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Yasin, Shaheen
301 SO Fillmore Street
Arlington, VA 22204
(703) 920-0150

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Aug. 31, 2021 and Sept. 1, 2021

Complaint Related: No

Areas Reviewed:
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 General qualifications
22VAC40-665 Building or home maintenance.
22VAC40-665 Supervision and ratio requirements
22VAC40-665 Programs
22VAC40-665 Special Care Provisions & Emergencies
22VAC40-665 Special Services

Technical Assistance:
When submitting paperwork required for renewal - consider making a copy of the documents.
Be sure the signed agreement documents what you are permitted and not able to do.

Comments:
This annual subsidy inspection was conducted by the inspector using an alternate remote protocol.
Preliminary data was obtained from the vendor on August 31, 2021 and September 1, 2021.
An annual subsidy inspection was initiated on September 1, 2021, at which time the vendor was contacted by video call to initiate the inspection, and concluded on September 1, 2021.
The vendor reported there were 2 children in care and 6 children enrolled. The inspector reviewed 2 newer children?s records and the adult/household member records submitted by the vendor to ensure compliance with the health and safety regulations. The Vendor and Inspector discussed which corrected violations have to be sent to the Inspector and documentation of Background clearances need to be kept at the home. It was also discussed that all children who enter program (subsidy or not ) have to be included on the daily attendance form.
Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor. Please call with questions 703-479-4679 or email cynthia.ford@doe.virginia.gov

Violations:
Standard #: 22VAC40-665-150-B
Description: Based on record review of children's files, the vendor did not demonstrate that she is ensuring compliance with terms of agreement.
Evidence:
1. Vendor has signed form stating she can administer medication.
2. Child #2 has written authorization for Epipen use.
3. Vendor is not MAT or EMAT certified and is unable to administer medication.

Plan of Correction: I will have parents sign form that we will not administer medication and have parent change form to show we are only storing the medication. I am going to get enrolled in a MAT course and once I complete, I will have parents provide written authorization to adminster.

Standard #: 22VAC40-665-180-3
Description: Based on record review, it was determined the Vendor did not maintain documentation to demonstrate a caregiver had up to date TB Screening.
Evidence:
1. Vendor had documentation of a TB Examination but the latest document for a caregiver was from 2018 and not the up to date within two years.

Plan of Correction: I will check with the local agency that issues our permit to see if they have the copy and request a copy. I will have caregiver obtain a screening if unable to get a copy.

Standard #: 22VAC40-665-410-A-1
Description: Based on review of Emergency Response Drills, it was determined the Vendor did not conduct monthly evacuation drills for two months in the last year.
Evidence:
1. The drill record (for the last 7 months) was reviewed and the vendor did record a emergency drill each month. One month had a shelter in place drill and another had a lockdown drill recorded but in those months, an evacuation drill was not recorded.

Plan of Correction: We misunderstood that one of the two other drills could not be in place of evacuation drill. We will conduct an evacuation drill every month.

Disclaimer:

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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