VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Presbyterian Homes and Family Services, Operating as HumanKind
625 Piney Forest Road
Suite 403B
Danville, VA 24540
(434) 384-3131

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Jan. 25, 2023 and Jan. 26, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-131 PERSONNEL 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:

22VAC40-131-230. Monitoring and Re-Evaluation of Provider Homes- Discussion occurred regarding re-evaluation to change a provider home?s approved capacity 22VAC40-131-240. Capacity of Provider Home- Discussion occurred regarding short-term and long-term placements related to capacity

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: 1/25/2023 from 11:50 a.m. to 4:00 p.m. The Acknowledgement of Inspection form was signed and left at the facility. A preliminary findings review was conducted. Number of children in care: 18 Number of approved provider homes: 10 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 provider home records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: office setting Additional Comments/Discussion: This office shares a staff member with their other two offices for approval of provider homes. Discussion occurred regarding the agency?s process for transferring homes from the location of the staff person who approved the home to other offices. An exit meeting was conducted on 1/26/2023 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 any questions, please contact Dawn Caldwell, Licensing Inspector at 804-385-6864or by email at dawn.caldwell@wdss.virginia.gov

Violations:

Standard #:	22VAC40-131-290-C-6
Description:	Violation: Based on record review and interview, the agency failed to obtain a written medical examination report addressed required elements for Child 1 (C1). Findings: 1) The record for C1 contained a written medical examination report dated 10/14/2022 that did not include the medical provider?s assessment of the child?s auditory acuity. 2) Staff 2 (S2) was interviewed. 3) S2 reviewed the examination report. 4) The findings were discussed during the preliminary findings review and S2 acknowledged the findings.
Plan of Correction:	Program Manager will review all physicals to assure all elements have been addressed and no N/A.