300606420-10-13-2021-06-CC-KDEI-C7RPWW-20211013114124

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300606420
Report Date: 10/13/2021
Date Signed: 10/13/2021 11:41:32 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	ARI GUIRAGOS MINASSIAN ARMENIAN SCHOOL		FACILITY NUMBER:	300606420
ADMINISTRATOR:	WARTAN, TALIN		FACILITY TYPE:	850
ADDRESS:	5315 W. MC FADDEN AVE		TELEPHONE:	(714) 839-7831
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92704
CAPACITY:	52	CENSUS: 27	DATE:	10/13/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Adminisrator Ms. Wartan Talin		TIME COMPLETED:	12:00 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

Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced Case Management Licensee initiated inspection for adding a new Preschool room# 4 and increasing the capacity to 62.
Currently facility is using Room # 1,2,3 and 5 with a capacity of 52 preschool age children (2-5 years old)

Facility Administrator Ms. Wartan Talin gave a tour of the new classroom # 4, other rooms and outdoor yard.

Operating hours for this program will be Monday to Friday 8:00 AM to 5:30 PM

The following was observed in room # 4.
· Age appropriate furniture and equipment’s
· Educations items (Learning and Science activities)
· Arts and Crafts activities.
· Room is well lighted and ventilation.
· Drinking water is available through Sensor operated filtered water bottle fillers and water bottles
· AM/PM Snack shall be served, and Lunch shall be brought from home
· Electronic sign in and out
· CDC Guidelines are being followed.

Indoor Measurements:

ROOM IDENTIFICATION		LENGTH	WIDTH	AREA	ENCUMBERED	SPACE
Room # 4		19.75	19.42	383.55		383.55

Total indoor space: 383’55 divided by 35 = 10’96 (11 children)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ARI GUIRAGOS MINASSIAN ARMENIAN SCHOOL	FACILITY NUMBER: 300606420
	VISIT DATE: 10/13/2021

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

Previously measured rooms were Room # 1,2, 3 and 5 on 12/11/2019 and measurements were as follows
Indoor space:
Room # 5 = 20'3 x 19'9 = 399.9' divided by 35' = 11 children
Room #3 = 16'3 x 21'6 = 349'
10'6 x 21'6 = 225.75
Triangle shape of 21'6 x6'6 = 139'/2 = 70'
Total for room 3: 349' + 225.75 + 70' = 644523'/35' = 18 children
Room 2 = 19'9 x 20'9 = 409'/35' = 12 children.
Room 1 = 19'9 x 19'6 = 385'/35' = 11 children.
Total indoor space: 11 + 18 + 12 + 11 = 52 children.
Now adding Room # 4 with 10 children: Total capacity = 62

Former classrooms have one toilet and one sink inside the classroom, since there is none in the Room # 4, facility now has designated one additional toilet and sink for Preschool age children in Room # 4 in the elementary school restroom, located across room # 4. Age appropriate toilet seat and step stools have been placed here. Facility shall request a Waiver for a shared bathroom with Elementary school children.

Total sinks: 5 X 15 = 75 Children
Total toilets: 5 X 15= 75 (Children)

Outdoor space (Previously measured on 5/10/18) 3375' divided by 75' = 45 children.
A waiver to use staggered schedules for outside time will be submitted.

After a tour of the center, no deficiency was observed.

The facility representative was informed that the CRIMINAL RECORD STATEMENT (LIC 508) has been updated, and the facility must now use the new form with revised date 7/15. The facility representative was also informed that the LIC 508 must be submitted with all Criminal Background Clearance Transfer Request (LIC9182).

The facility representative was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ARI GUIRAGOS MINASSIAN ARMENIAN SCHOOL	FACILITY NUMBER: 300606420
	VISIT DATE: 10/13/2021

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

LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Fire clearance has been granted for capacity of 62 Preschool age children in Room # 1,2,3,4 and 5 by Orange County Fire Authority on 9/28/2021.

Facility Administrator is current on the required CPR/First Training: Valid up to 8/ 2023

Based on today’s room measurement, availability of sinks and toilets, Facility has enough Indoor space to support 62 Preschool age children (2-5 years old) in Room # 1,2,3,4 and 5. Operating hours: Monday Friday 8:00 am to 5.30 PM.

Exit interview conducted, Appeal Rights presented and Notice of Site Visit was posted.

Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post it will result in civil penalties of $100.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3