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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001664
Report Date: 10/03/2023
Date Signed: 10/03/2023 12:10:18 PM


Document Has Been Signed on 10/03/2023 12:10 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 BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:KAZARYAN, MARINEFACILITY NUMBER:
384001664
ADMINISTRATOR:KAZARYAN, MARINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 387-8301
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY:14CENSUS: 11DATE:
10/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Irada Bairamova & Venera MkrtichyanTIME COMPLETED:
12:35 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the daycare helpers, Irada Bairamova and Venera Mktrichyan (Licensee's mother), and explained the purpose of the Annual Inspection to them. All adults had fingerprint clearance. The helpers were the primary Russian speakers. LPA communicated with the helpers via Google Translate during the inspection. A helper, Irada, opened the door for the LPA and put the licensee, Marine Kazaryan, on the phone with the LPA. Per the licensee, Marine Kazaryan, she was on her way to a doctor's appointment, so she left the children with a helper and her mother during her absence. LPA explained the purpose of the inspection to the licensee and requested her helpers to provide all the required documents LPA needed to review during the inspection while the licensee was not available at home. The facility had 11 children including a toddler with 2 helpers during the inspection. The facility was called LION KING DAYCARE, and the operation hours were Monday to Friday from 8 AM to 5 PM. The daycare areas were the entire lower level including 2 main play areas, a room (reading room or library), a bathroom, a deck, and a backyard except a garage. The off-limit areas were the entire upper level and a garage. The facility installed a surveillance camera system in the daycare areas. LPA inspected the facility for health and safety hazards. The facility was clean and in order. The temperature and lighting were adequate. The licensee made all the toxins and harmful objects inaccessible to the children. The facility had the right amount of cubbies available for the children to store their belongings in the foyer. The facility had another door to the main daycare areas from the foyer. The licensee put the carpets on the floor in 2 main play areas as soft cushioning to prevent injury. All the electrical outlets and sharp corners were covered & food preparation area was clean and in order. The lower sink cabinet and drawers in the food preparation area were free of harmful objects. The children's bathroom was clean. The lower bathroom sink cabinet was latched. The facility had plenty of age-appropriate toys, books, learning materials, and children's furniture that were in good condition and repair. The facility had a fully charged 2A10BC fire extinguisher, a working cellular phone and home phone, a working smoke detector, and first aid supplies available at home. The facility provided breakfast, AM/PM snacks, lunch, and dinner to the children. Cots were available for napping. The licensee provided the bedding to the daycare children. The outdoor play areas were completely fenced. A gate was installed at the stairway. The licensee uses the deck and backyard for the daycare. LPA inspected the yard and deck. There were some outdoor toys, ride-on-toys, and children's furniture available for the children. The turf was installed in the yard as the soft cushioning to prevent injury. The facility posted all the required documents.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2023
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 BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KAZARYAN, MARINE
FACILITY NUMBER: 384001664
VISIT DATE: 10/03/2023
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Criminal Record Clearance - the 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.

Safe Sleep - LPA discussed the safe sleep regulations with licensee [or facility representative] 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 [or facility representative] 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

MyChildCarePlan.org – 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.

SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023
LIC809 (FAS) - (06/04)
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