VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Jo-Ann Dixon
2324 Ardmore Avenue
Chesapeake, VA 23324
(757) 543-4406

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Sept. 13, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

An unannounced monitoring inspection was conducted from 1:00pm-2:00pm. Upon arrival there were 7 children in care, totaling 17 points and 2 caregivers. Children were observed during diapering, interacting with the provider, being fed a bottle and nap. A sample of 5 children and 3 caregiver/household records were reviewed. No medications are administered and injury reports were reviewed. Areas of noncompliance are detailed on the violation notice and were discussed with the provider at the conclusion of this inspection.

Violations:

Standard #:	22VAC40-111-840-B
Description:	Based on record review and interview it was determined the provider did not ensure the record of each child's injury contained all of the required components. Evidence: 1. The injury record for child #1 dated 8/23/19 did not contain the date, time and method of parental notification and any future action to prevent recurrence. 2. The injury record for child #7 dated 5/28/19 did not contain the date, time and method of parental notification and any future action to prevent recurrence. 3. The provider confirmed that the injury reports for child #1 and child #7 were missing components.
Plan of Correction:	Provider will complete all sections on the injury report.
Standard #:	22VAC40-111-100-A
Description:	Based on record review and interview it was determined the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child #1(enrolled 7/1/19) did not contain documentation of a physical examination. 2. The provider confirmed that the record for child #1 did not contain documentation of a physical examination.
Plan of Correction:	Provider will request documentation of a physical examination from the parent at the time of pick up.
Standard #:	22VAC40-111-60-B
Description:	Based on record review and interview it was determined the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #2(enrolled 7/16/18) did not contain written documentation of the required parental agreements. 2. The record for child #5(enrolled 2/21/17) did not contain one of the two required emergency contacts. 3. The provider confirmed that the records for child #2 and child #5 were missing components.
Plan of Correction:	The provider will request the missing information from the parents at pick up.
Standard #:	22VAC40-111-90-C
Description:	Based on record review and interview it was determined the family day home provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #5 did not contain documentation of updated immunizations once every six months until they were two years of age. The last immunization documentation was dated 3/14/17 at which time child #5 was under one year old. 2. The provider confirmed there was no updated immunization documentation in child #5's record.
Plan of Correction:	Provider will request updated immunization documentation from the parent at pick up.