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

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Nov. 30, 2016

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
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Guidanced provided regarding household children/ratio and point system.

The following inspection took place between the hours of 10:20am through 2:15pm. Today, I met with the Provider on site at her Family Day Home (FDH) located in Springfield, Virginia. At the start of this unannounced renewal inspection there were a total of 5 children (14points) with 2 caregivers. A total of 3children?s files and 2 staff/ 1 household member?s files were reviewed. The children were engaged in the following: morning video, lunch and transition to naptime. Observation of diapering and food handling was made. If you should have any future questions, please email me at: . Thank you.

Standard #: 22VAC40-111-750-A
Description: Based on walk thru of physical plant, one topical was found not labeled with the child's name. Evidence: Nystantin for Child #3 was not labeled.

Plan of Correction: Provider will label the topical ointment.

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 #: 22VAC40-111-120-D
Description: Based on review of staff records, a criminal background check was not obtained/maintained as required. Evidence: After a review of provider's record, the most recent background check was dated 2/7/13. A new background check must be obtained every three years.

Plan of Correction: Provider stated a criminal background check was requested but was not received back. Provider will request a new one.

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 will resume maintaining a record of attendance.

Standard #: 22VAC40-111-60-B
Description: Based on review of child records, a proof of identity was not found for one child record. Evidence: Child #2's record did not have documentation of proof of identity.

Plan of Correction: Provider will contact parent today and request proof of identity.

Standard #: 22VAC40-111-130
Description: Based on review of staff records, background check, sworn disclosure and central registry report was not obtained every three years. Evidence: After review of provider record, most recent background check, central registry report and sworn disclosure were all dated 2/2013.

Plan of Correction: Will obtain all required reports including sworn disclosure and maintain them in the record.

Standard #: 22VAC40-111-160
Description: Based on review of household member record required documentation was not obtained as required. Evidence: 160(3) In reviewing household member records, a criminal record check, sworn disclosure, and central registry report was not obtained every three years as required. Last documented sworn disclosure, criminal record check and central registry report was dated 2/2013. Evidence: Provider has two additional adult household members that were not reflected on the application, no criminal record check, central registry report or sworn disclosure was obtained for these household members.

Plan of Correction: Provider was obtain all required background checks, central registry reports and sworn disclosures for all household members residing in home.

Standard #: 22VAC40-111-170-A
Description: Based on review of current household members, TB screenings were not obtained. Evidence: Provider has two new household members not reflected on the application that did not obtain a TB screening as required.

Plan of Correction: Both household members will obtain TB screenings.

Standard #: 22VAC40-111-320-B
Description: Based on walk thru of physical plant, electrical outlets were not covered with child resistant protective covers. Evidence: Outlet in bathroom accessible to children did not have an outlet cover.

Plan of Correction: Provider will place an outlet cover in the outlet in the bathroom.

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.


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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.


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