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Elizabeth Tsamah
4207 Main Street
Alexandria, VA 22309
(703) 347-7390

Current Inspector: Miranda Wright (571) 596-3661

Inspection Date: May 18, 2023

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 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Technical Assistance:
Discussed with the provider: ideas for areas to post inspection report and menu, organizing children's records

An unannounced renewal inspection was conducted on 05/18/2023 between the hours of approximately 9:00 a.m. and 10:00 a.m. There were 2 children present with the Provider, between the ages of 2 years and 3 years, for a total of 4 points within the supervision guidelines. The children were observed watching a show on tv and reading a book. 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. 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 #: 22.1-289.036-B-2
Description: Based on record review, not all caregivers obtained results of background checks every five years.

1. Caregiver #1?s most recent fingerprinting results was dated 02/13/2018.
2. Caregiver #2?s most recent fingerprinting results was dated 02/13/2018.

Plan of Correction: I will call them tomorrow and make appointment on Monday.

Standard #: 8VAC20-800-280
Description: Based on observation, potentially poisonous substances were accessible to children.

Evidence: One bottle of multi-purpose cleaner, one bottle of window wash and two cans of air freshener (warning label states to keep out of reach of children) were located in an unlocked cabinet, under the sink in the bathroom that is used by the children.

Plan of Correction: Corrected during inspection.


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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