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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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Irma Puza
6913 Rolling Road
Springfield, VA 22152
(703) 505-2806

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: April 19, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Today an unannounced monitoring visit was conducted with the Provider. This visit took place in the morning there were 7 children with 3 caregivers for a total of 20 points within the supervision guidelines. The children were observed having morning free play, learning colors, shapes, fruit, lunch and morning nap. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and provider records, attendance, menu and emergency procedures were observed during this inspection. If you have any questions, please e-mail me at

Standard #: 22VAC40-111-800-B
Description: Based on review of provider records, provider did not conduct an annual review of the emergency plan. Evidence: No documentation was found of an annual review of an emergency plan.

Plan of Correction: Provider will complete a review of the emergency plan and document the review.

Standard #: 22VAC40-111-50-A
Description: Based on walk thru of physical plant, provider did not have a current record of attendance. Evidence: No record of attendance was found for the past week.

Plan of Correction: Provider stated that something happened this week and did do the attendance record. Provider will resume maintaining a record of attendance.

Standard #: 22VAC40-111-690-E
Description: Based on walk thru of physical plant, the device used for disposable diapers did not ensure that the exterior surface was not touched by soiled diapers or the caregiver's hands. Evidence: The disposable device used for soiled diapers has a lid that must be touched by caregiver's hands to dispose of the soiled diapers.

Plan of Correction: Provider will obtain a new storage system for soiled diapers.

Standard #: 22VAC40-191-40-D-1-a
Description: Based on review of staff records, background check, sworn disclosure and central registry report was not obtained within 30 days of employment. Evidence: Staff #1's record did not include a background check, central registry report and sworn disclosure 9/16.

Plan of Correction: Will obtain all required reports including sworn disclosure and maintain them in the record. Provider thinks she may have misplaced the background checks because she mailed them off however was unable to locate during this visit.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of provider records, the following background check was not obtained/maintained as required. Evidence: After a review of provider's record, the most recent criminal background, central registry check and sworn disclosure statement was dated 2/7/13. A new background check must be obtained every three years. Caregiver #1's & Household member #'s record did not include documentation on-site of an updated Central registry check, and criminal record and sworn disclosure statement three years from the date of the last screening (2/13).

Plan of Correction: Provider thinks she may have misplaced the background checks because she mailed them off however was unable to locate during this visit.

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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