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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700134
Report Date: 08/25/2023
Date Signed: 08/25/2023 04:34:49 PM

Document Has Been Signed on 08/25/2023 04:34 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VARDANYAN FAMILY CHILD CAREFACILITY NUMBER:
195700134
ADMINISTRATOR:KRISTINE VARDANYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 912-2245
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
08/25/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:38 PM
MET WITH:Kristine VardanyanTIME COMPLETED:
04:30 PM
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On 08/25/2023, Licensing Program Analyst (LPA) Doris Whitmore conducted an announced inspection with applicant Kristine Vardanyan & Zepyur Vardanyan for the purpose of a pre-licensing inspection of 8745 Gothic Ave. North Hills CA 91343.The purpose of this inspection is to ensure the standards for a Family Child Care Home are being met in accordance with California Title 22 Regulations and California Health and Safety Codes. LPA met with Kristine Vardanyan & Zepyur Vardanyan who guided a tour of the inside and outside of home.

The applicant is applying for a large family childcare license with a max14. Residents of the home are the applicants and one daughter, son, mother, & husband. Per the applicant, operation hours are Monday- Friday from 7:00a.m. to 6:00p.m.Ages of children are 2years old to 13 years old. Applicant was informed that any changes to ages, hours, days of operation shall be submitted to the department for approval prior.

The home is a One-story with 4 bedrooms, 4 bathrooms, living room, laundry room, kitchen, f front yard, backyard & storage room, fireplace with a screen covering. In the living room was one couch, one love seat, and one armchair. In the kitchen area there were safety locks on the cabinets & a washer machine and dryer in the kitchen. There is a ½ of bathroom in the backyard. LPA checked all bedrooms& bathrooms. All areas of the house are off limits except the Main Room where the day care will be. The Parent Board is located on the wall. LPA observe the following documents for the board, Facility Sketch, Emergency Disaster Plan, Notification of Parents Rights, Earthquake Preparedness. The Main Day care will be in the additional room. The gate to the driveway will be open for parents to park and drop off from 7:00a.m. to 9:30a.m. After 9:30a.m. the gate will be closed, and parents will ring the bell for entrance. LPA observed in the main day care two cubbies against the wall that are not secured for safety purposes. A flat screen tv located on the wall which is mounted. On red round table with red chairs and two oval shape tables one green and one blue with colored chairs. Against the wall was a bookshelf with many age-appropriate books. On the floor were three carpets. Two of the carpets were a rectangle and the other carpet was an oval shape. All carpets were very colorful for the children. Against the other wall was a pink and lavender kitchen set, two white storage units and a piano.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VARDANYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700134
VISIT DATE: 08/25/2023
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One storage unit with cars, puzzles, soft blocks dolls, plastic animals, and a soft ball. There is a kids toys storage organizer with colorful baskets of manipulatives. In the corner was a reversable dry erase board and chalkboard. There is one 1 bathroom that will be used for the children with a toilet and glass shower. The handle of the door is not locked and is at the reach where a child can turn the handle. LPA checked the cabinet underneath the sink which only had gloves and paper towels. The Fire Extinguisher was mounted to the wall which was a 3A:40-B: C. LPA and applicant tested the carbon monoxide and smoke detector that was working.

A First Aid Kit was fully stocked. Per the applicant there no bodies of water in the home. Per applicant there are no weapons that is in the home. LPA did observe one dog that was in the house and will not be in the room where the day care will be. The home has a backyard with a side gate which will remain locked during operating hours. The gate will only be open when the children are going to the backyard. In the back yard there is a patio area with chairs and a table. In the backyard LPA observed outdoor materials for the children a small colorful table with an umbrella, purple caterpillar, trucks, slice, bikes, sandbox, ship water table. There is a brown stone fence around the entire backyard. There is also a white plastic fence that leads to behind the storage unit which is located to the left of the backyard. There is one opening area next to the storage unit that has two outdoor heaters. The area leads to the back of the storage unit that is accessible to children in care. On the side of the house are two brown security gates where the air conditioner unit is located.

The home was inspected for safety, comfort, cleanliness, telephone services, heating ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children in care. Applicant confirmed that the facility will be providing breakfast, lunch, snack, LPA discuss food preparation, storage and ensuring a log and information regarding dietary restrictions and allergies are kept up to date.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) or (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.

LPA reviewed with applicants the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant. Page 2

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VARDANYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700134
VISIT DATE: 08/25/2023
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Safe Sleep - Child Care Centers and Family Child Care Homes LPA discussed the safe sleep regulations with applicant 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 [applicant, 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.

On this date 08/25/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.


Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication Exit interview conducted and report was reviewed with Kristine. A notice of site visit was given to Kristine and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Prior to licensure the cubbies will need to be mounted to the wall, safety velcro lock on shower door handle, and safety gate for backyard to prevent access to heaters.Page 3 Applicant will have until 09/01/2023.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023
LIC809 (FAS) - (06/04)
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