22VAC40-131 ORGANIZATION AND ADMINISTRATION 22VAC40-131 PERSONNEL 22VAC40-131 PROVIDER HOMES 22VAC40-131 CHILDREN'S SERVICES 22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 General Provisions. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-191 Background Checks for Child Welfare Agencies
Comments:
An unannounced renewal inspection was conducted on September 25, 2019 from 10:15 AM - 4:10 PM. Lifeline Services, Inc. reports a total of 13 provider homes and 22 foster children in placement. During this inspection, two provider home records, three foster child records, three Board Officer records (background checks), and three personnel records were reviewed. One personnel was interviewed during the inspection. The agency's quality improvement plan for 2017-2018 was reviewed. An exit interview was conducted at the conclusion of the inspection with the Compliance/Lead Case Worker/Co-Owner to review preliminary inspection findings. An acknowledgement form was signed. There were three violations.
Upon the receipt of the violation notice, the licensee should identify the necessary corrective action and develop a plan of correction for each violation. The plan of correction should include the following: The steps to correct noncompliance with the standard(s); measures to prevent re-occurrence of noncompliance; person(s) responsible for implementation and monitoring of preventative measure(s); and date by which noncompliance will be corrected.
The licensee has five (5) calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office. 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.
Violation: Based on a review of the record for two foster children (FC-1 and FC-2) and interview with personnel (S-1), the agency failed to indicate the date received on materials and information received.
Evidence: 1. FC-1's social security card, birth certificate, copy of medicaid card, psychiatric, medical, and dental reports and consultations, foster parent journal logs and medication administration logs did not indicate the date received by the licensee. 2. FC-2's dental examination, immunization record, and psychiatric consult and medical records did not indicate the date received by the licensee. 3. S-1 acknowledged that the materials and information did not indicate the date received and agreed that the agency at times forgets to indicate date received on materials and information received.
Plan of Correction:
Executive/Program Director and Agency Compliance Officer will ensure that all materials and information received by the licensee will indicate date received.
Standard #:
22VAC40-131-190-S
Description:
Violation: Based on a review of the record for a provider home (PH-1) and an interview with personnel (S-1) the agency did not obtain documentation or verify that the provider had received pet licenses as required by law.
Evidence: The home study narrative and home study documentation for PH-1 did not contain verification that the canine in the home had received licenses as required by law. Personnel (S-1) acknowledged that this information was not in the home study for PH-1.
Plan of Correction:
Executive/Program Director and agency Compliance Officer will ensure that all home studies contain verification that all pets/canines in the foster home received all license, as required by Virginia law.
Standard #:
22VAC40-131-330-J
Description:
Violation: Based on a review of the record for a foster child (FC-1) and interview with personnel (S-1), the record for FC-1 did not contain a written description of each contact made with the child.
Evidence: The record for FC-1 stated that a supervised biological family visit occurred on 06/13/2019. The record did not contain a written description of this contact. S-1 verified that a written narrative for this contact was not in FC-1's record.
Plan of Correction:
Executive/Program Director and Agency Compliance Officer will ensure that all foster child records will contain a written narrative for each contact made with the child.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
Find this content at:
http://www.dss.virginia.gov/facility/search/cpa.cgi