VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Imagine Fostering, Inc.
225 Boone Trail Road
Suite 110
Duffield, VA 24244
(276) 431-3500

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Nov. 9, 2020 and Nov. 10, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. An announced monitoring inspection was conducted on 11/9/2020 and 11/10/2020. The Executive Director was contacted by email to initiate the inspection. The agency reported 15 children in placement and 10 approved provider homes. No new staff were hired since the last inspection. The inspector reviewed two (2) child records and one (1) provider home record. The Executive Director responded to the notice of inspection. The Recruiter/Trainer provided access to records. The Executive Director, Recruiter/Trainer, and two (2) Case Managers participated in the exit interview on 11/10/2020. There were five (5) citations for violations of the Standards for Licensed Child Placing Agencies. See the violation notice on the Department?s public web site for violations of the Standards. Upon receipt of the Violation Notice, the licensee should develop a plan of correction to include the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of non-compliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five business days from receipt of the inspection documents to complete the section entitled "Plan of Correction", sign each page of the inspection documents and return to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services public web site within five business days, regardless of whether or not the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-131-250-O
Description:	Violation: Based on record review for Foster Child 1 (FC1), the agency failed to address all elements required by 22VAC40-131-250.G. in a written assessment. Findings: 1. The case record for FC1 contained a written assessment, dated 12/1/2019. 2. The written assessment documented the child?s Permanency goal as Adoption. 3. The written assessment did not include a date of planned achievement for the Permanency goal. The findings were discussed during the exit interview. Staff 1 (S1), acknowledged the findings.
Plan of Correction:	Program Manager- Jon Holmes on 11/20/20 added to Initial Assessment prompt to provide date for date of planned achievement for Permanency goal and the new form was added to ER. Staff received copies of the new form and reviewed on 11/20/20.
Standard #:	22VAC40-131-290-F
Description:	Violation: Based on record review for Foster Child 1 (FC1), the agency failed to maintain documentation that the child received all recommended services. Findings: 1. An Initial Assessment, dated 12/1/2020, for FC1 stated the child was receiving counseling services two times per month and the services would continue. 2. The child?s case record did not document that two counseling sessions occurred each month. 3. During the exit interview, Staff 1 and 3 (S1 and S3) stated the child has received counseling and they discuss the sessions during contacts with the foster parent and the child. Additional documentation confirming the child received two (2) counseling sessions each month was not provided. S1 and S3 acknowledged the findings.
Plan of Correction:	Program Manager- Jon Holmes updated Quarterly Progress Review to include dates of services provided to all children on 11/20/20. ER editor/RT- Elizabeth McMurray added tabs in ER for appointments with a section with dates of service to be tracked monthly on 11/20/20. Imagine staff were provided with the new form and forms were added to ER forms bank on 11/20/20.
Standard #:	22VAC40-131-340-E
Description:	Violation: Based on record review for Foster Child 2 (FC2), the agency failed to document a comprehensive assessment of the child?s needs in the Individualized Service Plan. Findings: 1. The Admission Application, Social History, and case contacts for FC2 contained information regarding the child?s behavioral, nutritional, developmental, medical, and psychiatric needs. 2. The Individualized Service Plan (ISP) for FC2 stated the child had no behavioral, nutritional, developmental, medical, or psychiatric needs. 3. The goals and objectives in the child?s ISP did not include criteria for achievement. 4. The ISP did not include a description of programs and services to assist the child in the transition from foster care to independent living. The findings were discussed during the exit interview. Staff 1 and 3 (S1 and S3) acknowledged the findings.
Plan of Correction:	Addendum will be added to FC2 chart to include all missing standards including behavior, nutritional, developmental, medical, or psychiatric needs. Addendum will include criteria for achievement for goals and objectives and a description of program services to assist the child in transition from foster care to independent living by Jalan Cridlin on 11/20/20. Program Manager- Jon Holmes has added prompts to ER CTP form for providing additional information and has reviewed with staff and provided with updated form on 11/20/20.
Standard #:	22VAC40-131-350-B
Description:	Violation: Based on record review for Foster Child 1 (FC1), the agency failed to document all required elements in written summary progress review reports. Findings: 1. The Comprehensive Treatment Plan for FC1 identified three (3) goals. 2. Two (2) Quarterly Progress Review reports dated 5/18/2020 and 8/14/2020 did not discuss the child?s progress towards Goal 1. 3. Goal 2 indicated the child would work with three (3) individuals 90% of the time. 4. Two (2) Quarterly Progress Review reports dated 5/18/2020 and 8/14/2020 did not address the child?s progress in working with all individuals identified in Goal 2. The findings were discussed during the exit interview. Staff 1 and 3 (S1 and S3) acknowledged the findings.
Plan of Correction:	Program Manager- Jon Holmes added prompt to Quarterly Progress Review to document progress on all goals identified on initial and continuing Comprehensive Treatment Plan on 11/20/20. New Quarterly Progress Review was added to ER forms bank and staff received training and new form for future use on 11/20/20.
Standard #:	22VAC40-131-460-C
Description:	Violation: Based on record review for Foster Child 1 (FC1), the agency failed to maintain a written plan for back-up emergency care. Findings: 1. The case record for FC1 did not contain a written plan for back-up emergency care for the child. 2. During the exit interview, discussion occurred regarding the agency?s standard manner of documenting the back-up emergency care plan. Staff 1 and 3 (S1 and S3) indicated they place this information in Quarterly Progress Review reports. 3. Quarterly Progress Review reports, dated 5/18/2020 and 8/19/2020, for FC1 did not include a plan for back-up emergency care for the child. Staff 1 and 3 (S1 and S3) acknowledged the findings.
Plan of Correction:	Program Manager- Jon Holmes updated Quarterly Progress to include back up emergency care plan in ER on 11/20/20. Staff had post licensing training and provided with new Quarterly Progress on 11/20/20.