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Jo-Ann Dixon

Inspection · 2024-01-18

Date
2024-01-18
Complaint Related
No
Licensing Inspector
Kimberly Sampson
(757) 354-7307
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced monitoring inspection was conducted and concluded on 01/18/2024. At the time of entrance, 7 children totaling 17 points were in care with the provider and assistant provider. The record sample size consisted of 5 children's records and the provider's record and the assistant's record. The children in care were observed engaging with the provider, participating in educational activities, napping, handwashing, and free play. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations

5
Standard 8VAC20-800-320-E
Based on observation and interview it was determined the provider did not ensure heating devices located in areas accessible to children had a barrier or screen.
Evidence:
1. There was a free standing electric heater that was hot to the touch in the area adjacent to childcare room. Children were observed in and out of this room.
2. Assistant provider confirmed this vent was hot to the touch.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-590-A
Based on observation and interview it was determined the provider did not place infants on their back when sleeping or napping.
Evidence:
1. Child #3, a four month old, was observed laying on their stomach on the couch and in the crib, presenting a potential suffocation hazard.
2. Provider when asked stated that they laid the child down on their stomach.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-590-B
Based on observation and interview it was determined the provider did not promptly move an infant who falls asleep who falls asleep in a play space other than his own crib, cot, mat, or bed shall be moved promptly to his designated sleeping space if the safety or comfort of the infant, toddler, or preschool child is in question.
Evidence:
1. In the room adjacent to the child care area upon inspector's arrival child #3, a four month old, was observed sleeping on their stomach on the couch, presenting a potential suffocation hazard.
2. Provider confirmed child fell asleep on the couch and asked if they needed to move them.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on record review it was determined the provider did not ensure that each child's record contained all of the required information.
Evidence:
1. The record for child #1 did not contain the medical insurance policy number as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Based on record review and interview it was determined the provider did not obtain documentation of additional immunizations for a child every six months until the age of two years.
Evidence:
1. The record for child #1(DOB 5/27/21) did not contain documentation of updated immunizations. The record available was dated 9/28/22.
2.The record for child #2(DOB 5/16/19) did not contain documentation of updated immunizations. The record available was dated 5/28/20.
3. Provider confirmed they did not have updated immunization records available during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services