198018299-8-27-2021-33-CC-SROZ-C6AQVB-20210827123005

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018299
Report Date: 08/27/2021
Date Signed: 08/27/2021 12:30:16 PM

Document Has Been Signed on 08/27/2021 12:30 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	TOVMASIAN FAMILY CHILD CARE		FACILITY NUMBER:	198018299
ADMINISTRATOR:	TOVMASIAN, MARINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 661-0570
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90027
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS:	DATE:	08/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Marine Tovmasian		TIME COMPLETED:	12:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPA) Steven Rodriguez conducted an unannounced annual required inspection at the above facility on 8/27/21 at 11:15 AM. LPA met with Marine Tovmasian, Licensee who guided analysts on a tour of the facility at 11:20 am. There were three children and three adults present when LPA's arrived. This is a one-story home which consists of three bedrooms, two bathrooms, kitchen, living room, family room front yard and backyard (fenced). Main care is provided in the play room, which has a separate entrance that can be accessed from the backyard. The children use the bathroom that is adjacent to the playroom. LPA observed that there is a fireplace but has no access from where the kids are. there is no wall heater. The house contains central air. Per Licensee, the off limit areas are the kitchen, 2nd restroom the three bedrooms, living room and family room. Only areas used are play area, restroom and backyard. Hours of operation is Monday-Friday 8am-5pm. Individuals residing in the home have been discussed and noted. There are five adults total living in the home. All have clearance and have been associated. Licensee states that there are no firearms or weapons stored in the home. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is operable telephone service at the facility via cell phones. There is ventilation via and heat via central air. The following was observed and reviewed during this inspection: LPA's observed that cleaning products are stored in the laundry area on a high shelf with a child lock, inaccessible to children. The licensee states that there are no poisons stored in the home. Isolation area for sick children waiting to be picked up is located in the in the play area with licensee away from children or outside if the weather permits it.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TOVMASIAN FAMILY CHILD CARE	FACILITY NUMBER: 198018299
	VISIT DATE: 08/27/2021

NARRATIVE

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The valve on the required 2A 10BC fire extinguisher indicates fully charged and has a service date of 07/07/2021. Smoke and carbon monoxide detectors were tested and are operable (dual).

The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. Children nap on cots in main care living room and playroom. The bathroom that children use was observed to be clean and free of hazards.

Infant Care: Currently licensee cares for one infant, 22 months old. Older children nap on cots in the main care area. LPA's informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15 minute check documentation for infants 0-24 months, and provided PIN 20-24-CCP.

Currently, children do not use the front yard for outdoor play. The outdoor play area was observed to be fenced. LPA's observed that the outdoor yard has toys and other materials for children to play with. LPA's did not observe any objects that could be hazardous to children in care. There are no pools or spas, or other bodies of water.

Children’s records were reviewed for emergency information and are complete.

The licensee and Staff Two (S2) do have proof of Pediatric CPR and first aid. Expiration date is 06/23 for both. Licensee and assistants do have proof of immunization against pertussis, and measles. Declination for flu vaccine to be sent to LPA. Mandated Reporter AB 1207 compliant Child Care Training Certificate on file, exp-05/31/2023 for both.

LPA conducted COVID-19 Technical Assistance visit with licensee. LPA observed that licensee is still implementing COVID-19 precautions and procedures.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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 ------Page 2

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TOVMASIAN FAMILY CHILD CARE	FACILITY NUMBER: 198018299
	VISIT DATE: 08/27/2021

NARRATIVE

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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.

Health and Safety Code 1596.7996 Effective January 1, 2019, Child Care Centers and Family Child Care Homes are required to provide parents and guardians of children enrolled, 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. 2019 Lead flyer Provided.

Based on the LPA's observations and records review no deficiencies will be cited today 8/26/21.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Marine Tovmasian, Licensee, including, but not limited to Appeal Procedures and Appeal Rights.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021

LIC809 (FAS) - (06/04)

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