VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Seton Youth Shelters
3396 Stone Shore Road
Virginia beach, VA 23452
(757) 340-5768

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: May 7, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-151 Administration 22VAC40-151 Residential Environment 22VAC40-151 Programs and Services 2 2VAC40-151 Programs and Services

Technical Assistance:

Discussed CPR and standard first aid class enrollment as noted in Standards for Licensed Children's Residential Facilities- 22VAC 40-250 A.4. Discussed water temperatures as noted in Standards for Licensed Children?s Residential Facilities -22 VAC 40-151-390.C.

Comments:

Type of inspection: Monitoring 5/7/2024 Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: Preliminary Finding and exit meeting was conducted on 5/7/24 with Program Director. The Acknowledgement of Inspection form was signed by the Program Director and a copy was left at the end of the combined preliminary and exit meeting. Number of youth in care at the beginning of the inspection: 1 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of active resident?s records reviewed: 1 Number of discharge records reviewed: 1 Number of staff records reviewed: 2 Number of interviews conducted with residents: No interviews conducted as youth were in school during on-site inspection visit. . Number of interviews conducted with staff: 2 Additional Comments/Discussion: An entrance conference was held on 5/7/24 with the Program Director and on-site inspection was conducted with program Director and Director of Youth Outreach Programs. The review of staff and youth records were conducted at Seton House Youth Shelter licensed location. Licensing specialist and Director of Youth Outreach discussed repairs made to the water heater and temperature adjustments that were made. Licensing specialist reviewed the one active record and the recent discharge from the program. Medication administration records were not reviewed as youth were not currently prescribed medications. Inspector verified active auto insurance and current vehicle registration for vans used to transport youth. The Program Director was accessible during the inspection. Staff members were interviewed during the preliminary finding and exit meeting on 5/7/2024 and provided some clarification about multiple documents that were reviewed. An exit meeting was conducted on 5/7/2024 to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. 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 Sherry Woodard, Licensing Inspector at 757) 987-0839 or by email at Sherry.Woodard@dss.virginia.gov. Violation Notice Issued: Yes By signature the facility representative acknowledges that the inspector reviewed all information found on the Inspection Summary, including areas of standards reviewed, date(s) and time(s) of inspection, technical assistance provided and the comments/discussion section.

Violations:

Standard #:	22VAC40-151-660-B-3
Description:	Based on the child record review, initial objectives and strategies were not measurable. Findings: 1). CR #1 was admitted 4/22/2024. 2). The Individualized service plan in the record for CR #1 was developed on 4/24/24. 3). The established objectives and strategies in the record for CR #1 were not written in measurable terms. 4). The findings were discussed with (S4) during the preliminary and exit meeting.
Plan of Correction:	Interim Shelter Director met with Case Manager to review IOS of CR# 1. Supervision and Technical Assistance provided to Case Manager. CR #1 's IOS was revised. A redacted copy of the IOS is attached to this report for inspector's feedback and approval. Continued employee supervision and planned IOS and ISP training in the form of e-learning webinars. Three planned in-house trainings over the next 90 days for Case Managers and Intake Assessment Coordinators regarding IOS and ISP, with a focus on measurable objectives and strategies