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Kausar Mirza
9078 Furey Road
Lorton, VA 22079
(703) 690-2830

Current Inspector: Pamela Sneed (703) 479-4704

Inspection Date: March 13, 2019

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
22VAC40-111 Nighttime Care
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Technical Assistance:
licensing inspector discussed posting requirements for violation notice and inspection summary.

An unannounced monitoring inspection was conducted today from approximately 10:50am-1:15pm. There were 7 children (16 points) in the direct care and supervision of 2 caregivers. A sample of 4 children?s records, 2 caregiver's records and 3 household member's records were reviewed. The children were observed playing outside, watching television and eating. Zero new caregivers have been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact

Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review the files of the children at least annually. Evidence: The file of Child B was last reviewed by parents 02/14/2018.

Plan of Correction: I will update files today.

Standard #: 22VAC40-111-960-E
Description: Based on observation and interview with provider, bottles were not labeled with the child's full name and date. Evidence: A bottle with a illegible label was found on a counter in front of the refrigerator. The provider stated that the bottle belonged to Child C.

Plan of Correction: The mother wants to buy labels. I will label to bottle as I make formula.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination for each child within 30 days of attendance: Evidence: A physical exam for Child B was not on file. Child B began care 2/14/2018.

Plan of Correction: I have asked the mother for the physical several times. I will show her this write up and ask again today.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the assistants record was incomplete. Evidence: Assistant A was missing the following required information: 1) Age verification. 2) Job title. 3) Start date of employment.

Plan of Correction: I will fill out form for my assistant once children leave today.

Standard #: 22VAC40-111-60-B
Description: Based on records review, children's files were incomplete. Evidence: 2 of 4 children's files reviewed were missing required information. 1) Child A was missing the father's employer, employer address and employer phone number. 2) Child B was missing medical insurance policy number.

Plan of Correction: I will update files today.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain an updated tuberculosis screening every two years form the first screening for each caregiver. Evidence: The tuberculosis screening for Assistant A was conducted 12/29/2016.

Plan of Correction: I will have her update the TB test this weekend.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the family day home was not maintained in a clean safe and operable condition. Evidence: Paint was peeling on the walls of the play area that contained the television.

Plan of Correction: I will buy the paint this weekend and by Monday it's going to be done.

Standard #: 22VAC40-111-320-B
Description: Based on observation, unused electrical outlets were not covered with protective covers. Evidence: In the play area that contains the television, two unused outlets were found on the wall. They were not protected with protective covers.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the bathroom did not contain required contents. Evidence: The bathroom located in the main play area did not have liquid soap.

Plan of Correction: Corrected during inspection.


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.


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