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: Oct. 5, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-150.B.1.c Discussion regarding documentation of personnel orientation and training. 22VAC40-131-370.R.2 Discussion regarding filing documents within 30 days of receipt/completion.

Comments:

Type of inspection: Monitoring An unannounced, mandated monitoring inspection was completed on 10/5/23. The inspector was on site at the facility from 11:45 a.m. to 3:20 p.m. A preliminary findings review was held on this date. An acknowledgement of inspection form was signed and left at the facility. Number of children in care: 2 Number of approved provider homes: 3 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 provider records reviewed: 1 Number of staff records reviewed: 2 Number of interviews conducted with staff: 2 Additional Comments/Discussion: An exit meeting was conducted on 10/10/23 to review the inspection findings. 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 Espelage, Licensing Inspector at 540-759-8852 or by email at dawn.espelage@dss.virginia.gov

Violations:

Standard #:	22VAC40-191-40-D-1-b
Description:	Violation: Based on record review and interview, the agency failed to complete all background checks of S1 per standards (Sworn Statement by first day of hire and Criminal History within 30 days of hire into the TFC program). Findings: 1) S1 hire date with the TFC program was 2/13/23. 2) The file contained a Sworn Statement signed 7/24/23. 3) The file contained completed Criminal History results dated 8/14/23. 4) The Central Registry Check was completed timely. 5) The agency was provided an opportunity to provide additional documentation. 6) Per S1, there were no other background checks completed. 7) The findings were discussed during the preliminary findings review and Staff 1 (S1) and 2 (S2) acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.