198020210-6-17-2020-33-CC-AEIN-BQNQFZ-20200617120848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020210
Report Date: 06/17/2020
Date Signed: 06/17/2020 12:09:03 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:	MELKONYAN FAMILY CHILD CARE		FACILITY NUMBER:	198020210
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 1	DATE:	06/17/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Elaida Melkonyan, Licensee		TIME COMPLETED:	11:00 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 TELEVISIT (FACETIME) CONDUCTED IN ARMENIAN This was a case management televisit inspection conducted by Licensing Program Analyst (LPA) Anomeh Eivazian due to COVID-19 and precautionary measures. This case management inspection was conducted with Licensee Elaida Melkonyan in Armenian via Facetime to address a request for a capacity increase to a Large Family Child Care Home (FCCH) license. For Large Family Child Care Home Fire Clearance was granted on 06/09/2020. This is a one story home which consists of 2 bedrooms, 2 bathrooms, kitchen, daycare room, living room, laundry room, garage, front yard and backyard (fenced). Per licensee the children use the day care room, 1 bedroom adjacent to the daycare room, 1 bathroom in the hallway, kitchen and backyard (fenced). Per licensee children only use the kitchen to go to the backyard Per licensee, areas off limits to children and parents include: 1 bathroom, 1 bedroom, living room, laundry room, garage, and front yard. Per licensee family members residing in the home is 1 adult who has clearance in Licensing Information System (LIS) and 0 children. Per licensee parents enter the facility through the main entrance. Per licensee operating hours will be Monday – Friday from 7:00 am- 10:00pm. The licensee is caring for children 0-12 years of age. During this tele-inspection the Licensee took this LPA on a tour of the home. At 9:44 am, LPA was toured through the interior starting with the daycare room and electrical outlets were observed to be covered, LPA observed one child in the daycare room. Next the daycare bedroom where LPA observed children's napping cots. Next LPA toured the 1 bathroom in the hallway and Licensee showed LPA the cabinet in the restroom is secured, next to the bathroom LPA toured the off-limit living room and observed licensee keeps the door locked to make it inaccessible to the children, then LPA walked through the living room and toured the kitchen, LPA observed safety latches on the cabinet under the sink which stores cleaning compounds and drawers which licensee stores the knives and sharp items, also LPA observed licensee keep the kitchen door closed. 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: 06/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2020

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: MELKONYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020210
	VISIT DATE: 06/17/2020

NARRATIVE

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LPA did not observe accessible hazards. LPA observed the required 2A 10 BC fire extinguisher was anchored to the wall in the kitchen, it was serviced on 06/08/2020, as read by licensee from the service tag. LPA toured the off limit bedroom (licensee's bedroom), laundry room, and 1 off-limit bathroom, and did not observe accessible hazards. LPA observed licensee keeps the off-limit areas doors locked. At 10:00 am, LPA was toured through the backyard fenced) where children play. LPA did not observe accessible/immediate hazards during the tour of the back yard. The licensee confirmed that there is one child present in the home during this televisit inspection. At 10:10 am, LPA toured the garage (off-limit) and did not observe accessible/immediate hazards during the tour of the garage. At 10:15 am, Licensee also tested the carbon monoxide detector in the daycare room and smoke detector in the hallway of bedrooms. Both sounded off the alarms and heard by LPA to be functional.

The licensee was observed to be operating within the licensed capacity and is not exceeding the required limitations at 10:20 am. Licensee has current proof of current pediatric first aid and CPR (expires: 02.2022). At this time licensee is exempt from required mandated reporter training due to language barrier. Per licensee at 10:30 am, there are no pets, weapons, firearms or bodies of water on the premises.

INFANT CARE: Licensee states at 10:35 am, 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 they 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.

Medication: Incidental Medical Services (IMS) policy was discussed at 10:40 am, 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: 06/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2020

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: MELKONYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020210
	VISIT DATE: 06/17/2020

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Per licensee, they do not carry liability insurance or a bond in accordance with standard established by Family Child Care statue.

LPA consulted and explained at 10:40 am, 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

The home has no need for corrections at this time based on the televisit inspection conducted by LPA Eivazian from the areas that were inspected. LPA asked 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. Licensee stated children change their shoes upon arrival.

Based on this information and LPA's observation, 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 Elaida Melkonyan, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights and Notice of Site Visit (LIC9213) will be sent to the Licensee via email with a read receipt or confirmation of receipt of email, which will act as the Licensee’s signature.

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: 06/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2020

LIC809 (FAS) - (06/04)

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