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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700620
Report Date: 08/13/2024
Date Signed: 08/13/2024 11:52:29 AM

Document Has Been Signed on 08/13/2024 11:52 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:HAIRAPETIAN FAMILY CHILD CAREFACILITY NUMBER:
197700620
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/13/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Jenik Hairapetian, Licensee TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 08/13/2024, Licensing Program Analyst (LPA) Justeene Tamayo conducted an annual inspection with licensee Jenik Hairapetian, who guided LPA on a tour of the facility. There were no day care children observed today. Family members residing in the home are (licensee, licensee's spouse, licensee's adult daughter, and licensee's adult son) and no minor children. Per licensee, she currently does not have any day care children enrolled.

This is a two-story house with 3 bedrooms, 3 bathrooms, day-care room, family room, dining room, kitchen, laundry room area and garage. There is also a spacious backyard.

The facility operates Monday through Friday, 7:00AM to 6:00PM. There is a white gate on the left hand side of the entrance to the home that indicates the entrance of the day care.

Main care is provided in the day care room. Children eat in the day care area. The day care children utilize the hallway bathroom on the left hand side near the front entrance. Children use rear yard for outdoor play. The front yard, kitchen, all upstairs bedrooms (barricaded by a safety gate, bathroom #2-3 , laundry room (key lock door knob), right side of the backyard, and garage area (key lock) are off limits to the day care children. Per licensee, she does not have any firearms in the home. No pets observed on the premises.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2024
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: HAIRAPETIAN FAMILY CHILD CARE
FACILITY NUMBER: 197700620
VISIT DATE: 08/13/2024
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LPA observed day care area to be clean and orderly, fireplace screened and locked in the day care room with a safety latch, central air and heating, age appropriate toys and play equipment, working smoke detector and carbon monoxide detector.

LPA observed no shampoos or shower gel in the children bathroom. LPA reminded applicant the children's bathroom must be free of shampoos, mouthwash, medication, perfumes, razor, air freshener, nail polish and polish remover. LPA observed a clean, safe and operable toilet and faucet.

LPA observe a fully charge 2A10BC fire extinguisher during the inspection located in kitchen area. Per applicant no alcohol is present in the home. First aid kit is stored in the children bathroom. Medications are stored upstairs, in the off limits areas.

LPA observed the off limit garage area. LPA observed the laundry room to be in the off limits garage area as well. Licensee made poisons and cleaning items inaccessible to children stored in laundry room (off limits with safety latch). Day care children cannot access the laundry room by the locked door.

Kitchen: The following are inaccessible: Sharp items are stored in the upper cabinet in the dining room unreachable to children in care with a safety latch. LPA observed the refrigerator and freezer to be clean. LPA discuss with licensee food shall be properly stored or refrigerated in container that are labeled with child’s name when supplied by parent. Licensee stated she does not utilize a food program, but cooks for the day care children. Breakfast, lunch, snacks , and dinner are provided.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
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: HAIRAPETIAN FAMILY CHILD CARE
FACILITY NUMBER: 197700620
VISIT DATE: 08/13/2024
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LPA toured the backyard and observe it to be free of garden tools, poisonous plants, thorn trees cactus, or lawn mower inaccessible to children. The backyard is fully barricaded with wooden fence on the left side, in the middle and on the right side is cement fence. LPA observed a baby gate on the right side of the backyard. There are safe and age appropriate toys in the backyard area. There are no dogs on the premises. LPA observed no bodies of water on the premises.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

Documents Provided and or Discussed: The following were provided to comply with Title 22 requirements: Roster, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC 9227) required postings and list of CCLD forms required for child file each child in care (LIC 311D). Licensee stated currently does not have childcare insurance. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
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: HAIRAPETIAN FAMILY CHILD CARE
FACILITY NUMBER: 197700620
VISIT DATE: 08/13/2024
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LPA discussed the safe sleep regulations with licensee Hairapetian 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 licensee 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.

No deficiencies have been cited at this time.

A notice of site visit was given to licensee 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 licensee Jenik Hairapetian, along with her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC809 (FAS) - (06/04)
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