197700345-11-22-2019-30-CC-MRAN-BJ6RJL-20191122120404

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700345
Report Date: 11/22/2019
Date Signed: 11/22/2019 12:04:26 PM

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:	AVAGYAN FAMILY CHILD CARE		FACILITY NUMBER:	197700345
ADMINISTRATOR:	AVAGYAN, AYLIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 301-3051
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	14	CENSUS: 0	DATE:	11/22/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Aylin Avagyan, Applicant		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Loyce Phillips and Licensing Program Manager (LPM) Mariela Ramon met with applicant who guided analyst on a tour of the facility inside and out. Applicant is applying for a large family child care home license. The Fire department has inspected the home and a fire clearance has been granted. Applicant is requesting a capacity of 14 children and has provided proof of the required years of experience as a Preschool teacher in a child care center. This is a single story, 4 bedrooms, 3 bathrooms, living room, dining room, kitchen/laundry room, backyard. There is no garage in the home. The garage has been converted into an additional dwelling unit with a separate address which children will not have accessed to. There is no pool, spa or other bodies of water on the premises. Main care will be provided in the bedroom located at the end of the hallway. Children will utilize the bathroom located in the day care room which was observed free of chemicals or toxic items. Children will have access to the backyard. Children will nap and eat in the day care room. LPA and LPM observed small tables and chairs and napping equipment. Applicant stores knives in a kitchen drawer inaccessible to children. All kitchen and bathroom cabinets and drawers that contained cleaning materials and sharp objects have safety latches. Off limit areas include living room, kitchen, dining area, and all bedrooms and bathrooms. Parents will enter the facility on the left side of the home through an open gate. The second gate will be locked and parents will ring the door bell to gain access. The backyard has an enclosed play area for children. The backyard has artificial grass with age appropriate toys including tricycles. The backyard has decorated plants with no sharp or pointy thrones. The back of the home leads to an alley with a lock gate that will remain close during hours of operation.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (310) 337-4826
LICENSING EVALUATOR NAME: Mariela Ramon	TELEPHONE: (310) 337-4809
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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: AVAGYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700345
	VISIT DATE: 11/22/2019

NARRATIVE

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Per applicant, there are no weapons or firearms of any kind in the facility. LPA did not observe any weapons or fire arms. The required fire extinguisher is mounted on the day care room wall. Smoke and fire detectors meet standards and are operational. The home was observed to be clean and orderly. Heating and ventilation was safe and comfortable.

Applicant will not be providing transportation. Notification of Parents’ Rights Poster and Emergency Disaster Plan are posted. Preventative Health and Safety completed on 07/23/19. Pediatric CPR and First Aid was obtained on 07/20/19.

The home is equipped with central air and heating. Control of property was verified with the property mortgage statement.
Applicant was reminded of the staffing Ratio and capacity for a large Family Child Care capacity:

The Fire department has inspected the home and a fire clearance has been granted. Applicant is requesting a total capacity of 14 children and has provided proof of 2 years experience working as a teacher in a child care center. The facility will be operating Monday through Friday from 7:30 am to 6:00 pm. Family members residing in the home include the applicant, spouse and minor child. LPA reminded applicant all adults must be fingerprint clearance.

Applicant was reminded she must have a qualified assistant present whenever she has more than 8 children in care and with a capacity of 14 children she is to have no more than 3 infants in care (0-2yrs), 1 child enrolled in Kindergarten, 1 child at least 6 years of age and a qualified assistant.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Mariela Ramon	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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: AVAGYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700345
	VISIT DATE: 11/22/2019

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The following was discussed with applicant: No smoking, No infant walkers, Johnny jumpers, exersaucers and any other item that falls into that category. Applicant was also advised of incident/medication documentation (notify the Department of any unusual incidents/injury that occur at the home, via phone within 24 hours and within 7 days written format). Applicant was informed that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). Never shake a baby to prevent Shaken Baby Syndrome. Applicant was also reminded children may only be in high chairs if they are eating.

Applicant stated at this time facility will not provide Incidental Medical Services.

Children shall not be left in car seats or strollers while in care. Children shall not be left alone while napping. The required forms for children’s files, facility files and posting requirements. Requirements for fingerprint clearances and associations were discussed with the applicant. Applicant can be cited a civil penalty of $100 per day, up to $500.00 for the 1^stoffense and up to $3000.00 for the 2^nd offense within a 12 month period, PER PERSON. Capacity and ratio was also discussed.

The home is ready for licensure. An exit interview was conducted with applicant and a copy of this report was provided.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Mariela Ramon	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

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