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Khalida Kazimi
25814 Turlough Terrace
Chantilly, VA 20152
(571) 245-2103

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: July 17, 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
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Assistant caregiver 2 has not yet completed all required annual training hours. Documentation of the remaining 10 hours of required training must be submitted to the Inspector before the license can be processed for renewal.

An unannounced full renewal inspection was conducted today. Two assistant caregivers were caring for 9 children, totaling 21 points. The provider was not home during this inspection. It was reported to the Inspector that the provider was scheduled to be out of the home for a brief period of time, lasting less than 2 hours. Children's records, the physical plant, emergency preparedness items, administrative documents, background checks, caregiver records, caregiver training, and children's nutrition were inspected today. The children were observed playing outside, reading books, and preparing for lunch. The children were to be served beef stew with rice and vegetables, apple slices, bread, and milk for lunch today. This inspection was completed between approximately 10:15am and 11:50am. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at

Standard #: 22VAC40-111-800-B
Description: Based on a review of the emergency preparedness plan, it was determined that the provider has not conducted an annual review of this plan. Evidence: The provider last reviewed the emergency plan on 1/23/18.

Plan of Correction: I will review it with my assistants.

Standard #: 22VAC40-111-110-A
Description: Based on a review of children's health records, it was determined that two records were not complete. Evidence: Child record A does not include a correctly completed physical exam report. This child's physical exam report was not documented on the VA Health Form. Child record C does not include a correctly completed physical exam report and immunization record. These health records were not documented on the VA Health Form with the doctor's signature indicating that the child is adequately immunized for her age.

Plan of Correction: Both parents will be asked to provide their child's health records on the correct form.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that one record was not complete. Evidence: Child record A does not include: the parent's work contact information; the doctor's contact information; the address for one emergency contact person; documentation indicating that the provider has viewed the child's original proof of ID.

Plan of Correction: The parents will be asked for the missing information.

Standard #: 22VAC40-111-240-A
Description: Based on observations, it was determined that one piece of equipment has not been maintained as required. Evidence: One crib mattress has torn and needs to be replaced.

Plan of Correction: I will buy a new mattress.


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. To find programs participating in Virginia Quality, click here.

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