VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pentecostal Children's Home DBA Appalachian Foster Care Alliance
308 Coeburn Ave SW
Norton, VA 24273
(276) 437-0170

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Feb. 22, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN?S SERVICES 63.2 FACILITIES AND PROGRAMS 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22-VAC40-131-350.B-Discussion regarding updated documentation on progress, goals, etc. in quarterly progress summaries.

Comments:

Type of inspection: Monitoring An unannounced, mandated monitoring inspection was conducted on 02/22/2024 from 10:40 a.m. to 4:05 p.m.. A preliminary findings review was conducted onsite post-inspection and an Acknowledgement of Inspection form was emailed to the Director of Foster Care for signature. Foster Children Census: 12 Number of provider homes: 13 The licensing inspector included a tour of the physical space which included the office setting and conditions. Number of foster child records reviewed: 2 Number of provider homes reviewed: 2 Number of staff records reviewed: 1 Number of staff interviews: 1 A preliminary findings review was conducted on-site, post inspection and an acknowledgement form was emailed to the Director of foster care for signature. 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 Jamie Morgan, Licensing Inspector at 276-525-5656 or by email at jamie.morgan@dss.virginia.gov

Violations:

Standard #:	22VAC40-131-290-C
Description:	Violation: Based on record review and interview, the agency failed to obtain a TB screening and/or assessment of freedom from communicable disease on FC1. Findings: 1) An incomplete medical exam form on FC1 lacking TB screening and/or assessment of freedom from communicable disease; was found in FC1?s chart. 2) There was no additional documentation in the chart to substantiate why the TB screening and/or assessment of freedom from communicable disease was not included in FC1?s chart. 3) The findings were discussed. during the preliminary findings review. 4) Staff was unable to provide additional documentation and acknowledged the finding.
Plan of Correction:	AFCA Director of Foster Care will update the agency?s medical examination form pursuant to 22VAC40-131-290 and provide new copies of the form to the physicians offices for completion at each child medical exam. Director will meet with Physicians and their staff to review the regulations to ensure proper completion of the required assessments and documentation.