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Jayanthi Samarasekara
14725 Calvary Place
Centreville, VA 20121
(571) 565-1686

Current Inspector: Charles Perkins (703) 309-3963

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 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, and the possible use of substitutes in the future. The Provider was reminded that any substitute would need to have background checks attributed to her Family Day Home (FDH) and its facility identification number (as in the case of the fingerprint check). Background checks obtained in the name of a different provider are not interchangeable and cannot be used by a different FDH. Discussion that the FDH has recently been approved by Fairfax County to increase the capacity to 12. The paper shall be sent in to the Division of Licensing once it has been mailed to the FDH.

The following inspection took place between the hours of 8:30 am through 12:30 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Centreville, Virginia. At the start of this unannounced renewal inspection there were a total of 6 children (15 points) with 2 caregivers (an additional child arrived later). A total of 6 children?s files, 2 staff files, and 3 household member?s files were reviewed. The children were engaged in the following: games, large motor skills outside in the backyard, music, learning, lunch, hand washing, diapering, infant feeding, nap time and other organized activities. If you should have any future questions, please call or send an e-mail. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Standard #: 22VAC40-111-100-A
Description: Based on review, 1 of 6 children's files reviewed indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (05/22/2019), documentation of a physical examination was not available for review for Child #4. 2. The start date for Child #4 was listed as 03/04/2019. 3. Child #4 was in attendance during the inspection conducted on 05/22/2019.

Plan of Correction: Documentation of a physical examination shall be obtained and placed on file for Child #4. The Parent has been reminded and will continue to work with the parent to get this required documentation.


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.