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Farzana Ashraf
3920 Kathryn Jean Court
Fairfax, VA 22033
(571) 201-3304

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: April 23, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

An announced initial inspection was conducted today from 2:00pm-3:30pm. There were 3 children (10 points) directly supervised by 1 staff. The home, 1 staff record, 3 children?s records, 5 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, watching children's music videos and eating snack. There was a supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with the child's full name and date. Evidence: There was more than one infant in care. 2 bottles were observed without a date. One bottle without a name or date label.

Plan of Correction: I will label the bottles with a name and date.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider did not maintain complete children's records. Evidence: 1) Child 1 is missing two emergency contacts. 2) Child 3 is missing one emergency contact.

Plan of Correction: I will ask the parents today for the information.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that the child has been adequately immunized. Evidence: Child 2 did not have documentation that the child has been adequately immunized.

Plan of Correction: I have asked the parents for the documents. I am waiting and will ask them again.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain from each adult household member a current report of tuberculosis screening form or a form documenting the absence of tuberculosis in a communicable form. Evidence: 1) Household member 1 and 2 have screenings dated from 2010.

Plan of Correction: We will get the records updated.

Standard #: 22VAC40-111-540-B
Description: Based on observation, walkers were in use by children. Evidence: Two children were observed utilizing two walkers.

Plan of Correction: The walkers were removed from the family day home area immediately. We will not use the walkers anymore. They will be put in the garbage.


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.