VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Alliance Human Services, Inc.
341 Main Street
Suite 301
Danville, VA 24541
(434) 836-3550

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: July 17, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES

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. A monitoring inspection was initiated on 07/17/2020 and concluded on 07/22/2020. A self-reported incident was received by the department regarding allegations in the area of provider homes. The Executive Director was contacted by telephone to conduct the investigation. The inspector emailed the Executive Director a list of documentation required to complete the investigation. The evidence gathered during the investigation supported the self-report of non-compliance with standards or law, and violations were issued. 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 #:	22VAC40-131-190-V
Description:	Violation: Based on interview with S1, review of a an incident report received by email, ?face-to-face contact? for a foster child (FC1), and ?foster home contact log? for a provider home (PH1), a medication prescribed to the foster parent (FP1) was not locked and was not stored in an area out of reach of FC1. Evidence: 1.Em ails received by Licensing Inspector from S3 on 7/8/2020 and 7/9/2020 reported that, on 7/7/2020, FP1 from PH1 left her Albuterol inhaler in her purse in the provider home where it was accessed and used by FC1. 2. A ?foster home contact log? completed by S1 on 7/8/2020 stated: ?(FP 1 from PH1) reported that (FC1) got her inhaler from her purse and she saw him with it. ? After initially denying use of the inhaler, (FP1) stated that ?(FC1) told her that he sprayed the inhaler four times.? PH1 immediately took FC1 to the emergency room where his heart rate was assessed at 137 on admission and 107 at discharge which, per the report ?was normal, according to the physician?. ?FP1 also stated that the physician stated that he did not think that FC1 had inhaled any of the medication from the inhaler, based on the assessment.? 3. A ?face-to-face contact? dated 7/8/2020 completed by S2 reported ? foster parent stated that she found the her inhaler on the dining room table when she knew that she left it in her purse, which was in her bedroom.? ?(FC1) initially denied using it, and the foster parent stated that (FC1) eventually stated that he sprayed the inhaler 4-5 times. The foster parent took (FC1) to the hospital where the medical professional stated that there were not signs of (FC1) inhaling the medication.? 4. FP1 from PH1 signed the agency?s annual ?policy on client medications? on 5/11/2020 which contained the statement, ?At home, medication must be stored in a locked cabinet or container in a locked room.? 5. During an interview with S1, S1 acknowledged that FP1 from PH1 was out of compliance with standard 22VAC40-131-190.V and that the expectation that all medication be locked and out of reach of children had been discussed with her.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-370-D
Description:	Violation: Based on an interview with S1, review of ?face-to-face contact? for a foster child (FC1), and ?foster home contact log? for a provider home (PH1), entries in the case file did not identify the office that provided services to a provider home (PH1) and foster child (FC1). Evidence: 1. A ?foster home contact log? completed by S1 on 7/8/2020 contained the following in the upper right hand corner of the first page of the document: ?Lynchburg Regional Office, 701 Thomas Road, Suite 112, Lynchburg, VA 24502?. 2. A ?face-to-face contact? dated 7/8/2020 completed by S2 contained the following in the upper right hand corner of the first page of the document: ?Lynchburg 701 Thomas Road, Suite 112 Lynchburg, VA 24502?. 3. Upon interview, S1 stated that the Alliance Human Services does not conduct child-placing activities from the Lynchburg location. S1 stated that the agency is tracking the number of homes within the Lynchburg area and that this database tracking resulted in the Lynchburg office address being generated on the documents. S1 stated that the services for PH1 and FC1 were conducted from the licensed Danville office. 4. S1 acknowledged that the documentation did not identify the office that provided the service.
Plan of Correction:	Not available online. Contact Inspector for more information.