VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children's Home Society of Virginia
4200 FITZHUGH AVENUE
Richmond, VA 23230
(804) 353-0191

Current Inspector: Machalia Hall (804) 910-7846

Inspection Date: May 27, 2025 and May 28, 2025

Complaint Related: No

Areas Reviewed:

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 22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Comments:

Type of inspection: Monitoring An unannounced monitoring inspection was initiated on 5/27/25 . An entrance conference and request for records was held with the Chief Program Officer at 12:45 p.m. on 5/27/2025. A monitoring inspection was conducted on 5/27/25 and concluded 5/28/25. A findings review/exit interview was conducted on 5/29/25 with Chief Program Manager and Foster Care and Adoption Program Manager. Number of children in care: 16 Number of approved provider homes: 16 Number of children?s records reviewed: 2 Number of provider home records reviewed: 2 Number of staff records reviewed: 2 Number of staff interviews: 2 The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. 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 Jamie S. Lane, Licensing Inspector, at 276-525-5656 or by email at jamie.morgan@dss.virginia.gov

Violations:

Standard #:	22VAC40-191-40-D-6
Description:	Violation: Based on record review, the agency failed to obtain a Central Registry finding within 90 days of the date of approval for Provider Home 1 (PH1). Findings: 1) Provider Home 1 (PH1) was approved on 1/22/2025. 2) The record for PH1 contained Central Registry findings obtained on 7/02/2024. 3) The Central Registry findings were obtained 204 days prior to the date of approval. 4) Per review of PH1's record and staff interviews, no additional or updated Central registry findings were obtained for PH1. 5) Per interview with Staff 1 (S1) and Staff 2 (S2), it was noted that the approval process for PH1 had been halted due to the need for additional training, and once the process was resumed, staff were unaware the previous Central Registry findings were out of compliance. 6) The findings were discussed during the preliminary findings review and the exit interview. 7) S1 and S2 acknowledged the findings.
Plan of Correction:	Following the violation, 22VAC40-191-(BC)-40-D-6, identified on May 28th, the CHS Foster Care Adoption (FCA) team is implementing a new procedure to ensure thorough review and compliance in the adoptive family approval process. Effective immediately, the team will incorporate the use of an Adoptive Family Opening Checklist, which will serve as a standardized tool to ensure all required elements are completed and verified prior to family approval. This checklist will be reviewed as part of a Panel Review Process, which will occur prior to the final approval of any adoptive family. The panel review will consist of the following three levels of oversight: 1. Home Study Author Review ? The initial review and completion of the checklist by the individual who authored the home study. 2. Peer/Colleague Review ? A secondary review conducted by a qualified team member to ensure accuracy, completeness, and compliance with policy. 3. Supervisory Audit and Final Approval ? A final review and sign-off by the FCA Program Manager to formally approve the family for adoption with CHS. This multi-tiered review process is designed to enhance accountability, improve oversight, and ensure all adoptive families meet CHS standards and regulatory requirements before final approval.