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Parvin Gozalzadeh
11604 Leehigh Drive
Fairfax, VA 22030
(703) 399-0535

Current Inspector: Mary J. Wizbicki (703) 479-4707

Inspection Date: Jan. 9, 2018 and Jan. 1, 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 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed the following with the Provider: - new legislation regarding background checks - differences between being permitted through the county and state regulation/requirements.

An announced initial inspection began briefly on January 9th at 11am. This became a consultation visit as the Provider was not prepared for the initial inspection. The Licensing Inspector returned to the FDH to complete the initial inspection on Feb 1st at 10:50am. On 2/1, the physical plant, 3 caregiver/household member files, 3 children's files, caregiver training, child nutrition, children's activities, emergency procedures, and supplies were inspected today. There were 3 children (plus the Provider's child), totaling 14 points, under the supervision of 3 caregivers. During the inspection, children were observed enjoying free play and eating lunch. The interactions between the children and caregivers were seen to be positive and constructive in nature. Today, the children were served chicken, mashed potatoes, beans, mixed vegetables, and milk. The Provider is not certified in MAT (medication administration training). Should you have any questions, please contact me at

Standard #: 22VAC40-111-920
Description: Based on observations, the menu did not meet all requirements. Evidence 1. There are two posted menus. Neither of which is dated.

Plan of Correction: The Provider will date the menus in order to know which one is accurate.

Standard #: 22VAC40-111-100-A
Description: Based on file review, 2 out of 3 children do not have documentation of a physical examination. Evidence 1. Children #1 and #2 do not have physical examinations on file.

Plan of Correction: The Provider will ask the parents for this.

Standard #: 22VAC40-111-50-A
Description: Based on interview, the Provider does not have a written record of children in attedance each day. Evidence 1. There is no attendance record.

Plan of Correction: The Provider will use the sample form from the dss website to record this daily.

Standard #: 22VAC40-111-150-D-1
Description: Based on interview, 1 out of 3 caregivers is not currently certified in CPR. Evidence 1. Caregiver #3 is not certified in CPR.

Plan of Correction: This caregiver is looking into finding a class to get certified.

Standard #: 22VAC40-111-150-D-2
Description: Based on interview, 1 out of 3 caregivers is not currently certified in First Aid Evidence 1. Caregiver #3 is not certified in First Aid.

Plan of Correction: This caregiver is looking into finding a class to get certified.

Standard #: 22VAC40-111-280
Description: Based on observations, there was a disinfectant which was not stored in an area inaccessible to children in care. Evidence 1. In the bathroom, there was a bottle of Glade Air freshener on the back of the toilet.

Plan of Correction: This will be moved.


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.