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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002234
Report Date: 11/02/2021
Date Signed: 11/02/2021 03:30:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ARMENIAN SISTERS ACADEMYFACILITY NUMBER:
198002234
ADMINISTRATOR:SARIN ASSADVAZADORIANFACILITY TYPE:
850
ADDRESS:2361 FLORENCITATELEPHONE:
(818) 249-8783
CITY:MONTROSESTATE: CAZIP CODE:
91020
CAPACITY:110CENSUS: 38DATE:
11/02/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Karin Bilavian, DirectorTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case- management inspection to the above facility on 11/02/2021 at 10:00 a.m.. LPA met with Karin Bilavian, preschool Director who guided this LPA on a tour of the facility. During this inspection there were total of 38 children present in the facility, 5 being toddlers. During this inspection Rita Jamgossian, school Vice Principal was also present.

Upon LPA's arrival to the facility at 10:00 a.m. LPA observed 5 toddlers in Red classroom with staff#1 who is a teacher assistant and does not have Toddler Teacher qualifications on file. Also based on staff interviews, staff#2 who is a fully qualified teacher of Yellow classroom (2-3 years old classroom) is considered as a teacher for both Yellow and Red Classrooms. LPA observed during this inspection the facility is not operating within the facility license required Teacher- Child Ratio Requirement.

The following are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 809D for cited deficiencies. Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.

Exit interview was conducted with Karin Bilavian, director at 2:15 p.m.. Appeal Rights procedures explained.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ARMENIAN SISTERS ACADEMY
FACILITY NUMBER: 198002234
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/03/2021
Section Cited

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Child day care centers serving preschool age children; optional program; departmental guidelines and regulations
A ratio of six children to each teacher is maintained for all children in attendance at the toddler program. etc...
This requirement was not met as evidenced by...
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LPA Eivazian observed on 11/02/2021 at 10:00 a.m. there were 5 toddlers present in Toddler room, Red room with staff#1 who does not have Toddler Teacher Qualifications on file. Facility Director, Karin Bilavian confirmed staff#1 is a teacher assistant. This is an immediate Health and Safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2021
LIC809 (FAS) - (06/04)
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