VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Family Preservation Services, LLC DBA Clarvida
5369 Peters Creek Rd
Roanoke, VA 24019
(540) 344-9501

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Feb. 16, 2023 and Feb. 24, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-330.G.2 Clarify the location of face-to face contacts in documentation

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 02/16/2023 from 9:30 a.m. to 12:10 p.m. An entrance conference and a preliminary findings review were conducted on the date of inspection and an Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. An exit meeting was conducted by Teams Meeting on 2/24/2023. Number of children in care: 1 Number of approved provider homes: 4 The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: 2 Number of provider home records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with staff: 1 For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov 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. Should you have any questions, please contact Dawn Caldwell, Licensing Inspector at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-230-C
Description:	Violation: Based on record review and interview, the agency failed to re-evaluate the provider and assess all evaluation elements required for the initial home approval, prior to the end of each 36 month period, for Provider Home 2 (PH2). Findings: 1) PH2 was approved 2/14/2020. 2) The record for PH2 did not contain evidence that the home was re-evaluated prior to 2/14/2023. 3) The findings were discussed with Staff 1 (S1) during the preliminary findings review. 4) S1 reported that the staff member working with this case is no longer employed with the agency. S1 reviewed accessible documentation and was unable to determine if re-evaluation activities were completed. 5) The Licensing Inspector provided additional opportunity for S1 to locate documentation regarding the status of PH2?s re-evaluation or suspension. 6) Staff 2 (S2) emailed the Licensing Inspector on the date of inspection and indicated the re-evaluation has not been completed and re-evaluation would be initiated immediately.
Plan of Correction:	All needed outstanding documentation was obtained from PH2 by 3/2/23 Home study re-evaluation interview was conducted on 2/28/23 All required background checks have been submitted. We are awaiting results that we expect to have back prior to the end of the month To prevent this from happening in the future,we have created a new tracking spreadsheet we are hosting on a shared drive. We will also begin tracking re-evalution dates in an electronic platform called Binti, which can send us notifications prior to an approaching deadline