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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700568
Report Date: 03/29/2022
Date Signed: 03/29/2022 03:06:45 PM


Document Has Been Signed on 03/29/2022 03:06 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:ASLANYAN FAMILY CHILD CAREFACILITY NUMBER:
197700568
ADMINISTRATOR:ANUSH ASLANYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 433-2100
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:14CENSUS: 0DATE:
03/29/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:57 AM
MET WITH:Anush AslanyanTIME COMPLETED:
03:13 PM
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On 03/29/22 at 12:00pm, Licensing Program Analyst (LPA) Liana Stepanyan conducted an announced pre-licensing site visit. This visit is to verify that the applicant remains in substantial compliance with the health & safety standards as required by regulations governing family childcare homes. LPA met with applicant who guided the analyst on a tour of the facility. Applicant has all appropriate forms posted. First Aid/CPR certificate is valid thru 11/2023. LPA confirmed with applicant that all adults residing/working in the home have criminal record/TB clearances. Per applicant, hours of operation will be Monday through Friday 6am to 6pm.

This is a one-story home, 2-bed, 2-bath, the following areas are used for daycare: living/dining/family room, bathroom #1, and front yard. Off limit areas include master bedroom #1 hallway bathroom, bedroom #2, garage, laundry room, kitchen and backyard. Drawers and lower cabinets in kitchen/bathroom do not contain any hazardous items. There is an operational smoke alarm and fire extinguisher maintained in the home including carbon monoxide detector. The home has electrical outlet covers throughout and maintains a First Aid Kit in the kitchen area. There are adequate age appropriate toys, books, games, and cots for napping. There are no firearms present on the premises as stated by applicant. Furthermore, there are no bodies of water. The outdoor play area is fenced which is free of hazards and has sufficient toys.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022
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: ASLANYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700568
VISIT DATE: 03/29/2022
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LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, child passenger law, unusual incidents, and mandated reporting. Applicant 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.

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.

Incidental Medical Services (IMS) policy was discussed, informing applicant when any IMS is provided, a plan for providing IMS must be submitted to the Department prior to providing care to a child that need IMS. The plan shall state the type of IMS the facility will be offering, stating the person providing care has been trained to provide the named IMS. The plan will also provide the steps that will be taken when IMS is provided to a child.



Applicant stated currently does not have childcare insurance. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov.

The applicant is ready for licensure. No corrections are needed and can be licensed as a Large Family Child Care Home.

Exit interview conducted copy of this report was provided to applicant.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
LIC809 (FAS) - (06/04)
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