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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100143
Report Date: 10/07/2024
Date Signed: 10/07/2024 12:22:13 PM


Document Has Been Signed on 10/07/2024 12:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:BAGIRYAN, IRINA FAMILY CHILD CAREFACILITY NUMBER:
376100143
ADMINISTRATOR:IRINA BAGIRYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(517) 490-6878
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:14CENSUS: 10DATE:
10/07/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Irina BagiryanTIME COMPLETED:
12:40 PM
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On 10/7/24 at 11:00 a.m, Licensing Program Analyst (LPA), Renita Rodriguez, conducted an unannounced Annual Inspection. LPA was greeted at the front door by licensee Irina Bagiryan. Also present in the home was helper Ana Tinoco. LPA was granted entry after showing badge and identifying herself and disclosing the purpose of the visit. The home was toured and inspected for compliance. The children are provided a safe, healthful, and comfortable environment, furnishings, and equipment. As LPA entered the home plenty of cubbies for children's belongings were observed on the right side.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living/daycare room, bathroom (by front door), and fully fenced backyard. The entrance of the home is the living/daycare room and all children were in the area engaging during play. There is a security gate around this area. Off limits areas include bedrooms 1-2, bathroom 2, master bedroom/bathroom, family room, dining room, kitchen, and garage and are inaccessible through use of gates and door locks. The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities.

The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. First Aid and CPR certifications expire on 9/2025. Licensee has required immunization's. Licensee completed Mandated Reporter Training on 7/26/23 and is reminded it must be completed every 2 years. Children’s and Staff records were reviewed and found to be in order. Helper Ana Tinoco completed Mandated Reporter Training 2/24/24.

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SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Renita RodriguezTELEPHONE: (916) 903-2302
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BAGIRYAN, IRINA FAMILY CHILD CARE
FACILITY NUMBER: 376100143
VISIT DATE: 10/07/2024
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the licensee Irina Bagiryan.

During the exit interview, the Licensee Irina Bagiryan, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Renita RodriguezTELEPHONE: (916) 903-2302
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2024
LIC809 (FAS) - (06/04)
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