-131-250-L
Description:	Violation: Based on review of foster child FC1's file, the licensee failed to to interview FC1 prior to the child's placement. Findings: 1. FC1's record revealed the licensee interviewed the child the same day as placement but not prior to placement. 2. The licensee did not document in the child's file the reasons why the interview was not completed prior to placement. 3. During an interview with the Licensing Specialist, Staff S2 confirmed that an interview was not conducted prior to placement due to scheduling conflicts.
Plan of Correction:	ED will discuss with Program Director. Impact will edit the pre placement visit portion of the intake assessment to include ?visit in the home.? Program Director will make sure all foster care staff adhere to this standard.
Standard #:	22VAC40-131-250-M
Description:	Violation: Based on review of the record for foster child, FC1, and interview with Staff S2, the licensee failed to prepare the child for placement and arrange a preplacement visit for the child in the prospective foster home, FH1. Findings: 1. FC1?s record did not document a pre-placement visit in the foster home. The record did not indicate that the placement was an emergency placement and FC1?s record did not document why a pre-placement visit in the prospective foster home (FH1) did not take place prior to the child's placement. 2. At the time of the inspection, during an interview with the Licensing Specialist, Staff S2 was unable to provide documentation of the reasons the pre-placement visit did not occur. .
Plan of Correction:	The ED will discuss with Program Director need to have interview prior to the day of placement.