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3251 Blenheim Boulevard, Suite 402
FAIRFAX, VA 22030
(540) 371-1124
| Inspection Dates: | 04/24/2025 |
|---|---|
| Complaint Related: | NO |
| Inspector: | Connie Long: (804) 910-7945 |
Type of inspection: Monitoring A monitoring inspection was completed on April 24, 2025, from 9:30 a.m. to 4:45 p.m. The Acknowledgment of the inspection was provided. The Program Director was available throughout the inspection. A preliminary review was held on the same day as the inspection. Number of children in care: 9 Number of approved provider homes: 48 Number of staff records reviewed: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: Records were available as requested. The licensing inspector completed a tour of the physical plant that included the office setting and conditions. Additional Comments/Discussion: Management was available throughout the duration of the inspection. An exit meeting was conducted on 4-29-2025. 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 Kevin Lassiter at 804-241-2093 kevin.lassiter@dss.virginia.gov
Description: Violation: Based on a record review of AH-4’s file, the agency failed to obtain the required background checks before three years since the dates of the last background checks. Findings: 1) On April 24, 2024, in review of AH4-a’s file, the Sworn Statement or Affirmation (SS) was dated as the following, the prior SS was dated October 1, 2021, and the current SS was dated November 18, 2024. 2) The SS on file for AH4-b, the prior SS was dated September 30, 2021, and current SS was dated November 18, 2024. 3) In review of AH4-a’s file, the Criminal History check (CH) was observed in the file as follows; the prior CH check was dated October 5, 2021, and the current CH check was dated December 2, 2024. The prior CH check on file for AH4-b was dated November 9, 2021, and the current CH check was dated December 2, 2024. 4) In review of AH4-a’s file, the prior Central Registry (CR), was dated November 16, 2021, and the current CR was dated November 25, 2024. The prior CR on file for AH4-b was dated November 16, 2021, and the current CR was dated November 25, 2024. 5) Agency representative acknowledged the findings during the preliminary review on April 24, 2025, and during the exit review on April 29, 2025.
The agency had previously considered the background check expirations to be expired 3 years from the date that the home study had expired. Moving forward, the following steps will be taken to prevent re-evaluation background checks from expiring: • Sworn Statements to be signed in the 3rd quarter of the home study, not the first to ensure the expiration date is closer to the dates of the CPS and criminal • Deadline alert auto actions to be added to the SAM database to alert workers of expiring background checks • Background checks will be the first item of paperwork completed for home study re-evaluations • 3 year re-evaluations will be completed 3 months prior to the initial home study expiring to ensure a deadline does not pass • Staff will be trained on the new re-evaluation background check process
Description: Violation: Based on a record review of S1, file, the agency failed to obtain the Sworn Statement or Affirmation prior to the first day of employment at the agency. Additionally, the agency failed to obtain the Central Registry before 30 days of employment with the agency. Findings: 1) On April 24, 2025, in review of S1’s file with a hire date of January 13, 2025, on April 24, 2025, the agency did not obtain the Sworn Statement or Affirmation until after the first day of employment, which was dated January 14, 2025. 2) Additionally, The Central Registry (CR) on file for S1 was due by February 12, 2025; however, the CR was observed to be dated February 16, 2025, four days after the CR was due. 3) Agency representative acknowledged the findings during the preliminary review on April 24, 2025, and during the exit review on April 29, 2025.
• New PAS Staff will now be sent a background check packet for completion prior to their first date of hire. • PAS will require new staff to complete background checks prior to the first date of hire. • As new staff are required to be at the Arlington office on their first day of hire, not at the PAS office, PAS will obtain the sworn statement as part of the background check mailed out prior to the first date of hire The above applies to all background checks that VA DSS needs access to, which includes: Board officers, CEO, COO, Executive Director (Director of Clinical Services), PAS Director, Supervisor, Staff, Interns and Volunteers
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