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Dalbir Kaur
3913 17th Street North
Arlington, VA 22207
(703) 527-7663

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: Jan. 23, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The assistant should complete a new Sworn Disclosure Statement that is for the correct type of day care program. The provider should have the parents complete a "general field trip" form for walking trips to the neighborhood park. The forms are located on the VA DSS web site under current Family Day Home providers.

An unannounced renewal study was conducted today. Five children were present with two caregivers for fifteen points which is within ratios for supervision. Four children were awake upon the Inspectors arrival and one was sleeping. Children were observed in free play, reading with the caregivers and interactions. Emergency preparation for drills, supplies and plans are current. Lunch to be served today was lentils and rice, vegetables and fruit. The backyard was not reviewed due to the weather. The provider and assistant both have current first aid and CPR certification. The provider has 20.0 hours of annual training for the past year. Areas of non-compliance are identified in this report. Please sign and date the report and return it to me within 5 calendar days from date of receipt. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860

Standard #: 22VAC40-111-120-B
Description: Based on record review, the assistant record was incomplete. Evidence: The second reference was not documented completely prior to employment and was missing the results of the interview.

Plan of Correction: A second reference was obtained and confirmed.

Standard #: 22VAC40-111-60-A
Description: Based on observation and statement from provider, a record for child #5 could not be located during the renewal study. Evidence: The provider was unable to locate the file for child #5 during the inspection. She looked in all current folders, older ones and in her home. She will continue to look for the folder and contact the Inspector when it is located.

Plan of Correction: Provider found the file that evening (1/23/2017) and the Licensing Inspector went by the home to review it on the following day.

Standard #: 22VAC40-111-320-B
Description: Based on observation, two outlets in the bathroom were missing protective covers. Evidence: The two outlets did not have child safety covers.

Plan of Correction: Outlet covers were replaced.


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.