197700461-7-19-2023-12-CC-IORA-CTVR46-20230719124102

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700461
Report Date: 07/19/2023
Date Signed: 07/19/2023 12:41:58 PM

Document Has Been Signed on 07/19/2023 12:41 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	KARAPULYAN FAMILY CHILD CARE		FACILITY NUMBER:	197700461
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	07/19/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Meri Karapulyan		TIME COMPLETED:	11:59 AM

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On 07/19/2023 Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced Case Management Licensee Initiated inspection as Licensee is requesting to increase her capacity from 8 children to 14 children. The LPA disclosed the purpose of the inspection and was granted entry by Licensee who guided the LPA on a tour of the facility. Upon entry to the facility the LPA observed no children in care.

Licensee was initially licensed on 02/16/2021 as a Small Family Child Care Home. The Fire Department has inspected the home and granted a fire clearance for 14 children effective 05/18/2023. Family Child Care Home operates Monday through Sunday varied 23 hours depending on family's need. The facility provides breakfast, morning snack, lunch, afternoon snack and dinner as needed dinner.

The facility is two story with 4 bedrooms, Office/room #5, 3 bathrooms, attach garage, kitchen, living room, shed, dining area and underground pool, meets Title 22 Regulation, (Black mesh over 5' feet secure all around). The off limits areas all upstairs(four bedrooms)a child safety gate observed at the bottom of the stairs, 2 bathrooms, attached garage, kitchen, living room, shed (maintained locked), dining area and underground pool. The office/room #5 is utilized for day care children referred to as the children's playroom.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KARAPULYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700461
	VISIT DATE: 07/19/2023

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The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Knives, medication cleaning supplies and chemicals are kept inaccessible to children(child safety latched observed).

There are age appropriate toys and equipment on the premises.

The First Aid kit with a temperature thermometer was observed and complete. Licensee has the required fire extinguisher (2A10BC). Smoke and carbon monoxide detector were found to be in operating condition according to the Fire Marshal standards.

Licensee had all the required posted documents: Facility License (LIC 203, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148)

Licensee provided a valid CPR/First Aid training certificate card which does not expire until 9/28/2023. Child Care Provider Mandated Reporter training (AB1207) is required to be maintained every two-year. Child Care Provider Mandated Reporter training certificate is dated 10/06/2021.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KARAPULYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700461
	VISIT DATE: 07/19/2023

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The restroom down the hallway the right is utilized for day care children.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Knives, medication cleaning supplies and chemicals are kept inaccessible to children(child safety latched observed).

There are age appropriate toys and equipment on the premises.

The First Aid kit with a temperature thermometer was observed and complete. Licensee has the required fire extinguisher (2A10BC). Smoke and carbon monoxide detector were found to be in operating condition according to the Fire Marshal standards.

Licensee had all the required posted documents: Facility License (LIC 203, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148)

The licensee provided proof of immunization against pertussis (TDAP), measles (MMR), and influenza.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KARAPULYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700461
	VISIT DATE: 07/19/2023

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Safe Sleep regulations (under 24 months) were discussed with Licensee and referred to the CCL web site for additional information and PINS. Provided licensee with an infant sleep plan form LIC 9227 and sleep log.

Child Care Advocates:
To sign up for our Quarterly Updates please email the Child Care Advocates at
chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541
The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000.

The facility was found to be in compliance per Title 22 regulations, no deficiencies will be cited today. Licensee is aware when more eight children are present an eligible approved assistant is required. An exit interview was conducted, a copy of this Report, a Notice of Site visit and Appeal rights were provided and discussed with licensee.

All licensing reports are recommended to keep for 3 years and the Notice of Site visit is to be posted visible to parents for 30 days.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

LIC809 (FAS) - (06/04)

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