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Elizabeth Tsamah
4207 Main Street
Alexandria, VA 22309
(703) 347-7390

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: May 22, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Today's listed menu does not match what the children told the inspector they ate. Provider was reminded to update the menu to match what was served before the end of the day.

Today an unannounced Renewal inspection took place between 1:50pm and 3:45pm. There was 1 child present with the provider for a total of 2 points within the supervision guidelines. The child was observed reading books, singing songs, talking about body parts (counting eyes, ears, fingers and toes) and building towers with lego blocks. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at

Standard #: 22VAC40-111-180-A
Description: Based on record review and interview, the provider did not obtain a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening. Evidence: Household member #1's most recent TB screening is dated 5/16/2017. The provider stated that she went to health department for her test but doesn't know where the results are.

Plan of Correction: I will look for the results and if I can't find it, we will go back to have them print the results again.

Standard #: 22VAC40-111-240-A
Description: Based on observation, furnishings of the family day home outside were not maintained in a safe and operable condition. Evidence: There is a giraffe riding toy in the backyard with a broken handlebar. The entire right handlebar is missing and there is jagged plastic on the toy where the handlebar used to be.

Plan of Correction: I will throw it in the trash in the backyard.


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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