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Amtul Yousaf
2005 N Emerson Street
Arlington, VA 22207
(571) 501-2226

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Dec. 10, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:
The following documents were email to the Family Day Home (FDH): a blank Policy for the Administration of Medications form, and page 12 of the FDH Renewal Application (Business Entity - LLC).

The following on-site renewal inspection took place between the hours of 10:30 am through 11:30 am, on 12/10/2021. The Licensing Inspector (LI) met with the Provider on site at the Family Day Home (FDH) located in Arlington, Virginia. At the start of this unannounced renewal inspection there were a total of 4 children observed (12 points) with 2 caregivers. A total of 5 children?s files, 3 staff files, and 1 household member file was reviewed. The LI reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication (no meds on site); special care and emergencies; and nutrition.

Information gathered during the inspection determined that there were (2) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home.

If you should have any questions, please call or send an email to Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Standard #: 8VAC20-800-830-C
Description: Based on observation, the documentation of past emergency evacuation drills (fire drills) were not documented.

Evidence -
1. On the date of inspection (12/10/2021), fire drills for the months of October, November, and December 2021 were not documented on the posted drill log.
2. The Provider confirmed on the date of inspection that these drills were conducted, but were not recorded on the posted drill log.

Plan of Correction: The drill log will be updated to include missing drills.

Standard #: 8VAC20-800-60-B
Description: Based on review and interview, 1 of 5 children files indicated that not all of the required documentation was contained within each child's file.

Evidence -
1. On the date of inspection (12/10/2021), the Policy for the Administration of Medications form was not available for review for Child # 3.
2. The Provider stated (during an interview conducted on the date of inspection) that all forms were given to the parent of Child #3 to complete and has yet to be returned.

Plan of Correction: I will check with the parent of Child #3 to obtain this form. If needed, a blank form will be completed and returned.


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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