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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Rubina JanJua
14513 Darbydale Avenue
Woodbridge, VA 22193
(703) 680-2568

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: July 1, 2015

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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

An unannounced renewal inspection was completed today. The Provider had three children in care, eight points. The Provider is not MAT certified. There are no pets in the home. The children were observed during lunch time. They had milk, chicken patties, carrots, apple slices and bread. The children were also observed during free play time. Three records were reviewed and two interviews were conducted. Inspection began 10:45am to 12:45pm.

Standard #: 22VAC40-111-60-B
Description: Based on child record review, it was determined that the record for a child was missing required items. Evidence: Child C was missing documentation of the immunization record within the file.

Plan of Correction: The Provider has misplaced the immunization record. She will ask the parent to bring a copy for the record.

Standard #: 22VAC40-111-210-A
Description: Based on staff record review, it was determined that the staff did not have the required amount of hours for annual training. Evidence: The Provider's Assistant had documentation of only four hours of annual training at the time of inspection.

Plan of Correction: The Provider's Assistant will complete the required sixteen hours of training by September 1, 2015.

Standard #: 22VAC40-111-430-B
Description: Based on direct observation by the Licensing Inspector, the Provider was using a gate as a protective barriers at stair openings. Evidence: The Provider was using an accordion gate to block the stair opening.

Plan of Correction: The Provider will not use the accordion gate to block the stair opening.

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.


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