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Maryam Yousefzadeh
13105 Willoughby Point Drive
Fairfax, VA 22033-1427
(703) 973-0989

Current Inspector: Nancy Radcliffe

Inspection Date: Oct. 8, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Technical assistance was providered regarding the out of state background checks. On the DSS website, there is a link to Adam Walsh out of state background checks. Look for the information for the 2 states you need, print the form and follow the directions. Send the inspector documentation that they were sent in within 10 business days, by 10/24/19 and when the results are received back within 30 business days 11/25/19.

An unannounced renewal inspection was conducted today from 9:00am-11:00am. There were 7 children (20 points) supervised by 2 direct caregivers. The home, 2 staff records, 7 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed engaged in circle time, singing and interacting with the caregivers. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact or call 703-268-3728.

Standard #: 22VAC40-111-750-A
Description: Based on observation, 1 out of 8 topical skin products are not labeled with child's name.
A diaper cream was labled with a child's name.

Plan of Correction: I will make sure names are on all creams.

Standard #: 22VAC40-111-1020-G
Description: Based on observation and interview with provider, towels are bring used to dry hands after handwashing.
Cloth hand towels are located in the bathroom the children use, no single use towels are observed.

Plan of Correction: I will begin using single use disposable towels after handwashing.

Standard #: 22VAC40-111-100-B
Description: Based on review of 7 children's records, 1 is incomplete.
Child #1, start date 7/8/19, does not have documentation of a physical examination.

Plan of Correction: I will get a copy of her physical and put it in her record, going forward I will make sure to have it with 30 days of their start date.

Standard #: 22VAC40-111-250-A
Description: Based on observation, a hanging item was accessible to children under five years of age.
A window blind cord was hanging and within reach of children under the age of five years old.

Plan of Correction: Corrected during inspection, it just fell.

Standard #: 63.2-1720.1-B-3
Description: Based on review of 2 staff records, 1 does not have documentation of an out of state background check for a state they lived in within the past five years.
Staff #1, date of hire 4/19, have lived out of state, in 2 different states, within the past five years and does not have documentation of an out of state background check search.

Plan of Correction: I will send them out and send you a copy of the documentation within 10 days and then when the results come in.


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.