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: Feb. 20, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-131-1-GENERAL PROVISIONS/63.2 (1) GENERAL PROVISIONS 22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROGRAM STATEMENT 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:

22VAC40-131-250 (i) Licensee?s own form shall be completed entirely when addressing prospective foster family needs, willingness to access resources, and the ability to work with the child?s family.

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: Original attempt to conduct renewal inspection was 2/5/2024 as building was closed due to water shutoff. 2/20/2024 from 10:45 a.m. to 5:30 p.m. The Licensing Inspector met with the Director to discuss the entrance to the inspection. The exit interview was held on 2/20/2024 with AR-1. Number of approved provider homes: (9) Number of children in care: (12) Number of New Staff since last inspection: (5) The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Number of children?s records reviewed: (2). (Sibling Group) Number of provider home records reviewed: (1) Number of staff records reviewed: (7) during this inspection. This number included the CEO who is listed as the Director on the Virginia SCC. Observations by licensing inspector: posting of the license and inspection documents was observed. An acknowledgement of inspection was left with the licensee on the date of inspection. There were no changes made to the policies or procedures since the last inspection. The evidence gathered during the inspection determined (5) 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, Irvin D. Goode, Licensing Inspector at 804-543-5188 or by email at Irvin.Goode@dss.virginia.gov Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area

Violations:

Standard #:	22VAC40-131-160-B-2
Description:	Violation: - Based on staff record review, the agency failed to include a copy of educational degrees and credentials. 1. (S1) was hired 6/19/2023. 2. The staff record reviewed in record for (S1) did not include documentation of a degree or credentials based on the case manager?s job description. 3. The findings were discussed during the exit interview.
Plan of Correction:	The HR director and Director will ensure all documents for new hires are received within 30 days of hire.
Standard #:	22VAC40-131-160-B-5
Description:	Violation: - Based on a staff record review, the agency failed to complete an annual performance evaluation for (S6) and (S7). 1. (S6) was hired 9/1/2009. 2. The staff record reviewed for (S6) documented a last performance evaluation for the period 5/4/2021 to 5/5/2022. (S7) was hired on 8/1/2022 and did not contain documentation of an annual performance evaluation. 3. The findings were discussed during the exit interview.
Plan of Correction:	Director and CEO/HR performance evaluations will be completed by 3/15/2024.
Standard #:	22VAC40-131-290-C-5
Description:	Violation: Based on the record review for FC-2, the agency failed to demonstrate visual acuity was addressed on the medical examination report signed and dated on 9/2/2023. Findings: 1. Physical examination documentation dated 9/2/2023 in the record for FC-2 did not address visual acuity. The visual acuity section on the medical examination form stated ?N/A? in the space provided. 2. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Child Placing supervisor will train and review annual medical report for FC with CM and Foster parents to ensure the requirements are understood and completed during the visit.
Standard #:	22VAC40-131-290-C-6
Description:	Violation: Based on the record review for FC-2, the agency failed to demonstrate that auditory acuity was addressed on the medical examination report signed and dated on 9/2/2023. Findings: 1. Physical examination documentation dated 9/2/2023 in the record for FC-2 did not address auditory acuity. The auditory acuity section on the medical examination form stated ?N/A? in the space provided. The findings were discussed during the preliminary findings and exit review.
Plan of Correction:	Child Placing supervisor will train and review annual medical report for FC with CM and Foster parents to ensure the requirements are understood and completed during the visit.
Standard #:	22VAC40-131-370-N
Description:	Violation: Based on the review of the records presented for Foster Child (FC)-1 and based on an interview with Agency Representatives (AR), the licensee failed to document in the child?s file a face sheet within 5 working days of the placement. Findings: 1. Based on the review of the child record for FC1, there was no documented face sheet with 5 working days of the child?s placement. 2. During the exit interview AR-1 acknowledged the absence of the face sheet.
Plan of Correction:	The Child Placing Supervisor will ensure the face sheet is completed within 5 working days of placement. The CPS will retrain the CA and CM to ensure all staff that review and update files are informed.