198019932-9-8-2021-33-CC-AEIN-C6NPLM-20210908112459

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019932
Report Date: 09/08/2021
Date Signed: 09/08/2021 11:25:46 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:	MAYILYAN FAMILY CHILD CARE		FACILITY NUMBER:	198019932
ADMINISTRATOR:	TARON MAYILYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 749-1188
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91205
CAPACITY:	14	CENSUS: 0	DATE:	09/08/2021
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Taron Mayilyan, Licensee		TIME COMPLETED:	11:15 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

Regional Manager (RM) Deborah Ajao, Licensing Program Manager (LPM) Christina Gabelman and Licensing Program Analyst (LPA) Anomeh Eivazian met with licensee Taron Mayilyan. The purpose of this office informal meeting is to review and discuss cited deficiencies and concerns with the operation of this licensed facility. RM Ajao reviewed and discussed the departments concerns with the licensee and how he will maintain compliance with the deficiencies cited below which were reviewed by LPM Gabelman. LPM Gabelman reviewed the plan of correction items to ensure he will maintain compliance and meet the Title 22 regulations. The licensee has implemented a plan of correction since deficiencies were cited.

The Department of Social Services, Community Care Licensing Division has determined that Mayilyan Family Child Care Home violated licensing regulations in the following categories. Deficiencies and Advisory notes were issued from 08/29/2018 to 08/03/2021):

1. Child’s Records

Type B, 08/03/2021: Seven of 9 children files were not available in the facility for review.
Type B, 03/20/2019: One child’s file was not available in the facility for review.
Type B, 08/28/2018: Nine of thirteen children missing files.
2. Expires Mandated Reporter Training Certificate
Type B, 08/03/2021: Mandated reporter training certificate for licensee expired on 04/2021.

REPORT CONTINUES ON NEXT PAGE 1 of 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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 5

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: MAYILYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019932
	VISIT DATE: 09/08/2021

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
26
27
28
29
30
31
32

3. Facility Roster
Type B, 08/03/2021: Facility roster was not updated.
Type B, 08/29/2018: Facility roster was not updated.
4. Operation of Family Child Care Home
Type B, 08/03/2021: Fire Extinguisher has not been serviced annually. It was purchased on 04/29/2019.
5. Large Family daycare homes, number of children
Type A, 03/20/2019: 14 children present at one time during the inspection, none were of school-age or 6 years of age or older.
6. Evidence of current tuberculosis clearance
Type B, 03/20/2019: Staff #1 did not have TB clearance on file.
7. Immunization:
Type B, 08/29/2021: Child#3 was missing immunization record.
8. Employee or volunteers immunization requirements
Type B, 08/29/2021: Staff#1 did not have immunization on file.

Although the complaint # 33-CC-20200826130320 which was received in RO on 08/24/2020 alleging” Licensee does not reside at the facility” was found to be Unsubstantiated. The Department did address that licensee is fully aware that based on Title 22 Regulation Code, 102352 (f) (1)-- Definitions: "Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations.

REPORT CONTINUES ON NEXT PAGE 2 of 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: MAYILYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019932
	VISIT DATE: 09/08/2021

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
26
27
28
29
30
31
32

Also, the Department addressed with licensee requirement for enrolled children to be at this facility all the times during daycare hours. And that parents are required to fully be aware and clear on who is the licensee and caregivers to the children in care. Children are not to be going back and forth between Mayilyan Facility and Mayilyan and Sosyan Facility which are licensee’s parent's facility located next door. Co-mingling of children between the two separate licenses is a violation of Title 22 regulations. During the complaint investigation, disclosures were made by several parents that they did not know and not clear which daycare they were enrolled with and which address their child attended. During 08/03/2021 LPA Tcheng observed the door bell was not working. Licensee was advised to have a working door bell or a system that would alert licensee that the parents are at the door in order to prevent co-mingling between two facilities which is next to each other.

Today, the Department asked licensee to clarify where the licensee lives due to investigation findings. Licensee was observed on multiple occasion, leaving 714 South Chevy Chase Drive, Glendale CA 91205 resident and arriving to the licensed address. Licensee clarified verbally during the meeting that 522 South Chevy Chase Drive is his primary resident. Licensee verbally identified 714 South Chevy Chase Drive, Glendale Ca 91205 is his sister's, Ani Mayilyan, residence.

During complaint investigation it was shared that licensee has outside employment and leaves assistants and his mother, Marine Sosyan to operate day care. Also, during most licensing inspections upon LPAs arrival to the facility licensee was not always present in the facility and licensee shows up several minutes after LPAs arrival.

Based on Title 22 Regulation Code: 102417 (a)-- Operation of a Family Child Care Home: (a)The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

REPORT CONTINUES ON NEXT PAGE 3 of 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: MAYILYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019932
	VISIT DATE: 09/08/2021

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
26
27
28
29
30
31
32

RM Ajao reminded licensee about his appeal rights and how he can issued by the Department.

Compliance Plan:
1. Licensee will operate separately from other providers regardless of family relationships.
2. Licensee will submit a written declaration to verify where he lives and he is present 80% of the time during operation hours.
3. Licensee will submit a written plan on how to ensure his day care children are not going back and forth to his parent’s daycare, Mayilyan and Sosyan FCCH which is located next door including staying within ratio.
4. Licensee will submit a written plan on how enrolled children parents/guardians will be clearly informed who are their facility caregiver in his facility.
5. Updated enrollment forms clearly identifying which address a child is enrolled in and which licensee child is enrolled with are to be completed by all parents and licensee. Updated forms will be placed in each child’s file and be available for review by Department staff.
6. Licensee will maintain facility and children’s records in his facility.
7. Licensee will submit a written plan on how he will comply with the regulations.
8. Licensee will submit in writing on what he learned from CCLD training videos and how he will apply what he learns from the video(s) in daily operation by 10/08/2021. https://cdss.ca.gov/inforesources/child-care-licensing
Record Keeping in Family Child Care
How Many Children Can Attend a Family Child Care Home?
Family Child Care Providers
Child Care Reporting Requirements
Children’s Personal Rights in Child Care
Supervising Children in Family Child Care
9. Licensee will be placed on frequent required inspection for 2 years, bi annually (twice a year), to ensure compliance.

REPORT CONTINUES ON NEXT PAGE 4 of 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: MAYILYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019932
	VISIT DATE: 09/08/2021

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
26
27
28
29
30
31
32

RM Ajao reminded licensee to follow Covid protocol to ensure Health and Safety of children in care.

Licensee will interact with staff professionally and respectfully during facilities inspections. Licensee’s father, Tigran Mayilyan has had a documented pattern of yelling or speaking to licensing staff in a raised voice during inspections in the presence of children. This is not acceptable and is a violation of children's personal rights. Today Licensee Taron Mayilyan was informed that he is to be the primary individual to interact with licensing staff when inspections has been conducted in his facility and not his parents.

Failure to maintain compliance may result in the department taking administrative action against the facility.

Upon receipt of this report, licensee shall post for 30 days. 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.Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this conference. A copy of the Parent Notification Requirements was also provided to the licensee.

REPORT END 5 of 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

Page: 5 of 5