198008893-6-30-2020-33-CC-AEIN-BR3REC-20200630125719

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008893
Report Date: 06/30/2020
Date Signed: 06/30/2020 12:57:28 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:	VARDANYAN FAMILY CHILD CARE		FACILITY NUMBER:	198008893
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 7	DATE:	06/30/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Anna Vardanyan, Licensee		TIME COMPLETED:	01:00 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	CASE MANAGEMENT INSPECTION CONDUCTED IN ARMENIAN This was a case management inspection conducted by Licensing Program Analyst (LPA) Anomeh Eivazian. This case management inspection was conducted with Licensee Anna Vardanyan in Armenian to address a request for a capacity increase to a Large Family Child Care Home (FCCH) license. Licensee, Anna Vardanyan has been licensed at this address since 06/07/2019. For Large Family Child Care Home Fire Clearance was granted on 01/28/2020. This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room (FIREPLACE: inaccessible), detached guest house (playroom) which consists of two rooms, 1 bathroom and 1 kitchen, front yard, backyard (fenced), detached laundry room in the backyard and detached storage in the backyard. The children use the living room, dining room, and 1 bathroom in the main home, 1 room in detached guest house, and fenced backyard. Per licensee, children eat either outside, inside the home or in detached activity room, and sleep inside the home. Per licensee children use the detached guest house for activities. Per licensee, areas off limits to children and parents include: 3 bedrooms, 1 bathroom, 2 kitchens, 1 bathroom and 1 room in the detached guest house, laundry room, front yard, and storage in the back yard. The licensee provides food for children in care. Family members residing in the home are 4 adults who have clearances on file and 1 child. At 10:45 am, Licensee took this LPA on a tour of the home. LPA was toured through the interior starting with the living room where observed children's napping cots. LPA was toured through the dining room and the children's restroom. LPA did not observe accessible hazards. Licensee showed LPA the kitchen which is kept off-limit via two safety gates. Next licensee showed LPA three off-limit bedrooms inside the home and did not observe hazards. REPORT CONTINUES ON NEXT PAGE 1 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2020

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: VARDANYAN FAMILY CHILD CARE	FACILITY NUMBER: 198008893
	VISIT DATE: 06/30/2020

NARRATIVE

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Licensee showed LPA the fire extinguisher was serviced 06/23/2020 as read by LPA from the service tag. LPA observed Fire Extinguisher was anchored to the wall in the kitchen. Licensee also tested the carbon monoxide and smoke detectors in the living room. Both sounded off the alarms and heard by LPA to be functional. At 11:10 am, licensee toured the LPA through the detached guest house (playroom) where LPA observed 7 children were playing. Also, licensee's assistant/daughter, Eliza Vardanyan, and licensee's assistant, Azatuhi Narinyants were present in the detached guest house (playroom), and LPA did not observe hazards.Licensee showed LPA the emergency supplies in the detached guest house (playroom). Posting requirements were observed to be posted at the time of inspection in the detached guest house (playroom). LPA observed required required poAt 11:20 am, LPA was toured through the backyard and did not observe Per licensee at 11:20 am, parents enter the facility through the side gate which leads to the backyard and detached guest house (playroom).

Per licensee at 11:45 am, there are no pets, weapons, firearms or bodies of water on the premises.

The licensee was observed to be operating within the licensed capacity and is not exceeding the required limitations during this inspection. All adults present have obtained a criminal record clearance on Licensing Information System (LIS). The licensee has proof of current pediatric first aid and CPR (expires: 02/2021). Licensee completed required mandated reporter training on 02/17/2019.

At 11:50am, LPA reviewed five children's files from seven present children, and completed. Also, LPA reviewed licensee's assistants, Azatuhi Narinyants and Eliza Vardanyan files and both reviewed files were completed.

INFANT CARE: Licensee states at 12:10 pm, that she does care for infants. Any infants in care will stay in the area where the licensee or assistant are. LPA advised the licensee to sleep infants where the infant can be directly supervised and advised against sleeping infants in a separate room. The licensee states that she will not sleep infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided.

REPORT CONTINUES ON NEXT PAGE 2 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2020

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: VARDANYAN FAMILY CHILD CARE	FACILITY NUMBER: 198008893
	VISIT DATE: 06/30/2020

NARRATIVE

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Medication: Incidental Medical Services (IMS) policy was discussed at 12:30 pm, For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Per licensee, she does not carry liability insurance or a bond in accordance with standard established by Family Child Care statue. Signed statements (LIC282) was observed in 5 reviewed children's files

The home has no need for corrections at this time based today'st inspection conducted by LPA Eivazian from the areas that were inspected. LPA inquired into the licensee’s practices related to COVID-19. Licensee stated that she practices hygiene such as hand washing with the children. Licensee has hand sanitizer available in the drop off area and inside her home. Licensee states she practices social distancing with children.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

Exit interview was conducted with Licensee, Anna Vardanayn at 1:00 pm. Appeal rights explained & provided. A copy of this report and all other Licensing reports must be made available to the public for 3 years.

REPORT END 3 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2020

LIC809 (FAS) - (06/04)

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