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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401262
Report Date: 11/16/2022
Date Signed: 11/16/2022 05:09:12 PM


Document Has Been Signed on 11/16/2022 05:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOLFACILITY NUMBER:
197401262
ADMINISTRATOR:MARIJAN KEVORKIANFACILITY TYPE:
850
ADDRESS:13330 RIVERSIDE DRIVETELEPHONE:
(818) 907-8149
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91423
CAPACITY:74CENSUS: 50DATE:
11/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:28 PM
MET WITH:Alexandra Besos, Business Manager and Shogher Melkonian, Administrator Admission Coordinator TIME COMPLETED:
05:10 PM
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 On 11/16/2022 12:28PM, Licensing Program Analyst (LPA) Denise Miranda, conducted an unannounced Annual Required Inspection for the preschool License. LPA met with Alexandra Bessos, Business Manager and Shogher Melkonian, Administrator Admission Coordinator, facility does not have a qualify Director since 08/2022 and no Designated Responsibility of Facility on file. LPA toured the facility indoors and outdoors.
Days and hours of operation are Monday-Friday 8:00 AM – 3:30 PM. LPA, observed 50 children in care with 8 staff provide care and supervision. Facility checklist (LIC 125) provided upon arrival to Director.

There are four classrooms designated to the preschool program. Facility is located on the C& E Meridian Armenian Evangelical School Campus.

There is no swimming pool or other bodies of water on the premises. Upon arrival, LPA observed the facility have one firearm security, per Shogher, Facility does not have firearms waiver on file. Per Alexandra and Shogher, firearm security service is been provide since 08/2021.

Disinfectants, cleaning solutions, medication and other hazardous items are observed accessible to the children in care. All poisons shall be kept in a locked storage area.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is

SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOL
FACILITY NUMBER: 197401262
VISIT DATE: 11/16/2022
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free of hazards.

The bathroom were inspected and observed the following: girls bathroom – 3 sinks and 4 toilets and boys bathroom: 3 sinks, 2 toilets and 2 urinals, was noted to be clean and equipped, good flushing toilets, soap dispenser, paper towels.


Outdoor activity area is fenced all around and is supplied with age and size appropriate equipment. An adequate amount of cushioning material rubbish is in place under play equipment. Adequate shade is provided in outside play area. Drinking water is provided in the outdoor play area via water fountains.
Per Shogher and Alexandra, facility provided the morning and afternoon snacks and lunch. The food is prepared off-campus. LPA observed that facility has available snacks. LPA observed, sink, refrigerator, oven, and microwave. This area are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors.

Areas around high climbing equipment, slides have cushioning material to absorb falls, one small plastic slice equipment was observed that has broken pieces, per Shogher, that small plastic slide equipment will be remove from the outdoor. Facility has one functioning carbon monoxide detectors that meet statutory requirements and fire extinguisher.

Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption.

Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities.

The person who signs the child in/out of the facility shall use their full legal

SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOL
FACILITY NUMBER: 197401262
VISIT DATE: 11/16/2022
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signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. Facility shall maintain a ratio of one teacher supervising no more than 12 preschooler per full qualify teacher. LPA reviewed a sample of 5 children’s files and observed files were not complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment.

Menus are posted at least one week in advance where an authorized representative can view them, however, facility missing to provide the amount and portions on their menus.

Criminal Record Statement: Alexandra and Shorgher was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. Per director no currently children needs medical services.


Regulation and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
  • LPA, Melkonian and Bessos discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC809 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOL
FACILITY NUMBER: 197401262
VISIT DATE: 11/16/2022
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New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. All appeals must be sent to: California Department of Social Services | Community Care Licensing Division | 300 N. Continental Blvd. Suite 290-A |El Segundo, CA 90245

Assembly Bill 1207: California Child Care Workers; Mandated Training Requirement. Beginning January 1, 2018, all licensed providers, applicants, directors and employees must complete Mandated Reported Training prior to March 30, 2018 and renew training every two years at: www.mandatedreporterca.com.

Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university.

Staff Interview will be conduct on the next continuation annual Inspection

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. LPA will email Provider Information Notice (PIN) 21-21CCP and Lead Testing in Child Care Centers Frequently Asked Questions.

SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC809 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOL
FACILITY NUMBER: 197401262
VISIT DATE: 11/16/2022
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

LPA explained that the deficiency is a Type A violation and requires immediate correction. Licensee was further informed of AB633 requirements. Licensee was provided with a copy of the LIC9224 and instructed to provide copies of this report to all parents of children currently enrolled and to obtain the parent's signature on form LIC9224, as acknowledgement that they received a copy of this report. Form LIC9224 is to be retained in the child's file. Licensee was further instructed to complete this same process for all children who enroll in the facility within 12 months of this report date.


LPA will continue this inspection without announcement. .

A copy of this Report (LIC809 & LIC809D), Appeal Rights (LIC9058) and Notice of Site Visit (LIC9213) were reviewed and provided to the Alexandra Besos, Business Manager and Shogher Melkonian, Administrator Admission Coordinator.

SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 11/16/2022 05:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOL
FACILITY NUMBER: 197401262

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, the licensee did not comply with the section cited above in all classroom (4 classroom), with clorox, desinfectants, under and on the top the sinks located at the classroom, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/17/2022
Plan of Correction
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Per Alexandra and Shogher all poisons products will be make inacessible to the chidlren in care.
photos will be submit no later than tomorrow morning.
Type A
Section Cited
CCR
101238(g)(2)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (2) Firearms and other weapons shall not be allowed on or stored on the premises of a child care center.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above, upon arrival, LPA observed an armed security on the main gate, that guided LPA to the main office of the preschool facility. Facility has armed security since 08/2022 and no waiver was requested to CCLD, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/16/2022
Plan of Correction
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Per Alexandra and Shoghen, the security arm will be remove, faciltiy will apply for firearm waiver and the security arm will be return once the facilty receive firearm waiver.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2022
LIC809 (FAS) - (06/04)
Page: 2 of 7


Document Has Been Signed on 11/16/2022 05:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOL
FACILITY NUMBER: 197401262

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Deficient Practice Statement
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01215.1 Child Care Center Directors Qualifications and Duties. (f) When the CCC director is absent from the center, arrangements shall be designated as an authorized made for a fully qualified teacher as specified in Section 101216.1(c) to act as substitute. This substitute child care center director shall be aware of center operations, including total enrollment; shall be trained in program operation; and shall be designated as an authorized person to correct operational deficiencies that constitute immediate threats to children's health and safety. This requirement is not met as evidenced by: 11/16/2022 LIcensee was not present and Teacher Desiginated did not have access to the full operation informaiton.
This poses an immediately H&S to children in care.
POC Due Date: 12/07/2022
Plan of Correction
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Shoghen and Alexandra agreed to submit documents to LPA Miranda to qualify a new Director.
no later than 12/7/2022 via mail. LPA provided a List of documentation that Facility shall provided to LPA.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2022
LIC809 (FAS) - (06/04)
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