Sara Tesfamicael
BELLS MILL ROAD, BETHESDA, MD 20817Childery Rating: 4/5
Data last updated ·
Quality Indicators
See Methodology →- Overall QualityCombines daily care quality (interactions, learning, environment) with structural features like staff-to-child ratios and teacher qualifications.4 / 5
- Process QualityThe quality of daily care — caregiver-child interactions, learning activities, and the emotional climate. Drawn from the state QRIS rating, accreditations, and Head Start CLASS observations.3 / 5
- Structural QualityMeasurable features like staff-to-child ratios, group sizes, license status, and teacher qualifications. Provider-level data when available; otherwise the state regulatory baseline.5 / 5
Why this rating
This daycare earned 4 out of 5 stars overall. Process quality reflects a Maryland EXCELS rating of Level 3 (out of 5). Structural quality reflects a license in good standing. The structural rating also includes Maryland's licensing baseline — what every licensed daycare in the state must meet. Maryland caps infant ratios at 1:3, toddler ratios at 1:3, and preschool ratios at 1:10. Lead teachers must hold a High School Diploma. Teachers must complete 12 hours of annual training.
Quality Recognitions & Accreditations
- State Quality Rating
- Maryland EXCELS Level 3 (Max 5) Learn more →
- Accreditations
- National Association for the Education of Young Children (NAEYC)Not Accredited
- National Accreditation Commission (NAC)Not Accredited
- National Early Childhood Program Accreditation (NECPA)Not Accredited
- National Association for Family Child Care (NAFCC)Not Accredited
Facility Info
- Facility type
- Family Child Care Home
- Age groups served
- Toddlers, Preschool, School-Age
- Licensed capacity
- 8
- Teacher-child ratios & group sizesState Minimum Displayed
Age Max ratio Max group Toddlers 1:3 9 Preschool 1:10 20
Teacher Credentials
- Lead teacher credentialState Minimum Displayed
- High School Diploma
Inspection History
Across 4 inspections since 2023, the issues cited most often were Staff Qualifications & Background Checks (7), Children's Records & Files (3), and Licensing & Administrative Compliance (2). Of 14 total findings, 3 were critical.
See All 4 Inspection Visits
Jul 21, 20253 Findings3 Important
- Provider States That Her Son Was Not a Resident of the Home at the Time in Question13A.15.03.05C(2)(b)
Provider states that her son was not a resident of the home at the time in question. The individual moved into the home in 2022 and the provider did not notify the Office of a criminal charge.
- Provider States That the Incident in Question Occurred Prior to Her Registration Being Issued13A.15.03.05C(3)
Provider states that the incident in question occurred prior to her registration being issued. Her son moved into the home in 2022 and the provider did not notify the Office of a charge against him that presents a risk to the health, safety or welfare of the children in care.
- A Resident of the Home Received a Criminal Charge Prior to Moving Into the Home. Provider Did Not Notify the Office.13A.15.07.07A
May 7, 20253 Findings1 Critical2 Important
- Licensing Specialist Did Not Observe a Current Federal or State Criminal Background Check for the Additional Adult.13A.15.06.04A(4)
- Licensing Specialist Did Not Observe Current Criminal Background Checks for Any Associated Party 18 Years Old and Older13A.15.02.03B(2)
Licensing Specialist did not observe current criminal background checks for any associated party 18 years old and older. Additionally, Licensing Specialist did not observe a current medical evaluation for one associated party.
- Licensing Specialist Did Not Observe Evidence of Completed Approved SIDS Training Within the Previous 5 Years.13A.15.06.04A(7)
Aug 19, 20244 Findings4 Important
- Licensing Specialist Was Not Able to Observe Completed Updates of Medical Evaluations and Release of Information Forms…13A.15.02.03B(2)
Licensing Specialist was not able to observe completed updates of medical evaluations and release of information forms for Provider, Additional Adult, or Substitutes.
- Licensing Specialist Observed an Emergency Form with in Inaccurate Date of Birth on the 2nd Page13A.15.03.04A(1)
Licensing Specialist observed an emergency form with in inaccurate date of birth on the 2nd page. Licensing Specialist also observed an emergency form missing an authorized pick-up person listed.
- Licensing Specialist Was Not Able to Observe the Required 12 Clock Hours of Continued Training for the Period Between…13A.15.06.02B(3)
Licensing Specialist was not able to observe the required 12 clock hours of continued training for the period between August 2023 and July 2024 for the Provider.
- Licensing Specialist Was Not Able to Observe a Record of Professional Development for the Period Between August 2023…13A.15.06.02C(1)
Licensing Specialist was not able to observe a record of professional development for the period between August 2023 and July 2024 for the Provider.
Jul 31, 20234 Findings2 Critical2 Important
- Licensing Specialist Was Not Able to Observe Current First Aid and CPR Certification for the Provider.13A.15.06.02D(1)
- Licensing Specialist Was Not Able to Observe Current First Aid and CPR Certification for the Additional Adult, Elim.13A.15.06.02D(2)
- Licensing Specialist Was Not Able to Observe Complete Physician's Information for (2) Children13A.15.03.04A(1)
Licensing Specialist was not able to observe complete physician's information for (2) children. Licensing Specialist observed (1) emergency form with an incorrect date of birth and (1) missing the date of birth. Licensing Specialist observed (1) emergency form missing the second page.
- Licensing Specialist Observed (1) Emergency Form Without an Annual Update (L.H.).13A.15.03.04A(3)
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