VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Seton Youth Shelters
3396 Stone Shore Road
Virginia beach, VA 23452
(757) 340-5768

Current Inspector: Sherry Woodard (757) 987-0839

Inspection Date: May 18, 2020 and May 20, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-151 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 DISASTER OR EMERGENCEY PLANNING

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 renewal inspection was initiated on May 18,2020 and concluded on May 20, 2020. The Program Director was contacted by telephone to initiate the inspection. The Program Director reported that the current census was 0. The inspector emailed the Program Director a list of items required to complete the inspection. The inspector reviewed six personnel records to include background investigation information, the CRF employee matrix, one discharged resident record, the daily log, case management notes, emergency drill documentation, staff work schedules, and menus submitted by the facility to ensure documentation was complete. Exit meeting was held with the Program Director via telephone on May 20, 2020. Information gathered during the inspection determined non-compliance with applicable standards or law, and a violation was documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Children?s Residential Facilities. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return to the Licensing Office within 5 business days from receipt of the inspection documentation. You will need to specify how the deficient practice will be or has been corrected (merely writing the word corrected is not acceptable). Your plan of correction must contain the steps to correct the noncompliance with the standard(s), the measures to prevent the noncompliance from occurring again; and the position responsible for implementing each step and/or monitoring any preventive measure(s). 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 #:	22VAC40-151-240-B-7
Description:	Violation: Based on a review of the personnel record for Staff S2 and interview with agency representative AR1, the provider failed to document compliance with requirements of Virginia laws regarding background investigations. Findings: 1. Review of the personnel record for Staff S2 revealed the written statement or affirmation for disclosure of any convictions, charges or CPS findings, was not received prior to permitting the applicant to work in the children's residential facility. The written statement or affirmation for disclosure was dated twelve days after the first day of work. 2. During an interview with the Licensing Specialist, AR1 acknowledged that the written statement or affirmation for disclosure of any convictions, charges or CPS findings, was not received prior to permitting S2 to work in the children's residential facility.
Plan of Correction:	All new hires will complete a Statement of Affirmation prior to having Background or CPS Checks completed. The Director Shelter Programs will be responsible for implementation.