Jo-Ann Dixon

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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