198020342-10-7-2020-33-CC-AEIN-BU6SLL-20201007135831

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020342
Report Date: 10/07/2020
Date Signed: 10/07/2020 01:58:42 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:	DAVOIAN FAMILY CHILD CARE		FACILITY NUMBER:	198020342
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	10/07/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:48 AM
MET WITH:	Astkhik Davoian, Licensee		TIME COMPLETED:	02:10 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 Astkhik Davoian in Armenian to address a request for a capacity increase to a Large Family Child Care Home (FCCH) license. Licensee, Astkhik Davoian has been licensed at this address since 08/27/2019. For Large Family Child Care Home Fire Clearance was granted on 09/29/2020. This is a one story home which consists of 3 bedrooms, 1 bathroom, kitchen, living room (FIREPLACE: inaccessible), detached converted garage which consists of living room, kitchen, 1 bathroom and 1 bedroom, front yard, and backyard (fenced). The children use the living room, 1 bathroom, two bedrooms, kitchen, and backyard (fenced). Per licensee, areas off limits to children and parents include: 1 bedroom, front yard and detached converted garage. Per licensee, Erma Carmona is the tenant in the detached converted garage who has criminal record clearance in Licensing Information System. The licensee provides food for children in care. Family members residing in the home are 2 adults who have clearances on file and 0 children. At 12:15 p.m., Licensee took this LPA on a tour of the home. LPA was toured through the interior starting with the living room where observed a screen was installed to the fireplace. LPA observed 7 children (2 being infants) were present in the living room with a dance teacher and also licensee's assistant, Araksia Muradyan was present in the living room. LPA was toured through the two daycare bedrooms where LPA observed napping cots and children table and chairs. Next LPA was toured the off-limit 1 bedroom and did not observe any hazards. Next LPA was toured the kitchen where LPA observed a dining table and chairs and children's table and chairs. LPA observed a safety latch was installed to under the sink cabinet where licensee stores cleaning compounds. LPA observed knives and sharp items where stored in a high cabinet above the stove out of reach of children. 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: 10/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2020

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: DAVOIAN FAMILY CHILD CARE	FACILITY NUMBER: 198020342
	VISIT DATE: 10/07/2020

NARRATIVE

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Licensee showed LPA the fire extinguisher was serviced 07/06/2020 as read by LPA from the service tag. LPA observed one Fire Extinguisher was anchored to the wall by the entrance and one Fire Extinguisher was anchored to the wall in the kitchen. Licensee also tested the carbon monoxide and smoke detectors in the hallway of bedroom. Both sounded off the alarms and heard by LPA to be functional. At 12:30 a.m., licensee toured the LPA through the backyard day care area. LPA observed licensee separated the daycare outdoor playarea by fencing and did not observe any hazards. LPA observed the off limit detached converted garage is separated by a gate and fencing and it is inaccessible to the children. Posting requirements were observed to be posted at the time of inspection by the entrance door in the living room.

Per licensee parents enter the facility through the main entrance door which leads to the living room.
Per licensee at 12:50 p.m., 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: 09/2022). Licensee completed required mandated reporter training on 08/03/2019.

At 1:00 p.m., facility roster were reviewed and completed. Per licensee currently there are 9 children enrolled. LPA reviewed four children's files from seven present children, and completed. Also, LPA reviewed licensee's assistants, Araksia Muradyan and Hripsime Galstyan files and both reviewed files were completed.

INFANT CARE: Licensee states at 1:20 p.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 inside the home in one bedroom or living room 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.

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: 10/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2020

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: DAVOIAN FAMILY CHILD CARE	FACILITY NUMBER: 198020342
	VISIT DATE: 10/07/2020

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 carries liability insurance with standard established by Family Child Care statue. During this inspection LPA obtained licensee's emails address and LPA informed licensee that her email address can be a public information.

The home has no need for corrections at this time based today's 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, Astkhik Davoian at 2:10 p.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: 10/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2020

LIC809 (FAS) - (06/04)

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