198020562-5-12-2020-33-CC-AEIN-BPJP52-20200512105958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020562
Report Date: 05/11/2020
Date Signed: 05/12/2020 11:00:32 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:	TOPCHYAN FAMILY CHILD CARE		FACILITY NUMBER:	198020562
ADMINISTRATOR:	MARINE TOPCHYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 298-4536
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91201
CAPACITY:	14	CENSUS: 0	DATE:	05/11/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Marine Topchyan, applicant		TIME COMPLETED:	12:30 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	PRELICENSING INSPECTION (TELEVISIT-FACE TIME) CONDUCTED IN ARMENIAN This was a pre-licensing inspection conducted by Anomeh Eivazian, Licensing Program Analyst (LPA) due to COVID-19 and precautionary measures. This prelicensing inspection was conducted with Marine Topchyan, Applicant via a tele-inspection by use of (Facetime). During this tele-inspection the Applicant took this LPA on a tour of the entire home. During this tour the following was noted: Family members residing in the home are 2 adults and 3 children. The applicant is requesting a large family child care home license. Per applicant operation hours will be Monday to Friday, 7:00a.m. to 10:00 p.m.. Applicant states she will care for children 0-13 years old. Applicant was previously licensed at 616 N. Jackson Street # 106, Glendale, CA 91206 with facility number 198019395. For Large Family Child Care Home Fire Clearance was granted on 05/05/2020. All areas identified on the facility sketch were inspected at 10:40 a.m. via televisit (facetime). This is a one story home consists of 3 bedrooms, 2 restrooms, living room, dining room, kitchen, laundry room, detached garage, front yard and backyard (fenced). There is a fireplace in the living room which has been blocked off to prevent access to children. Areas that are accessible to children are as follows: Dining room (daycare room), living room, master bedroom (daycare room), 1 bathroom in master bedroom, and backyard (fenced). LPA observed two locks on the main entrance door. Per applicant parents will enter the home by side gate which leads to the backyard. Areas off limits based on facility sketch submitted to children and parents include: Two bedrooms, 1 bathroom in the hallway of bedrooms, laundry room, kitchen, front yard, and garage. LPA observed a safety gate was installed to the kitchen to make it inaccessible to the children. Rooms that are off-limits need to be made inaccessible during operating hours REPORT CONTINUES ON NEXT PAGE 1 of 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2020

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 4

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: TOPCHYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020562
	VISIT DATE: 05/11/2020

NARRATIVE

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The applicant states that children will utilize the backyard (fenced) for outdoor activity. Children will be physically and visually supervised at all times. The applicant does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.

Areas that will be used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating (central). Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible.

Per applicant, there are no pets, firearms, weapons, bodies of water on the premises. There are toys available for children. The valve on the required 2A 10 BC fire extinguisher indicated fully charged ( purchased 03/11/2020). LPA observed Fire Extinguisher was anchored to the wall in the hallway of bedrooms. Smoke and carbon monoxide detectors in the hallway of bedrooms and bedrooms were tested and are operable.

Applicant has proof of CPR and First Aid training as indicated on the certificate. The applicant does have proof of Health and Safety training (completion date:06/06/2016), Pediatric First Aid and CPR (ex. 03/2022).There is emergency supplies on the premises.

The following was discussed with the applicant:
Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.
-In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.
-A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
-Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License shall be terminated.
REPORT CONTINUES ON NEXT PAGE 2 of 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2020

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: TOPCHYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020562
	VISIT DATE: 05/11/2020

NARRATIVE

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-The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should check and batteries replaced as needed.
-Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
-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).
-Fire and safety drills must be performed every six months and documented for review by the Department.
-Smoking is prohibited in a family child care home.
-Children and Staff records must be maintained and updated as needed and must be available for review by the Department.
-Dog(s) and or pets are recommended to be isolated from children in care.
- No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.
-All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
- Applicant shall reveal each facility license number in all advertisements, publications or announcements with the intent to attract clients.
- Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are required to be posted.
Infant Care: Applicant states that she does care for infants. LPA advised the applicant to sleep infants where the infant can be directly supervised and advised against sleeping infants in a separate room. The applicant states that she 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. 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 3 of 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2020

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: TOPCHYAN FAMILY CHILD CARE	FACILITY NUMBER: 198020562
	VISIT DATE: 05/11/2020

NARRATIVE

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Per applicant, there are no dual licenses at this address. Applicant’s email address was obtained during this inspection. The applicant was advised that email may be public information. Per applicant she carries liability insurance in accordance with standard established by Family Child Care statue. 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.

The applicant and her husband have proof of immunization against influenza, pertussis, and measles.
Applicant completed required mandated reporter training on 08/07/2018. Mandated reporter training must be completed every 2 years. www.mandatedreporterca.com

LPA consulted and explained 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. LPA advised the applicant how to access forms, regulations and quarterly updates, and Provider Information Notices (PIN) on the Child Care Licensing website at: www.ccld.ca.gov. LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D).

The following corrections need to be corrected prior to obtaining a large family child care license. Corrections are due by 05/29/2020.
1. Applicant will change the side gate lock in order to parents to be able to open the gate from outside.
2. Applicant will take out and cover the small wall heather in the master bedroom bathroom.
3. Applicant will submit an updated facility sketch to indicate room sizes.
4. Applicant will submit a copy of rental agreement.
5. Applicant will add a phone service (land line or cell phone) for her daycare.

A large family child care license will be granted upon receipt of proof of corrections for the above. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license. A copy of this report and all other Licensing reports must be made available to the public for 3 years.
Exit interview was conducted with Marine Topchyan, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Applicant via email with a read receipt or confirmation of receipt of email, which will act as the Applicant's signature.
REPORT END 4 of 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2020

LIC809 (FAS) - (06/04)

Page: 4 of 4