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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018928
Report Date: 02/11/2020
Date Signed: 02/11/2020 09:43:07 AM

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 CAREFACILITY NUMBER:
198018928
ADMINISTRATOR:MARINE VARDANYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 401-3941
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY:14CENSUS: 4DATE:
02/11/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marine Vardanyan, LicenseeTIME COMPLETED:
09:55 AM
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ANNUAL/RANDOM INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analysts (LPA) Anomeh Eivazian and Roxana Lopez conducted an unannounced random inspection. LPAs met with licensee, Marine Vardanyan who guided analyst on a tour of the facility at 8:40 a.m.. Also present were Karine Vardanyan and Vaagn Simonian, licensee's assistants. There were 4 children present during this inspection at 9:02 a.m. and 2 being infants. Ms. Vardanyan states at 9:00 a.m, that there are currently 9 children enrolled, children's roster was reviewed and is current. Disaster drill log was available, last drill was conducted on 01/16/2020.

All areas identified on the facility sketch were inspected. This is a one story home which consists of 2 bedrooms, 2 restrooms, day care area, dining room, storage inside the home, kitchen, garage, front yard and backyard (fenced). There is a fireplace in the living room which has been blocked off to prevent access to children. The children will use the bathroom in the hallway, child care area, dining room, kitchen, and play area in the back yard which is separated from off limit area of the backyard with decorative panels. Areas off limits to children and parents include: 2 bedrooms, 1 bathroom, storage inside the home, garage, front yard and some part of the backyard which is septated with decorative panels. Family members residing in the home are 2 adults who have clearances on file and 0 children.

There is an above ground pool located in the off limit area in the backyard. LPAs observed at 9:10 a.m. the pool was covered with wood cover which was strong enough to completely support the weight of an adult. Also the solid bronze decorative two heavy lions statues were observed on the top of the pool wood cover.

All areas used by children were inspected at 9:10 a.m. for safety, comfort, cleanliness, telephone, ventilation and heating (central). The licensee states that there are no poisons in the home. The licensee understands that any poisons must be locked with a key or combination lock.
REPORT CONTINUES ON NEXT PAGE 1 of 3
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: 198018928
VISIT DATE: 02/11/2020
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 Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible in all areas in the home.

Per licensee, there are no pets, weapons, and firearms on the premises. There were toys observed for children. Posting requirements were observed to be posted at the time of inspection. Children’s records were reviewed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 08/01/2019, as indicated on service tag. Smoke and carbon monoxide detectors were tested, and are in operable condition. There are emergency supplies on the premises.

The licensee was observed to be operating within the licensed capacity at 9:16 a.m. and is not exceeding the required limitations. All adults present have obtained a criminal record clearance. The licensee has proof of current pediatric first aid and CPR (expires: 12/2021). Licensee is exempt from mandated reporter training, due to language barrier.

The following was discussed:


INFANT CARE: Licensee states at 9:19 a.m. that she does care for infants. LPAs discussed the licensee’s plan for supervising sleeping infants.
Licensee states the following: Any infants in care will stay in the area where the licensee or assistants are (day care area and dining room).
LPAs advised the licensee at 9:20 a.m. 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. LPAs 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.

Medication: Incidental Medical Services (IMS) policy was discussed at 9:22 a.m.. 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

No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into this category are not permitted in a family child care facility.

REPORT CONTINUES ON NEXT PAGE 2 of 3
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 198018928
VISIT DATE: 02/11/2020
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LPAs explained to licenseeat 9: 25 a.m. that car seat and stroller are only and only for transportation, high chair is only and only for feeding and stated items cannot be misused.

Per licensee, she does not carry liability insurance or a bond in accordance with standard established by Family Child Care statue. Signed statements (LIC282) on file. The law requires Family Child Care provider to carry liability insurance or bond in the amount of $300,000 annually or to maintain the singed statement in the facility file.

LPA reviewed and issued the LIC 311 - Forms/Records to Keep in Your Family Child Care Home.
LPA advised the licensee how to access forms, regulations and quarterly updates , and Providers Information Notices (PIN) on line at: www.ccld.ca.gov

LPA consulted and explained Child Abuse Reporting, Effects of Lead Exposure flyer, Updated Patent’s Rights Poster with Complaint Hotline information, Capacity Handout (Small & Large) was provided during this inspection. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (use LIC624B for written report). Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients. Mandated reporter training must be completed every 2 years. www.mandatedreporterca.com

LPA issued the Confidential Names List (LIC 811) to the licensee during this inspection. The Confidential Names List documents the children’s files that were reviewed during this inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today at 9: 30 a.m.. Exit interview was conducted with Licensee, at 9:50 a.m.. 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 GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3