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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494974
Report Date: 02/17/2022
Date Signed: 02/17/2022 10:55:05 AM


Document Has Been Signed on 02/17/2022 10:55 AM - 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:KIDSVERSITYFACILITY NUMBER:
197494974
ADMINISTRATOR:ARSHULAYS INDZHYANFACILITY TYPE:
830
ADDRESS:12111 BALBOA BLVDTELEPHONE:
(818) 360-4866
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:16CENSUS: 9DATE:
02/17/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Arshaluys Indzhyn and Mariam KhachatryanTIME COMPLETED:
11:00 AM
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On 02/17/2022 at 8:30 am Licensing Program Analyst (LPA) Deborah Lowe met with Applicants, Arshaluys Indzhyn and Mariam Khachatryan. The purpose of the visit was a second announce pre-licensing inspection to review for a change in ownership application at the facility to ensure that health, safety and personal rights as requires by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. This is an application for a change of ownership for 16 infants, ages 0 months to 24 months. The child care center will operate Monday – Friday 7:00 a.m. – 5:30 p.m. The fire clearance was approved on 12/10/2021. Applicant has a pending applicant for a Preschool License 197494975.

LPA Lowe observed 9 infants present under direct supervision of 3 staff during this inspection. Staff present were observed to have their criminal record clearances.

The 1st pre-licensing visit was conducted on 01/28/2022. LPA Lowe is conducting a 2nd pre-licensing visit to evaluate the facility corrections needed before a license application will be considered.

  • Repair window screen in Infant room near bathroom – LPA Lowe observed the window screen to have been replaced and the new screen was observed to be in good repair.
  • Ensure crib area is separate from infant activity space – LPA observed a child safety gate separating the infant activity space from the crib area.
  • Provide thermometer for Infant refrigerator – LPA Lowe observed a thermometer in the infant refrigerator.
  • Repair metal fencing on exterior of infant playground – LPA observed the metal fencing on the exterior of the infant playground to have been repaired.
  • Ensure internal fence around infant playground is 4 feet or higher – LPA Lowe observed a new internal metal gate surrounding the infant playground. LPA Lowe measured the fence to be 4 feet in height.
  • Remove outdoor play equipment that is not age appropriate for Infants. – LPA observed the play
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah LoweTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2022
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: KIDSVERSITY
FACILITY NUMBER: 197494974
VISIT DATE: 02/17/2022
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equipment in the infant outdoor play area to be age appropriate for children ages 0 months to 24 months.

During visit LPA Lowe reviewed facilities mass casualty plan. LPA advised facility to keep mass casualty plan available to be reviewed during future facility visits when requested.

The following items were discussed with applicants:

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

An exit interview was conducted with the above items discussed and a copy of this report was provided to the Applicants, Arshaluys Indzhyn, Mariam Khachatryan, and Director, Jessica Torres. Final license determination will be made upon review by the Licensing Program Manager

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah LoweTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2