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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: July 9, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Emergencies
22VAC40-111 Nutrition

Technical Assistance:
Inspector provided technical assistance regarding: supervision, emergency drills, children's records, staff records, continued compliance and future inspections.

An unannounced monitoring inspection was conducted today from 1:15pm-2:15pm. There were 3 children (11 points) directly supervised by 1 staff. The home, 2 children?s records, 2 household member?s records, evacuation drills, and policies were inspected. There were no medications on site today. Children were observed playing freely, and napping. 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 #: 22VAC40-111-830-A
Description: Based on record review and interview, the provider failed to practice monthly emergency evacuation drills. Evidence: The provider stated monthly evacuation drills have not been practiced since April 2019.

Plan of Correction: A monthly evacuation drill for July was completed today. From now on, a drill will be practiced on the Monday of each month.

Standard #: 22VAC40-111-870-E
Description: Based on observation, the provider did not prepare food in a clean and sanitary manner. Evidence: Food served for the children was being prepared on a high chair and extra food was being stored on a doll house. Provider stated they were preparing food in that area because they did not want to prepare food near the sink in the kitchen area.

Plan of Correction: After the sink is cleared, the food will be prepared only in the kitchen area.

Standard #: 22VAC40-111-960-E
Description: Based on observation, the provider failed to label all bottles with the child's name and date. Evidence: Two bottles were observed and were not labeled with the child's name or date.

Plan of Correction: All bottles have been labeled with each child's name and date.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to maintain complete children's records. Evidence: Child 1 is missing a parent work phone number, child's physician's name and phone number, second emergency contact, insurance policy number, and authorization for emergency care.

Plan of Correction: The missing information of Child 1 will be obtained from their parents.

Standard #: 22VAC40-111-70-A
Description: Based on record review, the provider failed to provide parents in writing all required information prior to the child's first day of attendance. Evidence: 1) Child 1 and 2 do not have information regarding: operating information, fees and schedules, check in and out procedures, medication policy, liability insurance, sick policy, communicable disease, daily schedule, discipline policies, requirements of immunization, policies for food provisions, emergency preparedness, termination policies, and information for the compliance history of the facility.

Plan of Correction: The provider will provide all missing information to Child 1 and 2 parents throughout the week.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider failed to obtain documentation that the child has been adequately immunized. Evidence: Child 1 and 2 do not have documentation of immunization records.

Plan of Correction: The parents of Child 1 and 2 have provided of immunization records.

Standard #: 22VAC40-111-170-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. At the previous inspection, this was cited.

Plan of Correction: Household member 1 and 2 will get a current report of tuberculosis screening form.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas inside the home were not kept in a clean and safe condition. Evidence: In the child care area, the sink is not working and has brown standing water in it.

Plan of Correction: The sink has been cleaned ans sanitized thoroughly.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the bathroom did not all required items. Evidence: There was no paper towels in the bathroom.

Plan of Correction: The bathroom currently has paper towels.


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.