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Giuliana Grayson Deza
45521 Lake Haven Terrace
Sterling, VA 20165
(571) 434-0452

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Nov. 14, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Technical Assistance:
Discussed with the provider: new hire references, topical authorization forms, caregiver training

An unannounced renewal inspection was conducted on 11/14/2022 between the hours of approximately 12:05 p.m. and 1:00 p.m. There were 7 children present with the Provider and 2 assistants for a total of 19 points within the supervision guidelines. The children were observed eating lunch and preparing for nap. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and caregiver records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. A walk-through of the home was completed. 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. Thank you for your cooperation. If you have any questions, please e-mail me at tameika.king@

Standard #: 8VAC20-800-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance.

Evidence: Child #2?s (start date: 09/06/2022) record did not contain documentation of a physical examination.

Plan of Correction: I will ask the mom today at pick up time.

Standard #: 8VAC20-800-210-A
Description: Based on record review and staff interview, not all caregivers obtained a minimum of sixteen clock hours of training annually.

1. Caregiver #1 stated that they did not complete any trainings in 2021.

2. Caregiver #1 stated that Caregiver #2 did not complete any trainings in 2021.

Plan of Correction: We will do all of our trainings this year.


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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