VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Seton House Youth Shelter
465 Kings Grant Road
Virginia beach, VA 23452
(267) 973-1144

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: April 25, 2022 and April 26, 2022

Complaint Related: No

Comments:

An unannounced renewal inspection commenced on April 25, 2022 from 11:30 a.m. to 2:55 p.m. and concluded on April 26, 2022 at 3:05 p.m. Two personnel records, to include background investigation information, were reviewed. The CRF Employee Matrix was reviewed with no discrepancies. No residents were in care. One discharged resident?s record was reviewed. Other documentation reviewed at this inspection included but was not limited to the daily log, shift notes, and case management notes. Interior and exterior physical plant inspections were conducted. Administrator A1 responded to questions during the inspection. A preliminary findings review meeting was conducted with A1 on April 25, 2022 where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. An acknowledgement form was signed. An exit meeting was conducted with A1 on April 26, 2022. An acknowledgement form was signed. Upon the receipt of the violation notice, a plan of correction is requested for the violations. The plan of correction or Description of Action to be Taken should include, as appropriate, the following: the steps to correct noncompliance with the standard(s); measures to prevent re-occurrence of noncompliance; position(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five (5) business 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 licensee should retain a copy to be posted at the facility. The results of the inspection are subject to public disclosure and will be posted on the VDSS website within five (5) business days.

Violations:

Standard #:	22VAC40-151-240-B-5
Description:	Violation: Based on review of the personnel records for Staff S1 and S2 and interview with administrator A1, annual performance evaluations were not completed. Findings: 1. Annual performance evaluations had not been completed for S1 and S2. 2. LI interviewed A1 who acknowledged the annual evaluations had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-240-B-9
Description:	Violation: Based on review of the personnel record for Staff S1 and interview with administrator A1, annual training required by these standards was not completed. Findings: 1. Annual training as required by these standards, 22 VAC 40-151-250.B.1. to B.5. was not completed. 2. LI interviewed A1 who acknowledged the annual training had not been completed for S1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-250-C
Description:	Violation: Based on review of the personnel record for Staff S1 and interview with administrator A1, only ten (10) hours of the additional fifteen (15) hours of annual training required by this standard had been completed. Findings: 1. Ten (10) hours of additional annual training was documented for S1. 2. S1 was five (5) hours short of the required fifteen (15) additional hours of annual training. 3. LI interviewed A1 who confirmed that S1 was five (5) hours short of the required fifteen (15) training hours.
Plan of Correction:	Not available online. Contact Inspector for more information.