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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. Huma Farrukh
15369 Tina Lane
Woodbridge, VA 22193
(703) 897-6379

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: May 14, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Technical assistance was provided regarding documentation of emergency drills.

An unannounced renewal inspection was conducted between the hours of 10:15am through 12:15pm. There were a total of 5 children present, including 1 resident child, ages 16 months-2 years old (11 points) with the Provider. A total of 4 children's files, 1 staff file, and 4 household member?s files were reviewed. The children were engaged in the following: singing and dancing, eating snack consisting of an apple, crackers, and water, and other organized activities. Positive interactions between the caregiver and children were observed during this inspection. A complete inspection of the programming space, children and staff records, evacuation drills, menu, attendance, the first aid kit and emergency procedures were completed today. The provider advised there was no medication on site today. There was an abundant supply of age appropriate materials and toys. Please contact me with any questions or concerns regarding this inspection at

Standard #: 22VAC40-111-830-C
Description: Based on record review and an interview with the provider, complete documentation of emergency evacuation and shelter-in-place drills was not maintained. Evidence: 1. A fire drill was not documented as being completed for the month of April 2019. The provider states this was completed but she doesn't recall the date. 2. Documentation of the shelter-in-place drills was not maintained. The provider stated she has completed the shelter-in-place drills two times in the last year but has not completed documentation.

Plan of Correction: I will do a shelter-in-place drill today and complete documentation. In the future, I will always make sure I document when a drill is done.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, 2 of 4 children's records were incomplete. Evidence: 1. Child #1 was missing father's work telephone number. 2. Child #4 was missing father's work telephone number and an annual review of the emergency contact information. The last review of emergency contact information was completed on 4/2/18.

Plan of Correction: I will talk to the parents today and it will be done by tomorrow.

Standard #: 22VAC40-111-90-C
Description: Based on review of children's records, updated immunizations were not obtained for a child under the age of 2. Evidence: 1. Child #4 is under the age of 2 and immunizations were last updated on 3/26/2018.

Plan of Correction: I have already requested updated immunizations for this child. I will ask that parents again to bring it by tomorrow.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each adult household member every two years. Evidence: 1. Adult Household Member #2's last TB screening was dated 4/23/17. 2. Adult Household Member #3's last TB screening was dated 4/23/17.

Plan of Correction: They will be done by this week.

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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