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Shaista Mirza
6803 Blue Slate Court
Alexandria, VA 22306
(703) 660-1688

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: June 7, 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 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced monitoring inspection was conducted today from 9:15am-12:15am. There were 10 children (31 points) supervised by 3 direct care staff. The home, 2 caregiver records, 5 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing outside with cars and pretend horses and transitioning to morning nap. Bottle feedings were also observed. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or

Standard #: 22VAC40-111-800-A
Description: Based on record review, the family day home did not have a written emergency preparedness and response plan. Evidence: During the time of inspection, there was no documentation of a written emergency preparedness and response plan on site.

Plan of Correction: I will check with my husband and we will find it.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 4 of 5 children's records did not contain all of the required information. Evidence: 1. Child #1 (start date: 1/3/2017), Child #2 (start date: 9/12/2016), and Child #3's (start date: 3/6/2017) records did not contain documentation of the review of the child's emergency contact information as required by 22 VAC 40-111-780 B. 2. Child #5's (start date: 10/10/2017) record did not contain documentation of an address for the second emergency contact person.

Plan of Correction: I will get the information this week.

Standard #: 22VAC40-111-180-A
Description: Based on record review, 1 of 2 caregiver records did not contain documentation of a current report of tuberculosis screening form every two years from the date of the first screening. Evidence: Caregiver B's record's contained documentation of a report of tuberculosis screening completed on 6/6/2016 (expired 6/6/2018).

Plan of Correction: I will get it next week.

Standard #: 22VAC40-111-240-A
Description: Based on observation, all areas and furnishings of the family day home were not maintained in a clean, safe, and operable condition. Evidence: 1. The wooden diaper changing table, and areas of the wall, inside the back playroom have chipped and peeling paint. 2. A plastic playhouse in the outdoor play area was collapsed on the ground in the middle of the play yard.

Plan of Correction: I will fix it.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the bathroom did not contain all of the required materials. Evidence: The children's bathroom did not contain toilet tissue.

Plan of Correction: Fixed during time of inspection.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface was not nonabsorbent, as required. Evidence: The diaper changing mat was ripped on one corner.

Plan of Correction: I will change it this week.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review, 1 of 2 household members' records did not contain a child protective services central registry check within 30 days of becoming 14 years old. Evidence: Household member B (date of birth: 5/10/2002)'s record did not contain documentation of a child protective services central registry check.

Plan of Correction: I will do it next week.


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.