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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493566
Report Date: 12/02/2020
Date Signed: 12/14/2020 11:36:49 AM

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:ARAKELIAN FAMILY CHILD CAREFACILITY NUMBER:
197493566
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/02/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Azatuhi Arakelian/licenseeTIME COMPLETED:
01:45 PM
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Visit Conducted In Armenian
On 12/02/2020 at 12:00 p.m.. Licensing Program Analyst (LPA) Silva Garibyan conducted an announced Case Management tele-inspection via FaceTime due to the COVID-19 pandemic shelter-in-place orders in the state of California. The purpose of the meeting was to ensure that health, safety and personal rights as required by Title 22 Regulations governing California Family Child Care homes are met by the Licensee. LPA Garibyan met with Licensee, Azatuhi Arakelian, who guided the analyst on a tour of the home. There were 6 children present during the inspection The licensee has an approved fire clearance ( Fire Clearance granted on 09/30/20 by LA City Fire Prevention Bureau). Per the licensees there has been no noted changes to the home or occupants since their last visit (Annual Random visit conducted on 01/18/19.). All areas identified on the Facility Sketch were inspected. Licensee's home consists of a single story home with 2 bedrooms, 1 bathroom, living room, dining room and kitchen. There is a detached structure to the rear, right side of the property which includes a family room, kitchen, 1 bathroom and 2 bedrooms. Both structures are part of the same address. Children primarily utilize the rear detached structure; however, they have access to the main home and nap in the living room of the main home. There is a covered patio area.. There is no pool, spa or other bodies of water on the premises. Main care is provided in the rear structure and they have free access with the exception of the center bedroom. Children have access to the main home and use the living room area and the bathroom. Off limit areas in the main home include the 2 bedrooms and kitchen. Children play in the back yard which is fenced. Family members residing at facility are: 3 adults (licensee, licensee's son and daughter). LPA observed the home is clean orderly and properly ventilated. Telephone service, heating, lighting and ventilation were evaluated. The required fire extinguisher (2A 10BC) and smoke/carbon monoxide detectors are in operable condition. The applicant has current pediatric CPR/First Aid training that will expire in July of 2021. Page 1 of 2
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: ARAKELIAN FAMILY CHILD CARE
FACILITY NUMBER: 197493566
VISIT DATE: 12/02/2020
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Licensee states there are no firearms or weapons of any kind in the facility at this time. The First Aid kit was observed and complete.

Licensee has the following documents posted in the FCCH; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394) , Child Care Facility Roster (LIC9040), Emergency Disaster Plan (LIC610a).



Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation. Applicant was provided an informational pamphlet titled, "Safe Sleep For Your Baby" during the inspection. Applicant was also provided an informational sheet titled, "What Does a Safe Sleep Environment Look Like?" to review and post at the facility.


Capacity and Ratios: The licensee has applied for a capacity increase for a large family . The Maximum capacity is 12 with no more than 4 infants and a qualified assistant. Without a qualified assistant the license reverts back to the requirements for a small family childcare. Optional care may be provided for a maximum capacity of 14 children with no more then 3 infants, 2 school age children and a qualified assistant. School age children must be 1 age 6 yrs and 1 in Kindergarten.

An exit interview was conducted and a copy of this report will be provided via email to licensees.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2020
LIC809 (FAS) - (06/04)
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