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Mozhgan "Lisa" Hessavi
2311 Colts Brook Drive
Reston, VA 20191
(571) 247-5112

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: March 30, 2017

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 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced full renewal inspection was conducted today. The provider and two assistant caregivers were caring for 10 children, totaling 31 points. The children were observed playing with balls, playing with transportation toys, listening to books, and eating lunch. The children were served pasta with carrots and celery, and milk for lunch today. This inspection was completed between approximately 10:15 am and 12:15 pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on a review of evacuation drill documentation, it was determined that the provider has not conducted an evacuation drill every month. Evidence: The provider did not conduct a fire evacuation drill during the month of January, 2017.

Plan of Correction: We did a shelter drill that month. I will make sure we do a fire drill every month.

Standard #: 22VAC40-111-920
Description: Based on observations, it was determined that the posted menu was not completed as required. Evidence: The posted menu for March was not dated.

Plan of Correction: I will remember to date the menu.

Standard #: 22VAC40-111-120-B
Description: Based on a review of caregiver records, it was determined that one file is not complete. Evidence: The file for assistant caregiver B does not include: two reference checks; emergency contact information; orientation training.

Plan of Correction: The reference checks will be completed and I will document the orientation training. She will fill out the emergency contact information today.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that two records were not complete. Evidence: 1. Child record 3 does not include a signed "Information for Parents" document. 2. Child record 5 does not include a signed "Medication Policy" document.

Plan of Correction: Both parents will be asked to sign the documents today.

Standard #: 22VAC40-111-240-A
Description: Based on observations, it was determined that two rooms in the home have not been maintained as required. Evidence: The provider currently has three adult tenants living in the upstairs level of the home. Two bedroom doors where these tenants reside were locked. The provider did not have a key to each of these bedrooms at the time of this inspection.

Plan of Correction: I have misplaced the keys. I will get copies of the keys made.

Standard #: 22VAC40-111-580-C
Description: Based on observations, it was determined that three children did not participate in a variety of activities during this inspection. Evidence: Upon arrival, the Inspector observed three two-year-old children sitting in a seat at a bucket table. One child was eating morning snack, while the other children were playing with toys. These three children were observed seated at the table throughout the duration of this inspection, approximately 2 hours. The Inspector observed them playing with toys in their seats, listening to books, and eating lunch. These children were not permitted to get out of their bucket seat and move around until the end of lunch.

Plan of Correction: We always let the children move around and explore. I will talk with both assistants to make sure all children are moving around and experiencing a variety of programming throughout the day. I spoke with one assistant immediately during this inspection.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on a review of background checks, it was determined that three required background checks have not been completed for two adult residents living in the home. Evidence: 1. Resident B has not signed a Sworn Disclosure Statement. 2. Resident C has not signed a Sworn Disclosure Statement and does not have a current Criminal History Record Check (CRC) on file.

Plan of Correction: Both will sign the form today. I will submit a new CRC request today.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on a review of background checks, it was determined that one required background check has not been completed. Evidence: The Child Protection Services (CPS) registry check for one family member living in the home has not been completed. This resident came of age to require a CPS check approximately 2 years ago.

Plan of Correction: I did not realize he needed a CPS check before age 18. I will submit the request tomorrow.

Disclaimer:
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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