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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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Carolyn Johnson
908 N. Watford Street
Sterling, VA 20164
(703) 421-0478

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: March 5, 2019

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
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Reminder that TB tests for 2 caregivers need to be completed within the next week.

An unannounced renewal inspection was initiated today. The physical plant, 3 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected on-site today between 3:00-4:15pm. There were 7 children, totaling 16 points, under the supervision of the Provider. Today, the children worked with learning letters, played with blocks and organized games. The interactions between the children and caregiver was seen to be positive and constructive in nature. The children were served cheese pizza with tomato sauce, applesauce and milk for lunch. The Provider is not currently certified in MAT (medication administration training) and there are no children with any medication needs. She is looking to get recertified in MAT next week. Should you have any questions, please contact me at

Standard #: 22VAC40-111-830-A
Description: Based on file review, the Provider has not completed evacuation drills each month the children are in care. Evidence 1. The Provider has not completed any evacuation drills in 2019.

Plan of Correction: These will be completed and documented.

Standard #: 22VAC40-111-60-A
Description: Based on file review, 2 out of 5 children's records have not been updated annually. Evidence 1. Child #3's record was last updated on 2/27/28. 2. Child #5's record was last updated on 9/7/17.

Plan of Correction: These will be updated.

Standard #: 22VAC40-111-60-B
Description: Based on file review, 1 out of 5 children's records does not have all required information. Evidence 1. Child #3 does not have medical insurance information on file.

Plan of Correction: This information will be added to the file.

Standard #: 22VAC40-111-70-A
Description: Based on file review, 1 out of 5 children's records does not have all required information on file. Evidence 1. Child #4 does not have a signed "Information for Parents" form on file.

Plan of Correction: This will be signed.

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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