197493351-4-6-2022-30-CC-SGAN-CD8W42-20220406165650

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493351
Report Date: 04/06/2022
Date Signed: 04/06/2022 04:58:30 PM

Document Has Been Signed on 04/06/2022 04:58 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	HOVEYAN FAMILY CHILD CARE		FACILITY NUMBER:	197493351
ADMINISTRATOR:	HOVEYAN, KNARIK		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 858-5894
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	14	CENSUS: 11	DATE:	04/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:55 PM
MET WITH:	Knarik Hoveyan/Licensee		TIME COMPLETED:	05:15 PM

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Required-1 Year Visit Conducted In Armenian
On 04/06/22 Licensing Program Analyst (LPA) Silva Garibyan, conducted an unannounced Required-1 Year Inspection and was met by Licensee, Knarik Hoveyan. Also present was Staff #1 (S1). Days and hours of operation are Monday to Friday from 7:00 AM to 12:00 AM... LPA toured the home inside and outside and a census was taken. There are 10 preschool age children present at the time of the visit. All areas identified on the facility sketch were inspected Licensee's home is Licensee's home is a single story, 3 bedroom, 2 bathroom home with a living/dining room, kitchen, and attached fully converted garage ( converted into a playroom). The children eat and sleep in the play room and in the attached bedroom. The main entry door is not used to enter the facility. Parents and children use the right side door leading to the play room. There is no pool, spa or other bodies of water on the premises. Family members residing in the home include licensee and two minor children ( 13 and 10 years old). There are no firearms or ammunition on the premises. The LPA toured all areas used by children during this inspection. There is a fireplace in the living room which is properly screened. The children have access to the bathroom in the bedroom attached to the garage. There are age appropriate toys and equipment for the children. The bathroom and the kitchen was observed free of chemicals or toxic items that can pose danger to children in care.

There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. LPA observed the fire drill log. The fire drills are done every month. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (818) 858-5894

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HOVEYAN FAMILY CHILD CARE	FACILITY NUMBER: 197493351
	VISIT DATE: 04/06/2022

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There are currently no infants enrolled in care. LPA discussed Safe Sleep Regulations with licensee. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained. LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s and assistant’s Mandated Reporter Training was completed on 04/13/2020. Licensee’s pediatric CPR/First Aid expires on 01//23. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee 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. Page 2 of 3

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HOVEYAN FAMILY CHILD CARE	FACILITY NUMBER: 197493351
	VISIT DATE: 04/06/2022

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LPAs advised Applicant to follow and remain updated with COVID-19 guidelines.
To access the guidance and the ECE Toolkit, please go to: http://ph.lacounty.gov/acd/ncorona2019/EducationToolkit/ECE/

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. Appeal Rights, LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022

LIC809 (FAS) - (06/04)

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