198020459-11-6-2020-33-CC-ACAS-BV4TRV-20201106135810

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020459
Report Date: 11/06/2020
Date Signed: 11/06/2020 01:58:58 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:	IGITKHANYAN FAMILY CHILD CARE		FACILITY NUMBER:	198020459
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	11/06/2020
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Arman Igitkhanyan		TIME COMPLETED:	02:00 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	On 11/6/2020, Licensing Program Analyst (LPA) Ariel Cazares met with Licensee Arman Igitkhanyan of the licensed facility via FaceTime. The purpose of the visit was to provide technical assistance to the facility that has been granted a waiver to temporarily operate a toddler and school-age component under the preschool license. This waiver will be used to due to the spread of COVID-19 in Southern/Northern California. The child care home will be operated Monday through Friday, 7am to 11pm and under the waiver the facility will serve up to 14 children. Should any changes to the conditions of the waiver occur, Igitkhanyan shall notify the Monterey Park Child Care Regional Office. At 1:30 pm LPA was guided through the facility. LPA was toured through the home. The entrance of the home is where children temperatures are checked and there is hand sanitizer. The living room, the activity room, a restroom, and the backyard are areas used by children. LPA observe 1 child napping in the living room and 5 children napping in the activity room. LPA toured the outdoor backyard where children play, which was fenced. Children are able social distance during activities. The facility provides meals and snacks for children. Drinking water is available for them. Disposable paper goods are used to serve children water and meals. Currently there are no children with medication needs or allergies.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020

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 2

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: IGITKHANYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020459
	VISIT DATE: 11/06/2020

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

If child/ren become ill during the course of the day, they will be placed isolated in the activity room until picked up. There is a secondary restroom that could be used for an ill child.

To further ensure health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to Igitkhanyan. LPA advised director to stay updated with the Provider Information Notices (PINs) on the department website www.ccld.ca.gov as well as www.covid19.ca.gov for COVID-19 related information.

An exit interview was conducted with Licensee Arman Igitkhanyan. A copy of this report will be sent via email with an attached read receipt as proof of receipt. LPA request report be signed and a copy returned to the Regional Office.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2