VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Family Preservation Services, LLC DBA Clarvida
340 Anderson Hollow Road
Ste. 200
Norton, VA 24273
(276) 679-1045

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: July 17, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PROVIDER HOMES 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Technical assistance was provided regarding how to document compliance with 22VAC40-131-190-O (written emergency preparedness response plan) and 22VAC40-131-200.C (assessing all information received through the home study process, including written comments from the physician on the medical evaluation form).

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 mandated monitoring inspection was initiated on July 17, 2020 and concluded on July 24, 2020. The Program Supervisor was contacted by telephone to initiate the inspection. The agency reports no foster children in placement and one (1) approved provider home. There were no new staff hires since the last inspection. The inspector emailed the Program Supervisor a list of items required to complete the inspection. The inspector reviewed one provider home record. An exit interview to discuss findings was held with Program Supervisor and the Child-Placing Supervisor by phone at the conclusion of the inspection. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice. The licensee has five (5) calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office. The plan of correction should include the following: The steps to correct noncompliance with the standard(s); measures to prevent re-occurrence of noncompliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee should retain a copy to be posted at the facility. Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 5 days, regardless of whether the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-191-50-A-1-a
Description:	Violation: Based on a review of the record for a provider home (PH1), the agency accepted a Sworn Statement from applicants (P1, P2) that is not satisfactory. Evidence: 1. The sworn statement for P1 dated 05/14/2020 was not fully complete. Question #5 which reads ?In what States (other than Virginia) have you lived within the last (5) years?? was not addressed. 2. The sworn statement for P2 dated 05/14/2020 was not fully complete. Question #5 which reads " In what States (other than Virginia) have you lived within the last (5) years?" was not addressed. 3. During an interview with S2, S2 acknowledged the violation, stating she "knows nothing is to be left blank" on the forms.
Plan of Correction:	1. The sworn statement for P1 dated 05/14/2020 will be fully complete in regards to question #5 which reads "In what states (other than Virginia) have you lived within the last (5) years?" 2) The sworn statement for P2 dated 05/14/2020 will be fully complete in regards to question #5 which reads "In what states (other than Virginia) have you lived within the last (5) years?"