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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: Aug. 3, 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
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 new renewal applications and background check requirements.

An unannounced renewal inspection was conducted today from 10:45am-3:00pm. There were 10 children (33 points) supervised by 3 direct care staff. The home, 3 caregiver records, 6 children?s records, 1 household member?s record, evacuation drills, emergency supplies, medications and policies were inspected. Children were observed engaging freely and eating lunch. Lunch served was noodle soup, peas, apples, bananas, and milk. Bottle feeding and handwashing procedures 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 #: 22VAC40-111-700-A
Description: Based on a review of medications and caregiver interview, 4 medications were given to children without documentation of written authorization from the parent. Evidence: Child #4 (start date: 9/5/2017), Child #8 (start date: 6/5/2017), Child #9 (start date: 11/27/2017), and Child #3 (start date: 1/3/2017) had opened bottles of Gripe Water in the refrigerator. 2. Caregiver A stated that the Gripe Water is given to the children. 3. There was no documentation of completed medication authorization forms for the children's Gripe Water.

Plan of Correction: I will let the parents know.

Standard #: 22VAC40-111-790
Description: Based on observation, all required telephone numbers were not posted. Evidence: A 911 or local dial number for police, fire, and emergency medical responders was not posted.

Plan of Correction: I will write them down and post them.

Standard #: 22VAC40-111-940-A
Description: Based on observation, the refrigerator temperature was not maintained at 40 degrees Fahrenheit or below. Evidence: The refrigerator in the childcare area was measured at 52 degrees Fahrenheit.

Plan of Correction: I will adjust the temperature today.

Standard #: 22VAC40-111-960-E
Description: Based on observation, 5 of 11 infant bottles were not labeled with the child's date. Evidence: 1. Child #4 (start date: 9/5/2017) had a bottle that was not labeled with the date. 2. Child #6 (start date: 5/29/2018) had 2 bottles that were not labeled with the date. 3. Child #5 (start date: 10/10/2017) had 2 bottles that were not labeled with the date.

Plan of Correction: I will let the parents know.

Standard #: 22VAC40-111-120-B
Description: Based on record review, 1 of 3 caregiver records did not contain all of the required information. Evidence: Caregiver B's record (start date: 8/2/2016) did not contain documentation of the individual's address, verification of age, emergency contact information, two references, education and training qualifications, and completed first day orientation.

Plan of Correction: I will make a copy of her ID. I will finish her orientation today. I will have her give me her references today. I will have her complete the provider record today. I will have her complete the CPS background check.

Standard #: 22VAC40-111-680-A
Description: Based on observation, a caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: 1. Caregiver B (start date: 8/2/2018) began feeding Child #3 (start date: 1/3/2017) and did not wash their hands before beginning to feed the child. 2. After feeding Child #3, Caregiver B began feeding Child #5 (start date: 10/10/2017) and did not wash their hands in between feeding Child #3 and Child #5.

Plan of Correction: I will let them know.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review, the caregiver failed to obtain central registry results for a household member. Evidence: Household member A's (dob: 5/10/2012) record did not contain documentation of a submitted or completed central registry background check.

Plan of Correction: I will call to follow-up

Standard #: 63.2-1720.1-B-2
Description: Based on record review, 1 of 3 caregiver records did not contain documentation of completed fingerprinting. Evidence: Caregiver B's record (start date: 8/2/2018) did not contain documentation of completed fingerprint results.

Plan of Correction: I will have her go this weekend.


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.