VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Intercept Youth Services operating Intercept Health/YouthQuest
1840 Arden Creek Lane
#4305
Charlottesville, VA 22901
(434) 202-1116

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: Feb. 14, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-131 CHILDREN?S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS

Comments:

Type of inspection: Complaint Date(s) of inspection: Onsite December 7th & December 14, 2023, and teleconference call interview on 12-27-23 and January 18, 2024, staff interview. The Acknowledgement of Inspection form was forwarded for each onsite inspection/interview. A complaint was received by VDSS Division of Licensing on December 5, 2023, regarding allegations in the area of ILA services. Number of children in care:4 Number of approved provider homes: 0 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 staff records reviewed: 0 Number of interviews conducted with staff: 3 Observations by licensing inspector: The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. An exit meeting was held on February 14, 2024. Additional Comments/Discussion: The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can be found on the violation notice. 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 Kevin Lassiter, Licensing Inspector at (804) 241-2093 or by email at kevin.lassiter@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-370-Q-4
Complaint related:	No
Description:	Violation: Based on record review, the agency failed to include significant events that occurred during the delivery of services for ILA Youth; (Y1) in the individual narrative case notes found in the record. Findings: 1) The case record of Y1 did not contain significant and critical events that occurred during the time period of November 4, 2023, through November 7, 2023(higher level of treatment), and November 28, 2023, through December 1, 2023(higher level of treatment), in Y1?s case management note for weekly reporting period November 4, 2023, through November 10, 2023 and weekly reporting period November 25, 2023 through November 30, 2023, respectively. 2) During an onsite visit December 7, 2023, S1 indicated that Y1 received a higher level of care & treatment during the time frame of November 4th through November 7, 2023, and again on November 28, 2023 through December 1, 2023. 3) In review of the daily log kept onsite where staff members record daily activities of each resident, this information was observed for both episodes of the higher level of care & treatment. 4) However, though there were case management narrative notes in Y1?s electronic record for the reporting week of November 4th through November 10, 2023, and the week of November 25, 2023, through November 30, 2023, the documents did not include the significant events, information as observed in the daily log. 5) For each significant/critical event on the respective narrative case management notes, under the header titled; ?Critical Incidents this Week,? the response was, ?No? for the week of November 4, 2023, through November 10, 2023 and for the week of November 25, 2023 through November 30, 2023. 6) A remote interview held on December 27, 2023, with S2, S2 did acknowledge the findings that the significant information was not contained in Y1?s individual narrative case management notes for November 4, 2023 through November 10, 2023 and weekly reporting period of November 25, 2023 through November 30, 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.