197495275-7-11-2023-30-CC-JLAO-CTMPV7-20230711113841

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197495275
Report Date: 07/11/2023
Date Signed: 07/11/2023 11:39:18 AM

Document Has Been Signed on 07/11/2023 11:39 AM - 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:	MINASIAN FAMILY CHILD CARE		FACILITY NUMBER:	197495275
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	07/11/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Olga and Artem Minasian		TIME COMPLETED:	11:30 AM

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On 7/11/2023 Licensing Program Analyst (LPA) Judy Laureano conducted an announced inspection with applicants Olga and Artem Minasian for the purpose of a pre licensing inspection of 11759 Iowa Avenue, Los Angeles, CA 90025. The purpose of this inspection is to ensure the standards for a Family Child Care Home are being met in accordance to California Tittle 22 Regulations and California Health and Safety Codes. Present during today’s inspection were applicants only.

Per the application, at this time, the ages the applicants wish to provide services for are children 2 years old to 10 years old Monday- Friday from 8:00 am to 6:00 p.m. Applicants were informed that any changes to ages, hours and days of operation shall be submitted to the department for approval prior to initiation of changes. Rent/lease agreement is on file with Landlord Notification and Landlord consent. Only applicants are living in the home.

The home is a a single family home with 2 bedrooms, one bathroom, living room, kitchen area and back yard. LPA observed a detached garage. Home was observed with a enclosed front yard and back yard. Front yard will not be used for the day care and only use for a walkway when parents are dropping off and/or picking up children.

Parents will access the home through the front gate of the home. Entering the home, LPA observed the parent board and storage shelf were parents will check in.

Entering the home you are led to the living room area. LPA observed children size table and chairs and a soft mat. LPA observed children’s size cubbies where children will be able to store their belongings. Applicants confirmed children will eat in the living room area.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

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

FACILITY NAME: MINASIAN FAMILY CHILD CARE	FACILITY NUMBER: 197495275
	VISIT DATE: 07/11/2023

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The kitchen area was observed with a kitchen island across the stove. Emergency Kit and water supplies were observed in the cabinet of the kitchen island. LPA observed all kitchen cabinets to have safety latches making the content inaccessible to the children in care. Refrigerator, stove and counter space were observed and inspected. Knives and sharp objects were observed in the drawer closest to the stove, drawer was observed with a safety latch. Stackable dryer and washer unit was observed in the kitchen area. LPA advised applicants to add a safety latch to the bottom appliance and add covers to the stove due to the kitchen being open. Applicants confirmed program will be providing meals and snacks. LPA discussed the importance of having policies in place to ensure that all who help with care and supervision are aware of any dietary restrictions and/or allergies. LPA also encouraged applicants to contact their local Resource and Referral agency, Connections for Children, to inquiry about any food programs.

Cleaning supplies were observed under the sink cabinet; magnetic safety latch was observed, making the content inaccessible to the children in care.

LPA observed smoke detectors in all the rooms of the home. LPA observed carbon monoxide detectors in the hallway and behind the washer and dryer unit. A mounted Fire Extinguisher was observed in the kitchen area. LPA observed all electrical outlets in the home covered.

Next to the living room, LPA observed a small hallway that leads to bedroom 1 that has been designated as the nap room. LPA observed a smoke detector in the space and 6 children size beds. All electrical outlets were observed to be covered.

The bathroom that children will use is located outside bedroom 1 and bedroom 2. LPA observed the shower, toilet and sink area. The bathroom sink cabinets were observed to have magnetic safety latches making the content inaccessible to the children in care.

At the end of the small hallway, LPA observed bedroom 2, designated as OFF LIMITS to the children in care. LPA observed bedroom 2 to have French doors that lead to the back yard. Applicants confirmed children will not have access to the area and LPA reminded applicants that any area designated as OFF LIMITS will remain locked during the hours of operations and when children are present.

The outdoor area was observed and inspected. The back yard was observed to have artificial turf and an outdoor Pergola. The outdoor pergola was observed to have shade and a variety of outdoor materials. LPA observed 2 plants that will need to be fenced or removed from the area.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

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

FACILITY NAME: MINASIAN FAMILY CHILD CARE	FACILITY NUMBER: 197495275
	VISIT DATE: 07/11/2023

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LPA observed a safety gate between the side of the home and detached garage. The detached garage was observed and inspected, and applicants confirmed children will not have any access to the area.

LPA discussed with applicants the LIC 311D Forms/Records to keep in your Family Child Care Home and provided applicant with a sample packet.

The following area are designated as OFF LIMITS:
1. Detached Garage- doors will remain locked with the safety gate in place during the hours of operation.
2. Bedroom 2- door will remain closed and locked during the hours of operations.
3. Enclosed front yard- children will not use the area for play.

The following requirements shall be submitted by July 18, 2023. The licensing determination of this application will be reviewed with Licensing Program Manager for final resolution.

The following corrections need to be completed prior to licensure:
1. Remove or gate the two plants in the back yard that were observed to be sharp.
2. Safety latch added to the bottom washer unit door.
3. Covers for the stove.

Applicants were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

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

FACILITY NAME: MINASIAN FAMILY CHILD CARE	FACILITY NUMBER: 197495275
	VISIT DATE: 07/11/2023

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The applicants provided proof of control of property.
Because the applicants rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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. PIN 22-05-CCP Page Eight

Applicants were informed of the MyChildCarePlan.org site, 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 applicants Olga and Artem Minasian.

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-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

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

FACILITY NAME: MINASIAN FAMILY CHILD CARE	FACILITY NUMBER: 197495275
	VISIT DATE: 07/11/2023

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· In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.
· A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.

· Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated. (If paying by check please make sure to write facility number on check to ensure that payment is applied to your facility number)

· The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked, and batteries should be replaced.

· Changes should be reported the to the Department as soon as they occur such as construction and remodeling, telephone number changes and/or if you move from home.

· Reporting requirements: Applicant must report any unusual incident or injuries to the Child Care Regional office by telephone within 24 hours and in writing within 7 days. Applicant was provided with LIC 624 as a reference.

· Fire and safety drills must be performed every six months and documented for review by the Department.

· All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation..

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023

LIC809 (FAS) - (06/04)

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