197700690-4-21-2023-12-CC-AVIA-CR4PDN-20230421111350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700690
Report Date: 04/21/2023
Date Signed: 04/21/2023 11:14:32 AM

Document Has Been Signed on 04/21/2023 11:14 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	MANUKYAN FAMILY CHILD CARE		FACILITY NUMBER:	197700690
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS:	DATE:	04/21/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Naria Manukyan, Applicant		TIME COMPLETED:	11:45 AM

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On January 4, 2023, Licensing Program Analyst (LPA) Annelise Villa a change of location with Applicant Naria Manukyan, who guided LPA on a tour of the facility. This is a two story house with 4 bedrooms, 4.5 bathrooms, living room, kitchen, dining room, playroom and garage. There are no bodies of water on the premises. Family members residing in the home 2 adults (applicant, applicant’s husband) and 2 minor children.

The facility will operate Monday through Friday 7:00 am to 5:30 pm Monday through Friday and with a license capacity of 8 children. LPA went over the childcare ratios for a small family home with applicant and provided applicant a copy.

Main care will be provided in the playroom. Children will eat in the playroom area. The day care children will utilize the bathroom inside the playroom. The kitchen, living room, dining room, front yard, bedrooms #2-4, bathroom #2-4, and garage are off limits to the day care children.

LPA observed day care area to be clean and orderly, central air and heating, age-appropriate toys and play equipment, working smoke detector and carbon monoxide detector are in operable condition.

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 (3A40BC) fire extinguisher during the inspection located in kitchen. Per applicant alcohol is not present in the home. First aid kit is also stored in the playroom with working thermometer. Per applicant medications are stored in an upper kitchen cabinet which is off limits to children in care.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: MANUKYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700690
	VISIT DATE: 04/21/2023

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Cleaning items are inaccessible to children stored in the kitchen area and inaccessible to children.

Kitchen: The following are inaccessible: Sharp items are stored in upper kitchen cabinet out of reach to children in care. LPA observed the refrigerator and freezer to be clean. LPA discuss with applicant food shall be properly stored or refrigerated in a container that is labeled with child’s name when supplied by a parent. Applicant plans to have a food program.

Per applicant, back yard a portion of the back yard will be off limits to children in care. Applicant will install a fence separating teh on and off limit portions of the yard. The yard over looks a steep hill and the current fence stands at about 4 feet tall. Applicant stated a higher fence will be installed to provide security for children in care. LPA took pictures of fence for the file. The door leading to the backyard is secured with a lock. The backyard is fenced in by a glass wall. Applicant states there is no pets on the premises.

Advisory/Other: LPA observed a first Aid kit with emergency supplies and a thermometer located in the playroom cabinet. Applicant First Aid/CPR are current. Preventative Health & Safety training is completed. Electrical outlets are inaccessible to children. Children will nap on mats in the playroom area. Applicants’ aware no infant shall be swaddled, and car seat shall not be used for sleeping. Applicant is aware to supervise infants while they are sleeping by physically checking every 15 minutes and documenting the infant’s status. Applicant should refer to regulation 102425(J) for documentation requirement. If the infant’s Individual Infant Sleeping Plan [LIC 9227] does not have Section C completed, the provider shall return the infant to their back for sleeping. LPA discussed the safe sleep regulations with applicant, including Safe Sleep PIN 20-24-CCP 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 applicant 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.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: MANUKYAN FAMILY CHILD CARE	FACILITY NUMBER: 197700690
	VISIT DATE: 04/21/2023

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Applicants inform smoking is not prohibited, applicant stated no one smokes in the home, LPA discussed Health Section 1596.846(b) and (c)–102417 (g)(10) and provided applicant with a visual copy of prohibited items. LPA did not observe prohibited items during the inspection. Per applicant no firearms are present in the home. Applicant was informed her cell phone shall be available and always charged during daycare hours. Incidental Medical Services (IMS) policy was discussed, informing applicant when any IMS is provided, a plan for providing IMS must be submitted to the Department prior to providing care to a child that need IMS. The plan shall state the type of IMS the facility will be offering, stating the person providing care has been trained to provide the named IMS. The plan will also provide the steps that will be taken when IMS is provided to a child.

The following information regarding ADA was discuss and the following information 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.html

During the inspections, LPA observed the required corrections being made which included the following:

- To make outdoor area barricaded in a way that prevents potential climbing to the cliff below
- Obtained outlet covers for electrical outlets in the playroom to prevent injury to children

Exit interview conducted copy of this report was provided along with a notice of site visit to post for 30 days.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC809 (FAS) - (06/04)

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