198019668-10-27-2020-33-CC-AEIN-BUSN26-20201027100413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019668
Report Date: 10/27/2020
Date Signed: 10/27/2020 10:04:23 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:	AGHAVELYAN FAMILY CHILD CARE		FACILITY NUMBER:	198019668
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	10/27/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Naira Aghavelyan, Licensee		TIME COMPLETED:	10:10 AM

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 Naira Aghavelyan in Armenian to address a request for a capacity increase to a Large Family Child Care Home (FCCH) license. Licensee, Naira Aghavelyan has been licensed at this address since 02/25/2018. For Large Family Child Care Home Fire Clearance was granted on 10/14/2020. This is a two story home which consists of 3 bedrooms, 2 & 1/2 bathrooms, kitchen, dining room, living room, laundry room, and front yard. The children use the entire first floor which consists of living room, dining room, kitchen and half bathroom. Per licensee, areas off limits to children and parents include: Entire second floor which consists of 3 bedrooms, 2 bathrooms, laundry room, and front yard. Family members residing in the home are 2 adults who have clearances on file and 0 children. The licensee provides food for children in care. At 8:40 a.m., Licensee took this LPA on a tour of the home, day care areas. LPA was toured through the interior starting with the living room and dining room where observed electric outlets were covered in the living room and dining room. LPA observed a safety gate was installed to the satires which leads to the second floor to make it inaccessible to the children. Next LPA was toured through the kitchen where LPA observed safety latches on the cabinets where licensee stores cleaning compounds and sharp items. Next LPA toured the half bathroom in the first floor and did not observe any hazards. Licensee showed LPA the fire extinguisher was purchased 12/14/2019 as read by LPA from the receipt. LPA observed Fire Extinguisher was placed in the kitchen on the cabinet. Licensee also tested the carbon monoxide detector in the living room and smoke detector in the living room. Both sounded off the alarms and heard by LPA to be functional. 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: 10/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2020

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: AGHAVELYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019668
	VISIT DATE: 10/27/2020

NARRATIVE

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Posting requirements were observed to be posted at the time of inspection by the entrance door in the living room. Per licensee at 9:23 a.m. there is not outdoor playarea on the premises.

Per licensee parents enter the facility through the main entrance door which leads to the living room.
Per licensee at 9:30 a. m., there is a cat, one dog and 4 birds in the cage in the off limit area. Per licensee there is no bodies of water or firearms 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 (expired: 04/12/2022). Licensee completed Preventative Health and Safety training on 06/03/2017. Licensee completed required mandated reporter training , certificate on file.

At 9:35 a.m., facility roster were reviewed and completed. Per licensee currently there are 6 children enrolled. LPA reviewed three children's files, and those were completed. Per licensee last disaster drill was conducted on 09/24/2020 as documented on the disaster drill log.

INFANT CARE: Licensee states at 9:45 a.m, 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 infants sleep in the first floor under direct supervision all the times. 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.

Medication: Incidental Medical Services (IMS) policy was discussed at 12:30 p.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

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: 10/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2020

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: AGHAVELYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019668
	VISIT DATE: 10/27/2020

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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.

LPA explained to licensee at 9:50 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) were observed to be in 3 reviewed children files. 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.

During this inspection LPA discussed PIN 20-06 CCP, Social And Physical Distancing Guidance And Healthy Practices For Child Care Facilities In Response To The Global Coronavirus (COVID-19) Pandemic Written In Collaboration With The California Department Of Education and reviewed Child Care Covid-19 Self Assessment.

LPA inquired into the licensee’s practices related to COVID-19. Licensee stated that he 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 he practices social distancing with children.

The home has no need for corrections at this time based today's inspection conducted by LPA Eivazian from the areas that were inspected. 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.

Exit interview was conducted with Licensee, Naira Aghavelyan at 10:10 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 Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2020

LIC809 (FAS) - (06/04)

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