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: Jan. 18, 2024

Complaint Related: 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

Technical Assistance:

LI spoke with provider during this inspection about annual updates and provided coaching and materials on safe sleep practices.

Comments:

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:

Standard #:	8VAC20-800-60-B
Description:	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
Description:	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.
Standard #:	8VAC20-800-320-E
Description:	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
Description:	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
Description:	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.