197494698-7-7-2022-30-CC-DLOE-CG4VPH-20220707163646

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494698
Report Date: 07/07/2022
Date Signed: 07/07/2022 04:36:53 PM

Document Has Been Signed on 07/07/2022 04:36 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	HARMON OAKS NOHO WEST		FACILITY NUMBER:	197494698
ADMINISTRATOR:	MARIYA KUPCHYAN		FACILITY TYPE:	850
ADDRESS:	12531 VANOWEN ST		TELEPHONE:	(818) 386-8409
CITY:	NO HOLLYWOOD	STATE: CA	ZIP CODE:	91605
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 20	CENSUS: 14	DATE:	07/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Executive Director, Mariya Kupchyan		TIME COMPLETED:	04:45 PM

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On 7/07/2022 at 1:45 pm Licensing Program Analyst (LPA) Deborah Lowe, conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Executive Director, Mariya Kupchyan, and toured the facility indoors and outdoors. Days and hours of operation are Monday – Friday 8:00 am – 5:00 pm.

At 1:45 pm LPA Lowe observed 14 children resting on cots supervised by 1 fully qualified teacher and 1 teacher assistant.

Furniture and equipment was observed to be in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities were observed to be in safe and sanitary operating condition. Floors in the facility are clean and safe.

LPA Lowe observed disinfectants, cleaning solutions, and other hazardous items are made inaccessible. No poisons were observed during the inspection. Facility currently has no children with medication.

Facility does not have a kitchen, food preparation and storage located in the classroom was observed to be clean, free of litter/rubbish and free of rodents/vermin. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors.

LPA Lowe observed the playground equipment to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space was observed to be maintained in a safe condition and is free of hazards. The area around high climbing equipment and slide was observed to be with woodchips. Stairs located to the east of the playground was observed with child gate blocking access for children. No swimming pool or other bodies of water were observed at the facility. The facility is free of flies, insects and rodents. Executive Director stated they have a pest control service. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. LPA verified carbon monoxide detectors is included in the facilities Fire Life Safety system.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HARMON OAKS NOHO WEST	FACILITY NUMBER: 197494698
	VISIT DATE: 07/07/2022

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LPA observed capacity and limitations as specified on the license to be maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center executive director is on file with the fully-qualified lead teacher/director designated to act in the executive director’s absence has been reported to the Department. The facility uses ProCare as a sign in/out system. LPA observed all children to be under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care.

LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

Incidental Medical Services (IMS) are not currently being provided, facility has an IMS Plan if IMS is needed. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HARMON OAKS NOHO WEST	FACILITY NUMBER: 197494698
	VISIT DATE: 07/07/2022

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LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed 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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Executive Director, Mariya Kupchyan.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022

LIC809 (FAS) - (06/04)

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