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Fatemeh Ranjbarkohan
745 Bonnie Ridge Drive, NE.
Leesburg, VA 20176
(703) 888-9118

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Oct. 15, 2021 and Oct. 19, 2021

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

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on 10/15/2021 and concluded on 10/19/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 12 children present, ranging in ages from 6 months to 4 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 3 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at

Standard #: 22VAC40-111-760-A
Description: Based on the review of emergency supplies and interview with the provider, not all required supplies where available in the family day home.
1) On the day of inspection, triangular bandages and a First aid instruction manual were not available for review.
2) The provider stated that they could not locate these supplies.

Plan of Correction: The provider shall locate these supplies and include them in their emergency kit to ensure it is complete.

Standard #: 22VAC40-111-920
Description: Based on documentation review, the menu for the current one-week period did not contain all required information.
1) On the date of inspection, the menu for the current one-week period was not dated as required.
2) The lunch menu listed for Day 1 was missing one nutritional component.

Plan of Correction: The provider shall date the weekly menu and ensure that all components are properly listed and included in each meal.

Standard #: 22VAC40-111-180-A
Description: Baes on record review and interview with the provider, the provider did not obtain for each caregiver a current Report of Tuberculosis (Tb) Screening form every two years.
1) The most recent Tb screening form in the record for Staff #1 was dated 07/09/2019.
2) The provider stated that there is an appointment scheduled for the Tb screening.

Plan of Correction: I have an appointment with my physician to complete the Tb screening.


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.

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