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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020400
Report Date: 09/29/2020
Date Signed: 09/29/2020 10:59:17 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:ARMENAKYAN FAMILY CHILD CAREFACILITY NUMBER:
198020400
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
09/29/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mariam Armenakyan, LicenseeTIME COMPLETED:
11:15 AM
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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 Mariam Armenakyan in Armenian to address a request for a capacity increase to a Large Family Child Care Home (FCCH) license.
Licensee, Mariam Armenakyan has been licensed at this address since 09/17/2019. For Large Family Child Care Home Fire Clearance was granted on 08/25/2020.

This is a one story home which consists of 3 bedrooms, living room, dining room, kitchen, 2 bathrooms, front yard, back yard , and 2 side yards. There is a decorative disconnected fireplace in the dining room which has been blocked off to prevent access to children. There is a screen door with (3) locks on the front entrance. In addition, the wrought iron railings and openings leading to front door are covered with mesh. The children use the living room, dining room, kitchen, two bedrooms, bathroom in bedroom #3, backyard, and 2 side yards. Parents have access to the facility through the main entrance and side yard. Per licensee, areas off limits to children and parents include: Master bedroom, bathroom in the master bedroom, and front yard. The licensee provides food for children in care. Family members residing in the home are 2 adults who have clearances on file and 1 child.

At 9:10 am, Licensee took this LPA on a tour of the home. LPA was toured through the interior starting with the living room and dining room, where observed sofa and dining table and chars. Next LPA was toured the off limit master bedroom and bathroom in the master bedroom and did not observe any hazards. Next LPA was toured the kitchen and observed safety latched were installed on the cabinets were licensee stores cleaning compounds and sharp items to make it inaccessible to the children.
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: 09/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020
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: ARMENAKYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020400
VISIT DATE: 09/29/2020
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 Next licensee showed the LPA 2 bedrooms where children use and observed children's napping cots in bedroom #2 and children's table and chairs in bedroom #3 and did not observe any hazards. LPA observed 6 children were playing in bedroom #3 with licensee's assistant, Nona Adunts. Next licensee showed the bathroom in bedroom #3 that children use and did not observe hazards.

Licensee showed LPA the fire extinguisher was serviced 08/13/2020 as read by LPA from the service tag. LPA observed Fire Extinguisher was anchored to the wall in the kitchen. Licensee also tested the carbon monoxide and smoke detectors in the bedroom #3. Both sounded off the alarms and heard by LPA to be functional. At 9:30 am, licensee toured the LPA through the backyard and 2 side yards. Outdoor playarea is gated and fenced and LPA did not observe any hazards. Licensee stated that sometimes parents pick up children through the side gate which leads to the side yard.

Per licensee at 9:54 am, 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: 05/2021). Licensee completed required mandated reporter training on 04/28/2019.

At 10:10 am, facility roster were reviewed and completed. Per licensee currently there are 8 children enrolled in the facility. LPA reviewed four children's files from six present children, and completed. Also, LPA reviewed licensee's assistant, Nona Adunts file and it was completed.

INFANT CARE: Licensee states at 10:15 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 infants sleep inside the home in one bedroom 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 GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020
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: ARMENAKYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020400
VISIT DATE: 09/29/2020
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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 does not carry liability insurance or a bond in accordance with standard established by Family Child Care statue. Signed statements (LIC282) was observed in 4 reviewed children's files.


During this inspection LPA obtained licensee's email address and licensee was informed that her email address can be 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 also check children's temperature on a daily basis.

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, Mariam Armenakyan at 11:10 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.
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SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3