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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700310
Report Date: 06/03/2022
Date Signed: 06/03/2022 04:08:07 PM


Document Has Been Signed on 06/03/2022 04:08 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:WICKWARE-KIRAJYAN FAMILY CHILD CAREFACILITY NUMBER:
197700310
ADMINISTRATOR:WICKWARE-KIRAJYAN, LIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 762-1815
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:14CENSUS: 7DATE:
06/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Liana Wickware-Kirajyan TIME COMPLETED:
04:30 PM
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On 06/03/22, Licensing Program Analyst (LPA) Liana Stepanyan conducted an unannounced comprehensive annual random site visit to ensure the health & safety standards as required by regulations governing family childcare homes. LPA met with licensee Liana Wickware-Kirajyan, along with assistant with 7-day care children. Licensee has all appropriate forms posted. First Aid/CPR certificate is valid thru 06/2023. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. Children’s records were reviewed and found to be in order. Licensee has practiced fire/emergency drills with daycare children on 02/06/2022.

This 1 story, 5-bed, 4-bath home was toured, the following areas are used for daycare: living/family room, hallway bathroom/bedroom, bedroom #2 and #3 and backyard. Off limit areas include: Master bedroom/bathroom, kitchen, laundry room, and garage. Drawers and lower cabinets in kitchen/bathroom are either latched or do not contain any hazardous items. There is an operational smoke alarm and fire extinguisher maintained in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit in the kitchen. The fireplace has a glass/screen curtain preventing access and fireplace tools have been removed.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:
DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/03/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: WICKWARE-KIRAJYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700310
VISIT DATE: 06/03/2022
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There are adequate age appropriate toys, books, games, and napping mats/hygienic diaper changing equipment. There are no firearms present on the premises as stated by licensee. Furthermore, there are no bodies of water. The outdoor play area is a fenced backyard, which is free of hazards and has sufficient toys. There are no pets in the home. Per licensee, operating hours are from 7am-6pm, Monday thru Friday.

LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, heat-related illness, child passenger law, unusual incidents, mandated reporting, SIDS, and Shaken Baby Syndrome. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation.

For licensing regulations/updates/forms, go to webpage http://www.ccld.ca.gov

The facility is found to be in compliance with Title 22.

An exit interview is conducted copy of the report was review and provided to licensee along with notice of site visit.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
LIC809 (FAS) - (06/04)
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