TITLE 22. SOCIAL SERVICES
Title of Regulation: 22VAC40-211. Resource, Foster
and Adoptive Family Home Approval Standards (amending 22VAC40-211-10 through
22VAC40-211-100).
Statutory Authority: §§ 63.2-217 and 63.2-319 of the
Code of Virginia.
Effective Date: December 1, 2018.
Agency Contact: Em Parente, Program Consultant,
Department of Social Services, 801 East Main Street, Richmond, VA 23219,
telephone (804) 726-7538, FAX (804) 726-7895, or email
em.parente@dss.virginia.gov.
Summary:
The amendments require (i) foster and adoptive parents to
report substantial changes to their homes or circumstances; (ii) local
departments of social services (LDSS) to provide mandated reporter training to
foster and adoptive parents; (iii) approved foster and adoptive parents to
complete in-service training annually; and (iv) training for LDSS staff and
other child welfare staff who complete mutual family assessments of prospective
foster and adoptive family homes. Other amendments include clarifying that waivers
are restricted to relative or kinship foster homes, updating procedures for
maintaining foster and adoptive provider approval status, and clarifying or
updating terms and definitions.
Summary of Public Comments and Agency's Response: A
summary of comments made by the public and the agency's response may be
obtained from the promulgating agency or viewed at the office of the Registrar
of Regulations.
CHAPTER 211
RESOURCE, FOSTER AND ADOPTIVE FAMILY HOME APPROVAL STANDARDS FOR
LOCAL DEPARTMENTS OF SOCIAL SERVICES
22VAC40-211-10. Definitions.
The following words and terms when used in this chapter shall
have the following meanings unless the context clearly indicates otherwise:
"Adoptive parent" means any provider selected and
approved by a parent or a child-placing agency local department
for the placement of a child with the intent of adoption.
"Adult" means any person 18 years of age or over.
"Applicant" means an individual or couple applying
to be approved as a resource, foster and/or or adoptive
home provider or to provide respite services.
"Background checks" means a sworn statement or
affirmation disclosing whether the individual has a criminal conviction, is
the subject of any pending charges within or outside the Commonwealth of Virginia,
and is the subject of a founded complaint of abuse or neglect within or outside
the Commonwealth; criminal history record information,; child
abuse and neglect central registry check,; and any other
requirement as set forth in § 63.2-901.1 of the Code of Virginia.
"Caretaker" means any individual having the
responsibility of providing care for a child and includes the following: (i)
parent or other person legally responsible for the child's care; (ii) any
other person who has assumed caretaking responsibility by virtue of an
agreement with the legally responsible person an adult who by law,
social custom, express or implied acquiescence, collective consensus,
agreement, or any other legally recognizable basis has an obligation to look
after the well-being of a child left in his care; and (iii) person
persons responsible by virtue of their position positions
of conferred authority; or (iv) adult person residing in the home with the
child.
"Central registry" means a subset of the child
abuse and neglect information system and is the name index with identifying
information on an individual named as an abuser and/or or
neglector in founded child abuse and/or or neglect complaints or
reports not currently under administrative appeal, maintained by the department.
"Child" means any natural person under 18 years of
age.
"Child-placing agency" means any person who places
children in foster homes, or adoptive homes or independent living
arrangements pursuant to § 63.2-1819 of the Code of Virginia or a local board of
social services that places children in foster homes or adoptive homes
pursuant to § 63.2-900, 63.2-903 or 63.2-1221 of the Code of Virginia.
Officers, employees, or agents of the Commonwealth, or any locality acting
within the scope of their authority as such, who serve as or maintain a
child-placing agency, shall not be required to be licensed.
"Child abuse and neglect information system" means
the computer system that collects and maintains information regarding incidents
of child abuse and neglect involving parents or other caretakers. The computer
system is composed of three parts: the statistical information system with
nonidentifying information, the central registry of founded complaints not on
appeal, and a database that can be accessed only by the department and local
departments that contains all nonpurged child protective services reports. This
system is the official state automated system.
"Commissioner" means the commissioner of the
department, his designee or authorized representative.
"Corporal punishment" means punishment administered
through the intentional infliction of pain or discomfort to the body through
actions such as, but not limited to, (i) striking, or hitting with any part of
the body or with an implement; (ii) pinching, pulling, or shaking; or (iii) any
similar action that normally inflicts pain or discomfort.
"Department" means the State Department of Social
Services.
"Dual approval process" "Dually
approved" means a process that includes a home study, mutual
selection, interviews, training and background checks to be completed on all
applicants have met the required standards to be considered for
approval approved as a resource, foster, or and
adoptive family home provider.
"Foster care placement" means placement of a
child through (i) an agreement between the parents or guardians and the local
board of social services where the legal custody remains with the parents or
guardians or (ii) an entrustment or commitment of the child to the local board
of social services or licensed child-placing agency.
"Foster parent" means an approved provider who
gives 24-hour substitute family care, room and board, and services for children
or youth committed or entrusted to a child-placing agency.
"Fully approved" means a decision by the local
department that the provider has met all requirements to be approved as a
resource, foster, adoptive, or respite home provider.
"In-service training" means the ongoing instruction
received by providers after they complete their preservice training.
"Interstate Compact on the Placement of Children"
means a uniform law that has been enacted by all 50 states, the District of
Columbia, and the U.S. Virgin Islands that establishes orderly procedures for
the interstate placement of children and sets responsibility for those involved
in placing those children.
"Kinship foster parent" means an approved
relative provider who gives 24-hour substitute family care, room and board, and
services for children or youth committed or entrusted to a child-placing
agency.
"Local department" means the local department of
social services of any county or city in this the Commonwealth.
"Parent" means the birth or adoptive parent of a
child.
"Preservice training" means the instruction
received by providers during the initial approval process.
"Provider" means a resource, an approved
foster, adoptive, or respite family kinship foster parent, or an
individual approved to provide respite services. Individuals who wish to
provide only respite services must meet all standards in this chapter unless
there is a noted exception for respite providers.
"Resource parent" means an approved provider who
is committed both to support reunification and also to be prepared to adopt the
child if the child and family do not reunify.
"Respite care" means the provision of the
service of temporary care for children on an emergency or planned basis for
the purposes of providing placement stability, supporting the achievement of
timely permanency, and promoting connections to relatives. Respite care services
shall not exceed 14 consecutive days.
"Respite parent" means an approved provider who
gives temporary care to children on an emergency or planned basis.
22VAC40-211-20. Approval of provider homes.
A. When applicants are approved in accordance with these
the standards of this chapter, they are approved as foster
families, adoptive families, resource families, or respite families foster
or adoptive providers. The approved provider shall, however, be
allowed to choose to provide only foster care, or adoptive care,
or respite care should they not wish to serve as a resource family.
B. If the relative provider cannot meet the standards
described in these sections this chapter, the local department
may, upon its discretion, request a variance waiver on certain
standards in accordance with 22VAC40-211-90. If the variance waiver
is not allowed, the local department shall not approve the home for the
placement of children.
C. These The standards of this chapter
apply to adoptive home providers until the final order of adoption is issued for
a specific child. The standards continue to apply after the final order
of adoption if the provider wishes to continue as an approved foster care
provider.
D. Respite care families shall not serve as foster,
adoptive, or resource families without completion of all requirements to be
fully approved as foster, adoptive, or resource families.
E. Emergency approval of a provider may be granted in
accordance with guidance developed by the department Local departments
may grant emergency approval of a provider.
1. Emergency approvals shall include:
a. Background Completed background checks; and
b. A home visit by the local department prior to or on the day
of the placement.
2. Emergency approvals shall not exceed 60 days.
3. Emergency approval of a provider may be granted when the
placement:
a. Is with a relative;
b. Is with an adult known to the family; or
c. Will facilitate the child remaining in the community.
F. E. All local department-approved resource,
foster, adoptive, and respite providers shall:
1. Be at least 18 years of age;
2. Agree not to use corporal punishment with the child in
their care or allow others to do so and shall sign an agreement to that effect;
and
3. Sign a statement confidentiality agreement
indicating their understanding of the confidentiality of information related
to the child in their care that the individual completing the mutual
family assessment for the local department explained the confidential nature of
the information related to the child in his care and of the requirement to
maintain that confidentiality.
G. F. If the approval process results in the
local department's denial of the application, the local department shall notify
the applicant in writing of its decision. A copy of the letter shall be filed
in the applicant's record.
22VAC40-211-30. Background checks, and health
standards, and driving record.
A. All background checks must be in accordance with
applicable federal and state laws and regulations. Convictions of offenses as
set out in § 63.2-1719 of the Code of Virginia shall preclude approval of an
application to become a provider.
B. Documentation of the results of the background check shall
be maintained in the applicant's record. Background check information shall not
be disseminated to any other party, nor shall it be archived except in
the local department's provider file.
C. The provider applicant and all other household
members who come in contact with children shall submit to tuberculosis assessment,
screening, or tests in compliance with Virginia Department of Health
requirements. The applicant and other caretakers residing in the home shall
submit the results of a physical examination administered within the 12-month
13-month period prior to approval, from a licensed health care
professional that comments on each applicant's or caretaker's mental or
physical condition relative to taking care of a child.
D. The local department shall obtain a Department of Motor
Vehicle driver record check for any provider all applicants or
other adults in the home who are expected to transport children and shall
consider the results of the driver record check in the approval process.
1. If an applicant will transport children, the applicant
shall have a valid driver's license and automobile liability insurance.
2. The vehicle used to transport the child shall have a
valid registration and inspection sticker.
22VAC40-211-40. Home study Mutual family assessment
requirements.
A. An applicant to become a provider shall complete
and submit an application in accordance with department requirements and on
department-approved forms or other forms that address all of the department's
requirements.
B. Upon submission of a completed provider application, the
local department is responsible for ensuring the initiation of the approval
process. If at any point in the approval process the local department
determines the home may not be approved, the application may be denied,
and the process ended.
C. Local departments shall conduct a minimum of three
face-to-face interviews on three separate days with each applicant, at
least one interview shall be in the applicant's home. If there are two
individuals listed as applicants, at least one interview must be with both
individuals. At least one interview shall be with all individuals who reside in
the home.
D. The local department shall obtain at least three
references from persons who have knowledge of each applicant's character and
applicable experience with children and caretaking of others. At least one
reference per person applicant shall be from a nonrelative.
E. Local departments shall ask if a prospective resource,
foster, adoptive, or respite provider an applicant previously
applied to, or was approved by, another local department or licensed
child-placing agency. The local department shall have the applicant sign a
request to release information from the other agency in order to obtain
information about previous applications and performance and shall use
that information in considering approval of the applicant.
F. As part of the approval process, the local department
shall conduct a home study mutual family assessment (MFA). The home
study MFA shall address all elements required by this standard and
be documented by a combination of narrative and other data collection formats,
and shall be signed and dated by the individual completing the home study
MFA and the director of the local department or his designee. The
information contained in the home study MFA shall include:
1. Demographic information including:
a. Age of applicant;
b. Marital status and history including verifications;
and
c. Family composition and history.
2. Financial information (not required for applicants to be only
respite providers) including:
a. Employment information on applicant;
b. Assets and resources of applicant; and
c. Debts and obligations of applicant.
3. List of individuals involved in completing the home
study MFA process and their roles.
4. Narrative documentation shall include information from the
interviews, references, observations and other available information,
and shall be used to assess and document that the applicant:
a. Is knowledgeable about the necessary care for children and
physically and mentally capable of providing the necessary care for children;
b. Is able to articulate a reasonable process for managing
emergencies and ensuring the adequate care, safety, and protection of children;
c. Expresses attitudes that demonstrate the capacity to love
and nurture a child born to someone else;
d. Expresses appropriate motivation to foster or and
adopt;
e. Shows stability in all household relationships;
f. Has the financial resources to provide for current and
ongoing household needs; and
g. Has complied with 22VAC40-211-70.
G. The individual completing the MFA for the local
department shall have met the training requirements. The local department
worker shall have knowledge related to foster care and adoption policy and the
skills and standards for developing the MFA and approving a foster or adoptive
home.
22VAC40-211-50. Approval period and documentation of approval.
A. The approval period for a provider is 36 months.
B. The approved provider shall be given an approval
certificate specifying the following:
1. Type of approval (resource, foster, adoptive, or respite
family home provider);
2. Date when the approval became effective and the date when
the approval lapses; and
3. Gender, age, and number of children recommended for
placement; and
4. The signature and title of the individual or
individuals approving the home.
C. Documentation shall be maintained on the provider and
child:
1. The local department's file on the child shall contain:
a. A copy of the provider's approval certificate; or
b. A copy of the licensed child-placing agency license,
documentation verifying that required background checks have been received by
the child-placing agency and providing the dates of such, and the provider
home approval certificate or letter if the provider is approved by a licensed
child placing agency.
2. All information on the provider able to be maintained in the
department's official child welfare data system shall be maintained in that
system.
3. The local department's file on the provider shall contain
but not be limited to:
a. A copy of the provider's approval certificate;
b. A copy of the background check results;
c. A copy of the Child Protective Services check;
d. The application;
e. Reference letters;
f. A copy of the home study mutual family assessment
(MFA) and supporting documentation;
g. Documentation of orientation and training;
h. Documentation of contacts and visits in the provider's
home;
i. Medical information;
j. A copy of the signed confidentiality agreement and the
corporal punishment agreement; and
k. Any other documents set out in guidance as part of the
approval process.
4. Local departments shall require the provider to maintain
legible written information on each child in their the provider's
care including:
a. Identifying information on the child;
b. Name, address, and work telephone number of the local
department caseworker and local department after hours emergency contact
information;
c. Name, address, and home and/or or work
telephone numbers of persons authorized to pick up the child;
d. Name of persons not authorized to call or visit the child;
e. Educational records, report cards and other school-related
documentation;
f. Medical information pertinent to the health care of the
child including all licensed health care providers' names, addresses and
telephone numbers and medical care authorization form;
g. Correspondence related to the child;
h. The service plan as well as other written child information
provided by the local department;
i. The placement agreement between the provider and the local
department; and
j. A copy of the signed confidentiality statement.
5. Providers The provider shall maintain files
in a secure location in order to protect the confidentiality of that
information. The file and its contents shall not be shared with anyone other
than those approved by the local department and shall be returned to the local
department if the child leaves the provider's home.
6. The local department and its representatives shall have
access to all records.
7. The provider shall notify the local department of any
significant changes in the provider's circumstances that impact the conditions
of the original approval.
7. 8. Significant changes in the circumstances
of the provider that would impact the conditions of their provider
approval require an addendum updating the home study MFA.
8. 9. The local department shall revoke or
suspend the approval of a provider when a change in the circumstances of the
provider results in the provider's temporary inability to meet standards.
Reinstating the approval requires resolution of the circumstances that caused
the suspension and shall be documented in an addendum to the provider's record.
Any child placed with a provider at the time approval is suspended shall be
immediately removed. No other children may be placed with the provider during
the period of suspension. A suspension does not change the approval period. A
provider whose approval has been revoked must submit a new application.
22VAC40-211-60. Training.
A. The local department shall ensure that preservice training
is provided for resource, foster and adoptive family home providers.
This training shall address but not be limited to the following core
competencies:
1. Factors that contribute to neglect, emotional maltreatment,
physical abuse, and sexual abuse, and the effects thereof;
2. Conditions and experiences that may cause developmental
delays and affect attachment;
3. Stages of normal human growth and development;
4. Concept of permanence for children and selection of the
permanency goal;
5. Reunification as the primary child welfare goal, the
process and experience of reunification;
6. Importance of visits and other contacts in strengthening
relationships between the child and his birth family, including his siblings;
7. Legal and social processes and implications of adoption;
8. Support of older youth's transition to independent living;
9. The professional team's role in supporting the transition
to permanency and preventing unplanned placement disruptions;
10. Relationship between child welfare laws, the local
department's mandates, and how the local department carries out its mandates;
11. Purpose of service planning;
12. Impact of multiple placements on a child's development;
13. Types of and response to loss, and the factors that
influence the experience of separation, loss, and placement;
14. Cultural, spiritual, social, and economic similarities and
differences between a child's primary family and foster or adoptive family;
15. Preparing a child for family visits and helping him manage
his feelings in response to family contacts;
16. Developmentally appropriate, effective and nonphysical
disciplinary techniques;
17. Promoting a child's sense of identity, history, culture,
and values;
18. Respecting a child's connection to his birth family,
previous foster families and/or or adoptive families;
19. Being nonjudgmental in caring for the child, working with
his family, and collaborating with other members of the team;
20. Roles, rights, and responsibilities of foster parents and
adoptive parents; and
21. Maintaining a home and community environment that promotes
safety and well-being; and
22. Mandated child abuse and neglect reporter laws and
responsibilities.
B. Local departments shall ensure that each foster and
adoptive home provider receives annual in-service training.
1. Training shall be relevant to the needs of children and
families and may be structured to include multiple types of training modalities
(for example, online foster parent training courses; seminars and conferences).
2. The department shall provide opportunities for training on
an annual basis.
C. The provider is required to complete preservice and annual
in-service trainings. As a condition of reapproval each provider shall
complete in-service training.
D. Local departments shall explain confidentiality
requirements to providers and require providers to keep confidential all
information regarding the child, his family, and the circumstances that
resulted in the child coming into care.
22VAC40-211-65. Training for individuals providing only
respite care providers.
A. The local department shall ensure that preservice training
is provided for respite care providers. This training shall address, but not be
limited to, the following core competencies:
1. Factors that contribute to neglect, emotional maltreatment,
physical abuse, and sexual abuse, and the effects thereof;
2. Conditions and experiences that may cause developmental
delays and affect attachment;
3. Reunification as the primary child welfare goal, the
process and experience of reunification;
4. Importance of visits and other contacts in strengthening
relationships between the child and his birth family, including his siblings;
5. The professional team's role in supporting the transition
to permanency and preventing unplanned placement disruptions;
6. Impact of multiple placements on a child's development;
7. Cultural, spiritual, social, and economic similarities and
differences between a child's primary family and foster or adoptive family;
8. Preparing a child for family visits and helping him manage
his feelings in response to family contacts;
9. Developmentally appropriate, effective, and nonphysical
disciplinary techniques;
10. Maintaining a home and community environment that promotes
safety and well-being;
11. Promoting a child's sense of identity, history, culture,
and values;
12. Respecting a child's connection to his birth family,
previous foster families, and adoptive families; and
13. Being nonjudgmental in caring for the child, working with
his family, and collaborating with other members of the team.
B. The department shall provide opportunities annually for
in-service training.
22VAC40-211-70. Standards for the home of the provider.
A. The home shall have sufficient appropriate space and
furnishings for each child receiving care in the home including:
1. Space to keep clothing and other personal belongings;
2. Accessible basin and toilet facilities;
3. Safe, comfortable sleeping furnishings;
4. Sleeping space on the first floor of the home for a child
unable to use stairs unassisted, other than a child who can easily be carried;
and
5. Space for recreational activities.
B. All rooms used by the child shall be heated in winter,
dry, and well-ventilated and have appropriate access to exits in case of
emergency.
C. Rooms and study space used by the child shall have
adequate lighting.
D. The provider and children shall have access to a working
telephone in the home.
E. Multiple children sharing a bedroom shall each have
adequate space including closet and storage space. Bedrooms shall have adequate
square footage for each child to have personal space.
F. Children over the age of two years shall not share a bed.
G. Children over the age of two shall not share a bedroom
with an adult unless the local department approves and documents a plan to
allow the child to sleep in the adult's bedroom due to documented needs,
disabilities or other specified conditions. Children of any age cannot share a
bed with an adult.
H. Children of the opposite sex over the age of three shall
not sleep in the same room.
I. Children under age seven or children with significant and
documented cognitive or physical disabilities shall not use the top bunk of
bunk beds.
J. The home and grounds shall be free from litter and debris
and present no hazard to the safety of the child receiving care.
1. The provider shall permit a fire inspection of the home by
appropriate authorities if conditions indicate a need and the local department
requests such an inspection.
2. Possession of any weapons, including firearms, in the home
shall comply with federal and state laws and local ordinances. The provider
shall store any firearms and other weapons with the activated safety
mechanisms, in a locked closet or cabinet. Ammunition shall be stored in a
separate and locked area. The key or combination to the locked closet or cabinet
shall be maintained out of the reach of all children in the home.
3. Providers shall ensure that household pets are not a health
or safety hazard in accordance with state laws and local ordinances and the
local department shall request verification of provider compliance.
4. Providers shall keep cleaning supplies and other toxic
substances stored away from food and locked as appropriate. Medications shall
be out of reach of children and locked as appropriate. Medications shall be
stored separately from food, except those medicines that require refrigeration.
5. Every home shall have an operable smoke detector, the
specific requirements of which shall be coordinated through the local fire
marshal. If a locality does not have a local fire marshal, the state fire
marshal shall be contacted.
6. Every home shall contain basic first aid supplies.
K. The number of children in the provider's home shall not
exceed eight. Factors to consider in determining capacity include, but are not
limited to:
1. The physical accommodations of the home;
2. The capabilities and skills of the provider to manage the
number of children;
3. The needs and special requirements of the child;
4. Whether the child's best interest requires placement in a
certain type of home;
5. Whether any individuals in the home, including the
provider's children, require special attention or services of the provider that
interfere with the provider's ability to ensure the safety of all children in
the home; and
6. Whether the foster care provider is also a child care
provider.
L. During the approval process, the provider shall develop a
written emergency plan that includes, but is not limited to, fire and natural
disasters. The plan shall include:
1. How the provider plans to maintain the safety and meet the
needs of the child in their the provider's home during a
disaster;
2. How the provider shall evacuate the home, if necessary, in
a disaster; and
3. How the provider shall relocate in the event of a large
scale evacuation.
M. Providers shall arrange for responsible adults to be
available who can serve in the caretaker's role in case of an emergency. If the
planned or long-term absence of the provider is required, the local department
shall be notified of and approve any substitute arrangements the provider
wishes to make.
N. In the event of a large scale evacuation due to a
disaster, if the provider cannot reach the local department, the provider shall
call the State Child Abuse Hotline to notify the department of the provider's
location and contact information.
22VAC40-211-80. Standards of care for continued approval.
A. The provider shall provide care that does not discriminate
on the basis of race, color, sex, national origin, age, religion, political
beliefs, sexual orientation, disability, or family status.
B. The provider shall ensure the child receives meals and
snacks appropriate to his daily nutritional needs. The child shall receive a
special diet if prescribed by a licensed health care provider or designee or in
accordance with religious or ethnic requirements or other special needs.
C. The provider shall ensure that he can be responsive to the
special mental health or and medical needs of the child.
D. The provider shall establish rules that encourage desired
behavior and discourage undesired behavior. The provider shall not use corporal
punishment or give permission to others to do so and shall sign an agreement to
this effect.
E. The provider shall provide clean and seasonal clothing
appropriate for the age and size of the child.
F. If a provider transports the child, the provider shall
have a valid driver's license and automobile liability insurance. These will be
checked at approval and reapproval but verification may be required at any time
deemed necessary.
G. The vehicle used to transport the child shall have a
valid registration and inspection sticker.
H. F. Providers and any other adults who
transport children shall use functioning child restraint devices in accordance
with requirements of Virginia law.
G. In the reapproval process the local department shall
verify that the requirements for approval, including background checks, are
still being met by the provider.
22VAC40-211-90. Allowing a variance waiver.
A. The local department may request and the provider may
receive a variance waiver from the department on a standard if
the variance waiver does not jeopardize the safety and proper
care of the child or violate federal or state laws or local ordinances.
B. If a provider is granted a variance waiver
and is in compliance with all other requirements of this chapter, the provider
is considered fully approved.
C. Any variances waivers granted are considered
on a case-by-case basis and must be reviewed on an annual basis by the
department.
22VAC40-211-100. Monitoring and reapproval of providers.
A. The local department's representative shall visit the home
of the approved provider as often as necessary but at least quarterly to
provide support to and monitor the performance of the provider and shall
document these visits in the provider record.
1. When a child is placed in the home, these visits may
coincide with the monthly visits to the child.
2. If there is no child placed in the home, the quarterly
visit may be replaced by telephone contact.
B. The reapproval process shall include a minimum of one
interview with the provider in his home and the following activities:
1. A review of the previous home approval information;
2. Updating the home study mutual family assessment
(MFA) and any information that has changed and consideration of new
information since the previous approval;
3. Completing state criminal record and child protective
services background checks;
4. Obtaining the results of a new tuberculosis assessment,
screening, or tests in compliance with Virginia Department of Health
requirements and documenting the absence of tuberculosis in a communicable
form;
5. Reviewing the confidentiality and the corporal punishment
requirements and completing new confidentiality and corporal punishment
agreements;
6. A reassessment of the above information to determine
reapproval;
7. A case record addendum indicating that the above
requirements were met; and
8. Documentation of in-service training received.
C. If the reapproval process results in the local department's
decision to revoke or suspend the provider's approval, the local department
shall notify the provider in writing of its decision. A copy of the
notification letter shall be stored in the provider's record.
D. If monitoring efforts indicate that significant changes in
the circumstances of the provider have occurred and would impact the conditions
of their the provider's approval, an addendum shall be completed
and included with home study the MFA and appropriate action
taken.
E. The case record addendum (i) shall contain all
requirements of this chapter and be documented by a combination of narrative
and other data collection formats, and (ii) shall be signed and
dated by the individual completing the addendum and the director of the local
department or his designee.
VA.R. Doc. No. R13-3458; Filed October 9, 2018, 9:24 a.m.