198020481-1-19-2021-33-CC-AEIN-BXEQ2L-20210119104719

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020481
Report Date: 01/19/2021
Date Signed: 01/19/2021 10:47:28 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:	GHAZARYAN AND POGHOSYAN FAMILY CHILD CARE		FACILITY NUMBER:	198020481
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	01/19/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Shushanik Ghazaryan and Tirgan Poghosyan		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 INSPECTION CONDUCTED IN ARMENIAN This case management inspection was conducted at 8:40 a.m. with Licensees, Shushanik Ghazaryan and Tigran Poghosyan in Armenian to address a request for a capacity increase to a Large Family Child Care Home (FCCH) license. Licensees, Shushanik Ghazaryan and Tirgan Poghosyan have been licensed at this address since 12/13/2019. For Large Family Child Care Home Fire Clearance was granted on 11/21/2020. Facility operation hours are Monday to Friday from 7:00 a.m. to 10:00 p.m.. Family members residing in the home are 2 adults who have clearances on file and 2 children. All areas identified on the facility sketch were inspected. This is a one story home, the home consists of 2 bedrooms, 1 restroom, living room (daycare room), kitchen, front yard, backyard (fenced) and detached garage (limited activity area). There is a fireplace in the living room which has been blocked off to prevent access to children. Also in the living is an open wall heater which is not screened to prevent access. Areas that are accessible to children are as follows: Bathroom in the hallway, living room (daycare room), backyard (fenced), and detached converted garage for limited activity only. Per licensees children line up and walk through the kitchen to the backyard. Areas off limits based on facility sketch submitted to children and parents include: Two bedrooms, kitchen, and front yard. LPA observed a safety gate was installed in the kitchen to make it inaccessible to the children.Rooms that are off-limits need to be made inaccessible during operating hours At 9:10 a.m., Licensees took this LPA on a tour of the home. LPA was toured through the interior starting with the living room (daycare room) where observed a screen was installed to the wall heater and fireplace was blocked off. During this inspection 6 children were present in the home. LPA observed electric outlets were covered in the living room. 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: 01/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2021

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 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: GHAZARYAN AND POGHOSYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020481
	VISIT DATE: 01/19/2021

NARRATIVE

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LPA observed posting requirements were posted in the living room by the entrance door. Next LPA was toured the off-limit 2 bedrooms and did not observe any hazards and observed plastic door knobs on off-limits bedrooms door. Next LPA was toured the one bathroom and observed a safety latch on the cabinet where licensees store cleaning compounds. Next LPA toured the kitchen and observed safety latched on the cabinets where licensees store cleaning compounds and sharp items. LPA observed a safety gate was installed to the kitchen. Licensees showed LPA the fire extinguisher was purchased 12/03/2020 as read by LPA from the receipt. LPA observed Fire Extinguisher was anchored to the wall in the kitchen. Licensees also tested the carbon monoxide and smoke detector in the hallway of bedroom. Both sounded off the alarms and heard by LPA to be functional. At 9:45 a.m., licensees toured the back yard area (fenced) and did not observe any hazards. Next LPA toured the detached converted garage (limited activity space only) and observed six children chairs and tables in the room, fire extinguisher was anchored to the wall and smoke and carbon monoxide detector was tested and in operable condition. Per licensees, detached converted garage will be used only and only for limited activity, children will eat and sleep in the main home. Per licensees parents enter the facility through the main entrance door which leads to the living room (daycare room).

Per licensees at 10:05 am., there are no pets, weapons, firearms or bodies of water on the premises.

The licensees were 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 licensees have proof of current pediatric first aid and CPR (Tigran Poghosyan CPR and First Aid expires: 08/2021 and Shushanik Ghazaryan's CPR and First Aid expires: 11/2022). Licensees completed Preventative Health and Safety training on 11/02/2019. Licensees are enrolled to complete the required Lead Training on 02/17/2021, and copies of certificates will be submitted. Licensees completed required mandated reporter training on 05/02/2019.

At 10:10 a.m., facility roster were reviewed and completed. Per licensees currently there are 10 children enrolled. LPA reviewed four children's files, and those tour reviewed files were completed. Disaster drill log was reviewed during this inspection, last drill was conducted on 12/29/2020 as documented on disaster drill log.

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: 01/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2021

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: GHAZARYAN AND POGHOSYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020481
	VISIT DATE: 01/19/2021

NARRATIVE

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INFANT CARE: Licensees states at 10:15 a.m, that they does care for infants. Any infants in care will stay in the area where the licensees or assistant are. LPA advised the licensees to sleep infants where the infant can be directly supervised and advised against sleeping infants in a separate room. The licensees state that infants sleep inside the home in the 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.

Medication: Incidental Medical Services (IMS) policy was discussed at 10:17 a.m, 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 licensees, they carry liability insurance for one million dollars. The law requires Family Child Care provider to carry liability insurance or bond in the amount of $300,000 annually or to maintain the signed statement in the facility file. .

During this inspection LPA discussed PIN 20-06 CCP, Social And Physical Distancing Guidance And Healthy Practices For Child Care Facilities In Response To The Global Coronavirus (COVID-19) Pandemic Written In Collaboration With The California Department Of Education and reviewed Child Care Covid-19 Self Assessment.

LPA inquired into the licensees' practice related to COVID-19. Licensees stated that they practices hygiene such as hand washing with the children. Licensees have hand sanitizer available in the drop off area and inside her home. Licensees state they practices social distancing with children, take children temperature daily, open doors and windows to let fresh air inside the home, parents do not enter inside the facility, children take their shoes inside the home.

The home has no need for corrections at this time based today's inspection conducted by LPA Eivazian from the areas that were inspected. At this time, the licensees in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today. Exit interview was conducted with Licensees, Shushanik Ghazaryan and Tigran Poghosyan at 11:00 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.

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: 01/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2021

LIC809 (FAS) - (06/04)

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