Jo-Ann Dixon

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Shelter-in-place procedures were not practiced since November 14, 2025.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. The record for child #1 and #2 did not have an annual review of the emergency contact information.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. The record for child #3 did not have updated immunizations.”

8VAC20-800-60-B

“Children's records are required to contain the name, phone number, and address of two emergency contacts and parental authorization for emergency medical care should it be needed. The record for Child #1 was missing the address for one of the two required emergency contacts. The child was present during the inspection and had been in care for a month. The record for child #5 did not contain emergency medical authorization.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning chemicals were in the unlocked cabinet below the sink in the restroom the children use. There was an aerosol air freshener on a shelf at child level in the day care room.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. The record for child #3 did not have a parent’s signature for an annual review of the emergency contact information. This was overdue by two years.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by seven months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #3, immunization documentation update was overdue by 2.5 years.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1 and #5, who had been in care for over 30 days.”

8VAC20-800-60-B

“Children's records are required to contain all of the required information. The record for Child #4 was missing the address for one of the two required emergency contacts. The child was present during the inspection and had been in care for three months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #1, 3 years old, last documented immunization update was 20 months ago. Child #5, 3 years old, last documented immunization update was 17 months ago.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for children #1 and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over 20 months and Child #4 had been in care for 16 months without any annual review.”

8VAC20-800-60-B

“Children's records are required to contain medical insurance policy information and two emergency contacts. The record for Child #1 was missing the employment information for one parent; and one emergency contact. The child was present during the inspection and had been in care for a month over a year and a half.”

8VAC20-800-780-B

“Based on record review and interview it was determined the provider did not review with the parent the emergency contact information. Evidence: 1. The record for child #5 did not contain documentation of an annual review. 2. Provider confirmed this record needed an annual review.”

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure that children's records contained all the required information. Evidence: 1. The record for child #4 did not contain medical insurance policy information. 2. The provider confirmed this information was not in the record during this inspection.”

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 who is not exempt from the immunization requirements according to subsection B of this section. Evidence: 1. The records for child #3 and child #4 did not contain documentation of immunization updates as required. 2. Provider confirmed these records were not available during this inspection.”

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.”

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.”

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.”

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.”

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.”

8VAC20-800-90-A

“Based on record review and interview it was determined the provider did not ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. The record for child #5(enrolled 2/27/23) did not contain the required immunization documentation prior to attending. 2. Provider confirmed this documentation was not available during this inspection.”

8VAC20-800-60-B

“Based on record review and interview 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 proof of identity. 2. The record for child #2 did not contain the medical insurance policy number and the address for one of the two required emergency contacts. 3. The record for child #5 did not contain: - Child's full name, nickname (if any), sex, address, and birth date; - Emergency contact information including - Name, address and telephone number of each custodial parent's place of employment; - Name, office address and telephone number of the child's physician; - Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; - Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation; - Name and policy number of the child's medical insurance, if applicable; - Names of persons other than the custodial parents who are authorized to pick up the child; - Appropriate legal paperwork when a custodial parent does not authorize the provider to release the child to the other parent; and - Chronic physical problems, pertinent developmental information, and any special accommodations needed 4. The provider confirmed that this information was not available during this inspection.”

8VAC20-800-60-B

“Based on record review it was determined the provider did not ensure the record for each child contained all of the required information. Evidence: 1. The records for child #1, #2, and #3 did not contain their medical insurance policy number. 2. There was no first date of attendance in the records for child #3 and #4. 3. There was no enrollment form for child #4.”

8VAC20-800-90-C

“Based on record review it was determined the provider did not obtain documentation of additional immunizations every six months for children under two years of age. Evidence: The records for child #1, #3, and #4 did not contain updated immunization documentation. The documents in the records were dated 11/12/21, 8/21/20, and 5/28/20 respectively.”

8VAC20-800-100-A

“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 #2(first day of attendance 9/4/2020) did not contain documentation of a physical exam. 2. The provider confirmed this documentation was not available during this inspection.”

8VAC20-800-70-A

“Based on record review and interview it was determined the provider did not ensure parent's were provided the provisions of the family day home's emergency preparedness and response plan in writing before the child's first day of attendance. Evidence: 1. The records for child #1, #2, and #3 did not contain documentation of the parent's receiving the provisions of the family day home's emergency preparedness and response plan in writing before the child's first day of attendance. 2. The provider confirmed this documentation was not available during this inspection.”

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure that each child's record contained all of the required documentation. Evidence: 1. The record for child #1, #2, and #3 did not contain the name and policy number of the child's medical insurance. 2. The provider confirmed this information was not available during this inspection.”