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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. 16, 2022 and Nov. 18, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-131 GENERAL PROVISIONS
22VAC40-131 ORGANIZATION AND ADMINISTRATION
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:
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:
11/16/2022 from 10:15 a.m. to 4:35 p.m.

A preliminary findings review was conducted and an Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.

Number of children in care: 18
Number of approved provider homes: 15
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 staff records reviewed: 1
Number of Provider Home records reviewed: 2

An exit meeting will be conducted to review findings on 11/18/2022 by phone.

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 Caldwell, Licensing Inspector at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:
Standard #: 22VAC40-131-250-O
Description: Violation:

Based on record reviews and interviews, the agency failed to document required information in the written assessment for Child 1 (C1).

Findings:
1) The record for C1 contained a referral form that documented emotional and psychological problems reported for C1l.
2) The written assessment titled Initial Assessment for C1 stated ?He does not have a history of emotional or psychological problems at this time.?
3) The findings were discussed during the preliminary findings review.
4) Staff reviewed the written assessment and acknowledged the findings.
5) The findings were reviewed during the exit interview and Staff 2 (S2) acknowledged the findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-131-290-C
Description: Violation:

Based on record review, the agency failed to obtain a written medical examination report addressing all elements for Child 1 (C1 and Child 2 (C2).

Findings:
1) A written medical examination report for C1 dated 8/18/2022 did not address auditory acuity.
2) A written medical examination report for C2 dated 8/29/2022 did not address visual or auditory acuity.
3) The findings were discussed during the preliminary findings review.
4) Staff reviewed the medical examination reports and acknowledged the findings.
5) The findings were reviewed during the exit interview and Staff 2 (S2) acknowledged the findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-131-340-F
Description: Violation:

Based on record review, the agency failed to document in the case records for Child 1 (C1) and Child 2 (C2) involvement of the child?s birth parents, custodial agency, and the child in developing the child?s individualized service plan.

Findings:
1) The Comprehensive Treatment Plan, signed 9/29/2022, for C1 documented the following comments regarding the involvement of parties:
? ?The biological parents have expressed to [foster parent] their appreciation for him taking care of the child.?
? [custodial agency caseworker] was notified and is in agreement and will receive a copy of the Comprehensive Treatment Plan.?
? [Child 1] reports that he is happy in the home and that he will comply with the Comprehensive Treatment Plan.
2) The Comprehensive Treatment Plan, signed 9/21/2022, for C2 documented the following comments regarding involvement of the foster parents in developing the plan:
? [foster parent] stated that she agreed to the plan and she would help [C2] get any necessary service.?
3) The findings were discussed during the preliminary findings review.
4) Staff reviewed the Comprehensive Treatment Plans and acknowledged the findings.
5) The findings were reviewed during the exit interview and Staff 2 (S2) acknowledged the findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-131-370-M-14
Description: Violation:

Based on record review, the agency failed to maintain required documentation in the record for Provider Home 1 (P2).

Findings:
1) The record for P1 contained a Home Study for Provider Home 2 (P2) that was not signed by the Executive Director or Designee.
2) The findings were discussed during the preliminary findings review.
3) Staff located the signed hard copy of the Home Study and provided it for the Licensing Inspector?s review.
4) Staff acknowledged the signed Home Study was not placed in the record.
5) The findings were reviewed during the exit interview and Staff 2 (S2) acknowledged the findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-131-460-F
Description: Violation:

Based on record review and interviews, the agency failed to consult with team members at least every 90 days for Child 1 (C1).

Findings:
1) C1 was placed with the agency 8/15/2022. The record for C1 did not document team meetings.
2) The findings were discussed during the preliminary findings review.
3) Staff 5 (S5) reported a team meeting for decision-making regarding the care and treatment of the child had not been conducted.
4) The findings were reviewed during the exit interview and Staff 2 (S2) acknowledged the findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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