VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Adore Children and Family Services
801 N. Pitt Street
Suite 116
Alexandria, VA 22314
(703) 582-7304

Current Inspector: Irvin Goode (804) 543-5188

Inspection Date: Jan. 26, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

During an interview with the executive director, the requirements for contacts with children in care were discussed.

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. An announced complaint inspection was initiated on 01/26/2021 and concluded on 03/1/20201. The complaints related to the reliability of home study documents and alleged and an adult with an unsatisfactory background check was residing in an approved provider home. The executive director was contacted by telephone to initiate the inspection. The agency reported 18 children in care and 22 approved provider homes when the inspection was initiated. The inspector emailed the executive director a list of items required to complete the inspection. The executive director and general compliance manager were available to answer questions throughout the inspection. The inspector reviewed 3 provider home records, 1 child record and interviewed 6 employees, 1 approved provider and 2 legal guardians. An exit interview was conducted by telephone on 02/16/21 from approximately 4:00 pm-5:30 pm with the executive director and the general compliance manager to discuss preliminary inspection findings. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations were documented on the violation notice issued to the agency. The complaint is deemed invalid. However, there were 4 citations for violation of the Standards for Child-Placing Agencies not complaint related. Upon receipt of the Violation Notice, the licensee should develop a plan of correction to include the steps to correct non-compliance with the standard(s); measures to prevent re-occurrence of non-compliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected. The licensee has five business days from receipt of the inspection documents to complete the section entitled "Plan of Correction", sign each page of the inspection documents and return to the Licensing Office. The licensee should retain a copy to be posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services public web site within five business days, regardless of whether or not the Plan of Correction is completed.

Violations:

Standard #:	22VAC40-131-220-D
Complaint related:	No
Description:	Violation: Based on review of the training log provided for Provider Home (PH) PH1, the licensee failed to ensure PH1 received annual training. Findings: PH1 was approved by the licensee on 1/4/19. The training log for PH1 fails to document annual training was completed from the date of approval to March 2020.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-230-K
Complaint related:	No
Description:	Violation: Based on review of contact notes provided for Provider Home, (PH) PH1 and interviews with the executive director, general compliance manager and PH1, the licensee failed to maintain documentation of each contact and visit with PH1. Findings: PH1 was interviewed on 2/16/21. During the interview, PHI was asked, when was she made aware of the licensee's concerns regarding allegations of an adult male residing in the home. In response, PH1 stated, the executive director spoke with her regarding the concerns in December 2020. PH1 denied her ?male friend? was a household member. The executive director was interviewed on 2/5/21 and 2/16/21. During the interviews, the executive director was asked what contacts were made with PH1 to address allegations of an adult male residing in PH1. In response, the executive director, stated she had a conversation with PH1 regarding the allegations. The general compliance manager was interviewed on 2/16/21. The general compliance manger was asked what involvement he had with PH1. In response, the general compliance manager stated, he visited PHI to obtain background check information from PH1's male friend. At the time of the inspection, the contact notes provided for PH1 did not include documentation that the executive director spoke with PH1 to address allegations of an adult male residing in the home or the general compliance manger visiting PH1. The executive director confirmed via an email on 2/15/21 that no additional contact notes were completed for PH1 that had not been provided for review during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-290-K
Complaint related:	No
Description:	Violation: Based on review of documents provided for Provider Home (PH) PH2, the licensee failed to ensure all household members who come into contact with children submitted a tuberculosis screening or test. Findings: PH2 was approved by the licensee on 7/27/20. The face sheet and home study for PH2 documents two biological children reside in PH2. The record for PH2 failed to document a tuberculosis screening or test for one of the biological children residing in PH2. The executive director confirmed via an email on 2/15/20 that a tuberculosis screening or test was not completed for the second child in PH2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-131-370-D
Complaint related:	No
Description:	Violation: 370-D Based on review of the contact notes provided for Provider Home (PH) PH1, the licensee failed to ensure all entries contained the signature of the individual performing the service. Findings: Contact note dated 12/02/20 failed to include the signature of the individual performing the contact with PH1.
Plan of Correction:	Not available online. Contact Inspector for more information.