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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700382
Report Date: 09/06/2023
Date Signed: 09/06/2023 10:12:09 AM

Document Has Been Signed on 09/06/2023 10:12 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MKRTCHYAN FAMILY CHILD CAREFACILITY NUMBER:
197700382
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/06/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Knarik MkrtchyanTIME COMPLETED:
11:15 AM
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On 9/6/2023, Licensing Program Analyst (LPA) Carol Heath conduct announced a Pre-Licensing capacity increase inspection with the licensee, Knarik Mkrtchyan, to ensure the facility meets licensing requirements. The licensee is requested to provide care for a large family childcare home with a capacity of 14 children. LPA toured the house in and out. Family members residing in the home include 2 adults (the licensee and the husband). Per LIS, annual facility fees are current. All adults living in the home have been background cleared. Per the licensee, the hours of operation are Monday through Sunday 24 hours. There were 0 daycare children present during this inspection. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have children who need IMS at this time.
The home is set up as follows:
This is a two-story house with 5 bedrooms, 3 bathrooms (2 bedrooms downstairs and 3 bedrooms upstairs), and 3 bathrooms (2 upstairs and 1 downstairs). The home has a kitchen, Family room, loft, laundry room, living/dining room, backyard, and garage. The garage is used for storage only, and no childcare activities are conducted there. There is no pool, spa, or other bodies of water on the premises.
Main Area: Main care is provided in the Playroom, Dining room, downstairs bedroom#1 (infant room), bathroom #1 , and backyard.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700382
VISIT DATE: 09/06/2023
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Playroom (Formal Dining Room): In the areas, LPA observed a fireplace that was properly screened via a mirror glass barrier which made it inaccessible to children. LPA observed age-appropriate toys and furniture for the children. LPA observed: A small table was observed with children-size chairs. Several plastic storage bins were observed in which games and toys are stored for the children. A small play kitchen was located by the door with which children could play. There are games and books on the premises of this facility. The mats were observed to be in good condition.

Children’s Bathroom (#1): Children use the bathroom next to the dining room. The Bathroom was toured, and the inspected sink/toilet is operable. The toilet and are clean, safe, and operable. LPA reminded the licensee; all poison and medications need to make it inaccessible to children with child safety latches on the sink cabinet and drawers. The bathroom was observed to be free and clear of hazardous items. The bathroom was clean, sanitized, and in good repair.


Kitchen/Dining Room: The kitchen was inspected to ensure hazardous and dangerous items were inaccessible to children (Safety latches). In the kitchen, all sharp utensils, poisons, and medications are made inaccessible to children with child safety latches on sink cabinets and drawers. LPA reminded the licensee all sharp knives are kept in a butcher block in the gated kitchen.
Backyard: The backyard was inspected; The backyard is gated all around. The outdoor play area is clean and free from all debris and/or dangerous conditions. The backyard is completely fenced. LPA observed a wood play structure did not anchor on the ground. The licensee signed the Declaration for child Care children not going to the playground until the licensee fix the structure.
Off-limit: Off-limit areas include downstairs bedroom #2 (keylock), upstairs: LPA does observe a safety gate, and the Garage/Laundry area (Safety door knobs)
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700382
VISIT DATE: 09/06/2023
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Others:
AC/Heating Unit was observed. The AC/Heating Unit is located on the right side of the home and is inaccessible to children via barrels blocking access to the unit.
Bodies of water: According to the licensee, there were no bodies of water in the home. There is a decorative water fountain that has no water.
Electrical outlets: All unused electrical outlets are plugged in and made inaccessible to children.
Food: The licensee is enrolled in the Food program. The licensee will provide Breakfast, lunch, and snacks.
Fire extinguisher (2A10BC): LPA observed a required fire extinguisher (2A10BC) reading in Green and located near Bathroom #1, inaccessible to children.
Fireplace: The fireplace was observed in the Family room and is screened to make it inaccessible to the children.
Hanging window blind cords: The cords are inaccessible to children.
Incidental Medical Services (IMS): The licensee will not be providing IMS to the children at this time.
Isolation area (Illness): Per the licensee, if the child shows signs of illness, they will be separated from other children and stay in the Living room.
Medications and cleaning solutions: All poison and medications are made inaccessible to children in the garage.
Napping: Children will nap in designated areas with adult supervision. LPA observed 5 mats, 1 crib and 1 playpen
Phone service: There is a working landline or cell phone
Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices tested operable.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700382
VISIT DATE: 09/06/2023
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The First Aid kit is located in the key-locked closet, inaccessible to children. The First Aid Kit was observed to be complete with supplies. LPA did not observe a first aid manual.
Transportation: The licensee does not provide transportation for children.
Weapons or Firearms: Per the licensee, there are No firearms at the facility. LPA did not observed any firearms in the facility at this time.

Documentation:
The licensee has current CPR and First Aid Training with the expiration dates of 3/1/2024 and Prevented Health and Safety Training completed on 3/17/22. The licensee has her fingerprint clearance and TB exam. The licensee has proof of being immunized against influenza, pertussis, and measles. The licensee has proof of Mandated Reporting Training dated 3/16/22. LPA shared LIC 311D with the licensee.

The following was discussed with The licensee:
· Mandatory Forms for the children's and provider's files, Requirements for fire drills, earthquake drills, and documentation for both. Role and responsibilities of being a mandated reporter.

· The licensee was reminded that 100% supervision is always required for children in care. The licensee was advised to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. The licensee was made aware that it is his/her responsibility to know the regulations and anyone who assists in providing care. Licensing must have the facility's phone number at all times; if the phone number is changed, licensing must be notified.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700382
VISIT DATE: 09/06/2023
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· The regulation prohibits tobacco smoking in a private residence licensed as a family childcare home and in those areas of the family daycare home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers, and other items that fall into that category.
· On January 1, 2018, or before March 30, 2018, a person who is a licensed childcare provider, administrator, or employee of a licensed child daycare facility shall complete the online mandated reporter training and shall complete renewal mandated reporter training every two years. @www.mandatereporterca.com
· Per The Health & Safety Code §1596.846 (b) and (c); states that a baby walker shall not be kept or used on the premises of a child day care facility. The California Code of Regulations, Title 22, Division 12, Chapter 3, Section 102417 (g)(10), under Operation of Family Child Care Home, states that a baby walker shall not be allowed on the premises of a family child care home. Legislature declared that a baby walker or item of a similar nature is considered an immediate risk to the child's safety as they are inherently unsafe and not capable of design changes that would prevent accidents
· §1597.622 Employees or volunteers at a family day care home; immunization requirements; records; exemptions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year
· The incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700382
VISIT DATE: 09/06/2023
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· Safe Sleep in Child Care: Resources can be found on our website at http://www.cdss.ga.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep
· Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on "Receive Important Updates," located in the right middle part of the page, immediately above the Quick links. Enter your email address, choose which program(s) you would like to subscribe to, and click "subscribe."
· The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 a.m. - 5:00 p.m.

**As a result of this inspection, the home does meet Title 22 Regulations.

The license is pending the manager's review and approval.



An exit interview was conducted, and the report was reviewed with the licensee, Knarik Mkrtchyan.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC809 (FAS) - (06/04)
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