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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700502
Report Date: 08/23/2021
Date Signed: 08/23/2021 04:37:32 PM

Document Has Been Signed on 08/23/2021 04:37 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MKRTCHYAN FAMILY CHILD CAREFACILITY NUMBER:
197700502
ADMINISTRATOR:LILIT MKRTCHYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 641-6339
CITY:SUNLANDSTATE: CAZIP CODE:
91040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/23/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Lilit MkrtchyanTIME COMPLETED:
12:11 PM
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On 08/23/2021 at 9:10 PAM, Licensing Program Analyst (LPA) Carol Heath, conduct an announced Pre-Licensing inspection with Applicant, Lilit Mkrtchyan to conduct a facility Pre-Licensing Inspection before licensure for a Large Family Child Care Home and to ensure the facility meets basic licensing requirements set forth by Title 22, Health and Safety and statutory requirements. LPA spoke to the applicant, Lilit Mkrtchyan who guided LPA on a tour of the home. Currently, there are 2 adults (applicant, her mother,) and her daughter (12 years old) living in the house. Per applicant, the hours of operation are 8:00 AM to 10:00 PM Monday thru Friday.

The Home is set up as follows:

This is a single-story family home with 3 bedrooms and 2 bathrooms, kitchen, Dining room, Living room, garage/laundry area, and back yard. Per applicant, the following areas of the home with be utilized for the Family Child Care: The main areas use for daycare are the Living room / Dining room, Kitchen, Bedroom #1 and Bedroom #2, Bathroom #1 (Child Bathroom), and Backyard area. Off limit areas are the garage/Landry area, Bedroom #3 (Daughter Bedroom), and Bathroom #2. The home was inspected inside for comfort, cleanliness, telephone service, heating, and ventilation.



· Main Area:
Living Room: There is a fireplace located in the Living room. LPA observed with a screen barrier in front of the fireplace which is made inaccessible to children. The home has central heating and air conditioning. All windows have screens and are free of cracks, bugs, and debris. LPA observed many age-appropriate toys, books, and other materials. LPA did not observe napping equipment during this visit. Per applicant, she is ordering the cots. Some children will nap in bedroom #1 and Bedroom #2 area.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2021
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: 197700502
VISIT DATE: 08/23/2021
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Bedroom #1 and Bedroom #2: LPA observed both bedrooms. The dressers in both bedrooms need to make inaccessible to the children. In addition, the applicant needs to make bedroom #1 and #2 closets inaccessible.
Dining Room: LPA observed a piece of tall furniture (above 7 feet) in the dining room. The applicant needs to make the furniture secure.
Bathroom #1: Bathroom was toured, and inspected sink/toilet are in operable condition. Toilet and faucets are clean, safe, and operable. LPA observed a shampoo and children's toothbrushes. LPA observed medications are in the hallway cabinet which is made accessible to children without child safety latches on the cabinet.
Kitchen (Child safety gate): LPA observed the applicant tried to use a child safety gate to make the kitchen inaccessible to children. However, the gate is broken. All sharp utensils and cutlery; drawers and cabinets with plastic bags, and sharp things or small things children can swallow; are made inaccessible to children. LPA observed a dish soap under the kitchen sink with a safety latch. The refrigerator dishwasher, stove, microwave, etc., are clean.
Backyard: The backyard was inspected; the backyard is clean and free from all debris. The backyard is fully fenced. There is nobody of water on the premises. LPA observed a small storage room in the backyard. According to the applicant, the storage room is inaccessible to the children. However, the storage room was unlocked during the inspection. The LPA also observed garage door and laundry room were both unlocked. LPA observed unsafe plants in the backyard area.

· Off-limit area (LPA observed and inspected the off-limit areas)

Bedroom #3: Per applicant will lock the door during her operation hours.
Bathroom #2: Per applicant will lock the door during her operation hours
Garage / Laundry room: LPA observed tools for house and grading in the garage. Laundry clean supplies are located in the laundry room. During the inspection, both doors were unlocked which made accessible to children.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
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: 197700502
VISIT DATE: 08/23/2021
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· Other
AC/Heating Unit was observed. LPA observed sharp blades is accessible to the children there is no cover on top of the system to prevent children from accessing the unit.
Electrical outlets: All unused electrical outlets are plugged and made inaccessible to children.
Play equipment and toys: Play equipment and toys are available. There is a small play structure (2 swing, slide, in the backyard. The structure is screws underground. There are age appropriate safe toys observed.
Napping equipment (cots, mats, cribs): LPA did not observe napping equipment: cots yet. According to the applicant,
Medications are stored in hallway cabinet without a safety latch which make accessible to children. Cleaning compounds are stored away in the Garage/laundry area. However, during the inspection the doors were unlock.
The First Aid kit is located in an upper kitchen cabinet inaccessible to children.
Weapons or firearms: Per applicant, there are no Weapons or firearms in the home. LPA did not observe any weapons or firearms.
Smoke detectors and carbon monoxide detector tested operable. There is a fully charged fire extinguisher (5/2021) (2A10BC) in the kitchen, which meets fire marshal standards.

Documentation:

The applicant's Pediatric CPR/First Aid expires on 04/5/2021 and Prevented Health and Safety Training completed on 09/02/2020. The applicant had the required immunization against pertussis (TDAP) and measles (MMR). The applicant completed the required Mandated Reporter training on 3/28/2021. Lead Training was completed on 4/1/2021. All adults in the home have a fingerprint clearance and TB exam.

The required posted documents were posted and located in the childcare room: Notification of Parent's Rights Poster (PUB394), Emergency Disaster Plan (LIC610A), and Earthquake Preparedness Checklist (LIC9148).

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

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
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: 197700502
VISIT DATE: 08/23/2021
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The following was discussed with the applicant:

Mandatory licensing forms for the children’s files, facility forms/records, and information to be posted in the family child care home; Requirements to conduct fire and disaster drills once every six months and record it; Role and responsibilities of being a mandated reporter were reviewed; The applicant was reminded that 100% supervision is required at all times to children in care; Applicant was made aware that it is her responsibility to know the regulations as well as 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; Regulation prohibits the smoking of any kind during the operation of the day care.

The applicant was informed that all adults living in or having access to the home, or are employees are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Central Index prior to having contact or working with children. If the is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analysis of any person who will be visiting regularly or for longer than one week. The applicant was advised to utilize the Request for Live scan Service LIC9163 to have adults fingerprinted and associated to the home.

The applicant was advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone (661-202-3318) or fax (661-202-3810) during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within 7 days following the occurrence of any events specified above. The applicant was informed to utilize the Unusual Incident Report/Injury Report (LIC624B) when submitting the report to the department.

The applicant was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per violation will be assessed.

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

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
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: 197700502
VISIT DATE: 08/23/2021
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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "child care" room; Room additions to the family child care home. Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care. The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.

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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm. Per applicant, she is not going to have IMS.

Lead Flyer Requirement Health and Safety Code 1596.7996, mandated that effective January 1, 2019, CCC's and FCCH's are required to provide parents and guardians of children enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations, and options for locations of affordable blood lead tests as specified. A Lead Poisoning Facts Flyer was created, in partnership with the California Department of Public Health (CDPH), to satisfy this requirement. For more information, go to the California Childhood Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb ,or call them at (510) 620-5600.

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

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
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: 197700502
VISIT DATE: 08/23/2021
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Prior to being licensed the following corrections are required Due by 9/1/2021

· The tall furniture in the living room area needs to be secured


· The kitchen needs to make it inaccessible to children.
· In the kitchen drawer, a knife needs to be made inaccessible to children.
· Medicine is located in the hallway cabinet which needs to be made inaccessible to children.
· In Bathroom #1, shampoo, children toothbrushes, hand towels, and personal belongings need to be made
inaccessible to children
· Bedroom #1 and Bedroom #2 the dressers need to make inaccessible to children
· Bedroom #1 and Bedroom #2 the closets need to make inaccessible to children
· Bedroom #3 needs to make it inaccessible to children
· Bathroom #2 needs to make it inaccessible to children
· The closet near the Bedroom #3 has cleaning supplies need to make it inaccessible to children.
· A/C unit shape blades need to be made inaccessible
· Outdoor electric box needs to make inaccessible to children.
· The materials (wood, tools) next to the outdoor storage room need to make it inaccessible to children.
· The garage and laundry room needs to make it inaccessible to children
· The backyard garden needs to make it inaccessible to children.

**As a result of this inspection, the home does not meet Title 22 Regulations. Corrections are required.

Exit interview conducted:


Exit interview was conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
LIC809 (FAS) - (06/04)
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