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Champa Kumar
22778 Oak Grove Road
Sterling, VA 20166
(703) 689-0049

Current Inspector: Mary J. Wizbicki (703) 479-4707

Inspection Date: Aug. 1, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
For sanitary purposes, the infant bottle warmer shall not be stored on the counter in the children's bathroom. The bottle warmer was moved to the storage room during this inspection.

An unannounced monitoring inspection was conducted today. The provider and one assistant caregiver were caring for 10 children, totaling 26 points. The children were observed interacting with the caregivers, playing with creative toys, and preparing for lunch. The children were served rice with mixed vegetables, lentils, bananas, and milk for lunch today. This inspection was completed between approximately 11:00 am and 12:15 pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at

Standard #: 22VAC40-111-920
Description: Based on a review of posted documents, it was determined that the provider has not updated the menu as required. Evidence: The provider did not update the posted menu to indicate the food substitutions she has made for the children's lunch today.

Plan of Correction: The menu was immediately updated during the inspection.

Standard #: 22VAC40-111-960-E
Description: Based on observations, it was determined that three infant bottles were not labeled as required. Evidence: Three infant bottles are no longer clearly labeled with each child's name. On each of these bottles, the name has worn off.

Plan of Correction: The bottles will be re-labeled today.

Standard #: 22VAC40-111-50-A
Description: Based on a review of administrative documents, it was determined that the provider did not keep an accurate record of children in attendance today. Evidence: Upon arrival, there were 10 children present and in care; however, the documented attendance indicated a total of only 7 children present and in care.

Plan of Correction: The attendance was immediately corrected during the inspection.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that three records were not complete. Evidence: 1. Child record #2 does not include documentation to show that the provider has viewed the child's original proof of identification. 2.Child record #3 and #5 do not include documentation that the parent has reviewed each child's emergency contact information within the past year.

Plan of Correction: Parents will be asked for the missing information.

Standard #: 22VAC40-191-50-A-1-a
Description: Based on a review of background checks, it was determined that one Sworn Disclosure Statement (SDS) is not fully completed. Evidence: The SDS for caregiver #3 is not fully completed. This person signed and dated the form, but she did not answer any of the required four questions.

Plan of Correction: She completed the SDS correctly immediately during the inspection.

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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