VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holston Family Service
3130 LEE HIGHWAY
Suite 105
Bristol, VA 24202
(276) 591-5301

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: Aug. 15, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 Facilities and Programs.. 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced renewal inspection was conducted on August 15, 2019 from 8:40 AM - 4:41 PM. Holston Family Services reports a total of 24 provider homes and 40 foster children in placement. During this inspection, three provider home records, four foster child records, six Board Officer records (refernces and background checks), and four personnel records were reviewed. One personnel was interviewed during the inspection. An exit interview was conducted at the conclusion of the inspection with the Foster Parent Coordinator to review preliminary inspection findings. An acknowledgement form was signed. There were four violations. Upon the receipt of the violation notice, the licensee should identify the necessary corrective action and develop a plan of correction for each violation. 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 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 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 #:	22VAC40-131-190-O-5
Description:	Violation: Based on a review of the record for a provider home (PH-1) and an interview with personnel (S-1) the agency did not address required elements in the provider's (PH-1) evacuation plan. Evidence: The evacuation plan for PH-1 did not address: 190.O.5 How the provider plans to maintain the safety and meet the needs of the child at all times during an emergency. Personnel (S-1) acknowledged that this information was not captured in the evacuation plan for PH-1.
Plan of Correction:	Foster Parent Coordinator will obtain a revised evacuation plan from PH-1 to assure that this question is addressed specifically in the document. In the future, Foster Parent Coordinator and Foster Parent Trainer will ensure that emergency evacuation forms follow the already established procedure in our checks and balances system.
Standard #:	22VAC40-131-190-S
Description:	Violation: Based on a review of the record for a provider home (PH-1) and an interview with personnel (S-1) the agency did not obtain documentation or verify that the provider had received pet licenses as required by law. Evidence: The home study narrative and home study documentation for PH-1 did not contain verification that the two canines in the home had received licenses as required by law. Personnel (S-1) acknowledged that this information was not in the home study for PH-1. She stated that this requirement had not been discussed or cited at previous inspections.
Plan of Correction:	Foster Parent Coordinator will obtain required pet licenses from PH-1 in addition to the inoculations that are already documented in the chart. Foster Parent Coordinator will audit existing charts to ensure that they are in compliance with this standard as well.
Standard #:	22VAC40-131-250-L
Description:	Violation: Based on review of FC1's record and interview with personnel (S-1), the agency failed to complete a preplacement interview with the child (FC-1) prior to placement. Evidence: Based on a review of the Foster Care Services Referral and Intake Assessment: Section 2: Preplacement Information and Placement Planning, a preplacement interview was not held with FC1 prior to placement. The assessment contained documentation that a preplacement interview was requested of the referring agency but denied. There were four days between the staffing/acceptance date and date of placement. S-1 agreed that the placement does not meet the definition of an emergency placement and that a preplacement interview could have been facilitated.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-250-M
Description:	Violation: Based on review of FC1's record and interview with personnel (S-1), the agency failed to prepare the child for placement and arrange a preplacement visit for the child in the prospective home. Evidence: Based on a review of the Foster Care Services Referral and Intake Assessment: Section 2: Preplacement Information and Placement Planning, the agency failed to provide preparation for FC-1 and to arrange a preplacement visit. The assessment contained documentation that a preplacement visit was requested of the referring agency but denied. There were four days between the staffing/acceptance date and date of placement. S-1 agreed that the placement does not meet the definition of an emergency placement and that a preplacement visit could have been accommodated.
Plan of Correction:	Not available online. Contact Inspector for more information.