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Uzma Malik
43035 Northlake Boulevard
Leesburg, VA 20176
(703) 669-1996

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: Jan. 11, 2018

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 Child Abuse and Neglect
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.

Technical Assistance:
Discussed the provider taking family phase 2 training.

An unannounced monitoring inspection was conducted today from 9:00am-10:15am. There were 8 children (19 points) directly supervised by 3 staff. The home, 2 staff records, 4 children?s records, 3 household member?s records, evacuation drills, and policies were inspected. Children were observed playing freely, reading books, playing with puzzles and eating snack. Diapering procedures were also observed. There was a supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or

Standard #: 22VAC40-111-750-A
Description: Based on observation, topical skin products such as diaper ointment was not labeled with the child's name and did not have written parent authorizations. Evidence: Two diaper creams and one sunscreen were not labeled with the child's name and did not have parent authorizations.

Plan of Correction: The two diaper creams are provided by the home we will get parent authorization for each child.

Standard #: 22VAC40-111-120-B
Description: Based on documentation reviewed, the provider did not maintain complete records for each assistant. Evidence: Caregiver B is missing an emergency contact and two references. (Caregiver B, DOH 1/2/18)

Plan of Correction: I am in the process of completing the file for my new assistant.

Standard #: 22VAC40-111-70-A
Description: Based on documentation reviewed, the provider did not provide in writing the information regarding termination policies, the general schedule and medication policy. Evidence: Child A and Child D are missing information regarding termination policies, pick up and drop off procedures, and the medication policy.

Plan of Correction: We will update the forms and provide the information to parents.

Standard #: 22VAC40-111-200-A
Description: Based on documentation reviewed, the provider did not complete an orientation with the assistant by the end of their first week of assuming jon responsibilities. Evidence: The provider stated the orientation for Caregiver B has not been completed. (Caregiver B, DOH 1/8/18)

Plan of Correction: We will complete the orientation.

Standard #: 22VAC40-111-210-A
Description: Based on documentation reviewed, the provider did not complaint the required 16 hours of training annually. Evidence: Caregiver A has completed 6 of the required 16 hours of annual training.

Plan of Correction: I will make sure to get all the training needed next time.

Standard #: 22VAC40-111-680-A
Description: Based on observation, a caregiver did not wash their hands after diaper changing. Evidence: After changing a child's diaper, the caregiver placed the child on a play mat and did not wash hands.

Plan of Correction: The caregiver was reminded to wash hands by the provider.

Standard #: 22VAC40-111-680-B
Description: Based on observation, children did not wash hands after meals and when their hands were dirty. Evidence: Children did not wash hands after eating breakfast.

Plan of Correction: Staff will be reminded to wash hands after meals and when their hands are dirty.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface was not clean and sanitized after changing a diaper. Evidence: After changing a diaper, a caregiver left the diaper changing table without cleaning the diaper changing pad.

Plan of Correction: The provider reviewed the process for diaper changing with the caregivers.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on documentation reviewed, the provider did not complete a sworn statement for each new employee. Evidence: Caregiver B did not have a completed sworn statement. (Caregiver B, DOH 1/8/18)

Plan of Correction: We will have background checks completed.


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. To find programs participating in Virginia Quality, click here.

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