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Maryam Yousefzadeh
13105 Willoughby Point Drive
Fairfax, VA 22033-1427
(703) 973-0989

Current Inspector: Nancy Radcliffe

Inspection Date: May 4, 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 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

An unannounced monitoring/renewal inspection was conducted today from 8:10am-9:30am. There were 4 children (15 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and arriving to care. Diapering procedures were also observed. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor ( (703)479-4680

Standard #: 22VAC40-111-830-B
Description: Based on review, the provider failed to ensure that they are practicing shelter-in-place drills a minimum of twice per year. Evidence: Reviewed the emergency procedure log and found that there were no shelter-in-place drills conducted in the past 12 months.

Plan of Correction: We will do one today and another one later on.

Standard #: 22VAC40-111-120-B
Description: Based on review, the provider failed to obtain documentation of reference checks prior to the assistant's employment. Evidence: Reviewed the assistant's record and found that there were no reference checks on file.

Plan of Correction: I will get refence checks from the assistant.

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider failed to ensure that children's records contained the required information. Evidence: Reviewed 5 children's records and found that... 1) CH1 did not have documentation of a medical insurance policy number. 2) CH2 did not have documentation of their first day of care.

Plan of Correction: I will tell parents to write the information.

Standard #: 22VAC40-111-90-A
Description: Based on review, the facility failed to ensure that they obtain documentation of immunization records before a child attends the family day home. Evidence: Reviewed 5 children's records and found that... 1) CH1 did not have documentation of an exemption. 2) CH3 did not have documentation of an immunization record.

Plan of Correction: Spoke to parents and they will bring it in.

Standard #: 22VAC40-111-210-A
Description: Based on review, the provider failed to obtain 16 annual clock hours of ongoing training. Evidence: Reviewed the provider's records and identified through the interview that they had not completed any annual trainings for the past year.

Plan of Correction: I will do them.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that electrical outlets are covered with child-resistant protective covers. Evidence: Observed 2 uncovered electrical outlets in the basement playroom, accessible to children under 5 years of age.

Plan of Correction: I will cover them today.


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.