VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Bair Foundation of Virginia
300 Gristmill Drive
Unit C
Forest, VA 24551
(434) 425-7157

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: July 25, 2024 and July 26, 2024

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:

22VAC40-191-40.D.1.b Discussion re: forms completed accurately and follow up prior to due date. 22VAC40-131-360.E Discussion re: detail in discharge summary regarding how the discharge came about and clarity of custodian.

Comments:

An unannounced monitoring inspection was held on 7/25/24 from 1:10 p.m. to 4:30 p.m. and 7/26/24 from 10:30 a.m. to 4:30 p.m. An entrance conference and preliminary findings review were completed (7/25/24 and 7/26/24, respectively). The Acknowledgement of Inspection form was signed, and a copy left at the facility. Number of children in care: 17 Number of approved provider homes: 20 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 provider home records reviewed: 5 Number of staff records reviewed: 5 Number of staff interviewed: 2 An exit meeting was completed on 8/6/24. 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 dawn.espelage@dss.virginia.gov.

Violations:

Standard #:	22VAC40-191-40-D-6
Description:	Violation: Based on review of documents, the agency failed to obtain a Child Protective Services report within 90 days prior to the approval date of Foster Home 1 (FH1). Findings: 1) FH1 was approved on 5/10/24. 2) The Central Registry report was dated 2/7/24. 3) The agency did not produce a more recent Central Registry background check. 4) The findings were discussed at the preliminary review. 5) Staff 2 (S2) acknowledged the finding.
Plan of Correction:	Not available online. Contact Inspector for more information.