198019099-8-13-2024-33-CC-AEIN-D84NPK-20240813103828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019099
Report Date: 08/13/2024
Date Signed: 08/13/2024 10:38:41 AM

Document Has Been Signed on 08/13/2024 10:38 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	SHAHNAZARYAN FAMILY CHILD CARE		FACILITY NUMBER:	198019099
ADMINISTRATOR:	LIANNA SHAHNAZARYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 523-6580
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91202
CAPACITY:	14	CENSUS: 10	DATE:	08/13/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Lianna Shahnazaryan, Licensee		TIME COMPLETED:	10:45 AM

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	CASE- MANAGEMENT INSPECTION CONDUCTED IN ARMENIAN Licensing Program Analyst (LPA) Anomeh Eivazian conducted a case- management inspection to the above facility on 08/13/24 for the purposed of reviewing the department expectations of a licensed childcare provider as far as licensee's husband, Sevada Antonyan applied for family child care home license at the ADU, located at 1154 A Norton Ave, Glendale, CA 91202 with facility number 198021514. LPA arrived at the facility at 8:40 AM and met with Lianna Shahnazaryan, licensee who guided analyst on a tour of the facility. This is a one story home located on the first level. The home consists of 3 bedrooms, 2 & 1/2 restrooms, living room, dining room, family room, kitchen, laundry room, backyard (fenced), front yard, storage in the backyard. The children use the bathroom in the hallway, living room, dining room, family room, 2 bedrooms, backyard (fenced). Per licensee, areas off limits to children and parents include: 1 bedroom, 1 & 1/2 bathroom, kitchen, front yard, storage in the backyard, laundry room. LPA did not observe any stairs in the home. During this inspection individuals who reside in the home were discussed and notes on Confidential Name List (LIC811) and attached to this report. An updated Family Child Care Home applicant was submitted on this date. There is separated unit (ADU) on the property with separated address, 1154 A Norton Ave., Glendale, CA 91202. Licensee's husband, Sevada Antonyan lives at the unit A in the back, off-limit area and applied for family child care home license with facility number 198021514. Per licensee, she will use the backyard for outdoor playtime on a staggered schedule with Antonyan Family Child Care Home provider. Per licensee, children will never commingle together indoor or outdoor with Antonyan Family Child Care Home provider. Per licensee, she will use the outdoor playground from 11AM to 12PM and 4:30 PM to 5PM and Antonyan Family Child Care provider will use the outdoor playarea from 10AM to 11AM and 4PM to 4:30 PM. A written declaration obtained from licensee. During this inspection there were 10 children present in the facility with licensee and her assistant. REPORT CONTINUES ON NEXT PAGE 1 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
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

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: SHAHNAZARYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019099
	VISIT DATE: 08/13/2024

NARRATIVE

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LPA reviewed and discussed with the licensee the following Title 22 Regulations to ensure licensee will maintain compliance and meet the Title 22 regulations at all times.

Provider must reside in the home where care is being provided:
Definitions--102352 (f)(1) -- "Family Day Care" or "Family Child Care" means regularly provided care, protection, and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations and "Home" means the licensee's residence as defined by Government Code Section 244.
Provider must be present 80% of the time providing care as stated in the following regulation:

Operation of a Family Child Care Home--102417 (a)-- The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

Reporting Requirements--102416.2 (a) (2)--Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.

Inspection Authority of the Department—102391 (a)--Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, the regulations adopted by the Department governing family child care homes, and in accordance with Section 102396.

LPA Eivazian explained to licensee that licensee is required to operate separately from other providers regardless of family relationships. The licensee's husband, Sevada Antonyan applied for family childcare home licensee with facility number 198021514 located at the back of this home with separated address, 1154 A Norton Ave., Glendale, CA 91202.

REPORT CONTINUES ON NEXT PAGE 2 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
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)

Page: 2 of 3

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: SHAHNAZARYAN FAMILY CHILD CARE	FACILITY NUMBER: 198019099
	VISIT DATE: 08/13/2024

NARRATIVE

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The Department addressed the requirement for enrolled children to be at this facility all the time during daycare hours. Enrolled children’s parents are required to be fully aware and clear on who is the licensee and caregiver to the children in care. Co-mingling of children between the two separate licenses is a violation of Title 22 regulations.

Per licensee, her facility Roster and children's files for enrollment will be updated.
- Licensee will always interact with Department staff professionally and respectfully.
- Licensee understands that inspections are conducted in person, unannounced, and Department staff will be granted access to the facility as part of the inspection process.
- Licensee will be forthright with the department at all the times to ensure the health and safety of children in care.
- Licensee will be the main person to provide care to the children and interact with families.

Per licensee, she not have other residents and the facility address is her only resident where she lives. Per Licensee she will never commingle her daycare children with Antonyan Family Child Care, 198021514. A written declaration was submitted on 08/13/24.

Exit interview conducted and report was reviewed with the licensee, Liana Shahnazaryan.

REPORT END 3 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
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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