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Maryam Yousefzadeh
13105 Willoughby Point Drive
Fairfax, VA 22033-1427
(703) 973-0989

Current Inspector: Nancy Radcliffe

Inspection Date: April 15, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures

Technical Assistance:
Technical assistance was provided regarding contacting zoning to increase your capacity and any children over the age of 18 living in the home must have all background checks and a TB screening.

An unannounced monitoring inspection was conducted today from 9:00am-11:00am. There were 5 children (13 points) supervised by 2 direct caregivers. The home, programming, staff records, children?s records, household member?s records, evacuation drills, and policies were inspected. There were no medications on site today. Children were observed singing, reading and eating snack. 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. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, please contact or call 703-268-3728.

Standard #: 22VAC40-111-170-A
Description: Based on review of household members records, one record is missing documentation of a report of Tuberculosis (TB) Screening. Evidence: Household member #1, turned 18 and does not have documentation of a TB screening.

Plan of Correction: I will get a record of her TB screening.

Standard #: 22VAC40-111-320-G
Description: Based on review of household records, there is no documentation of an annual fireplace/chimney inspection. Evidence: The current inspection for the fireplace was more than one year ago, 12/13/17.

Plan of Correction: I will have it inspected and make sure to do it every year.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of household members records, one record does not have documentation of a completed sworn statement. Evidence: Household member #1 turned 18 and has not completed a sworn statement.

Plan of Correction: I will have her sign a sworn statement.

Standard #: 63.2-1721.1-B-2
Description: Based on review of household members record, there is no documentation of an eligible fingerprint. Evidence: Household member #1, turned 18 and has not completed a fingerprint check.

Plan of Correction: She will get it done.


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.