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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020562
Report Date: 01/29/2025
Date Signed: 01/29/2025 02:48:59 PM

Document Has Been Signed on 01/29/2025 02:48 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:TOPCHYAN FAMILY CHILD CAREFACILITY NUMBER:
198020562
ADMINISTRATOR/
DIRECTOR:
MARINE TOPCHYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 298-4536
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 15DATE:
01/29/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Vardanush Avetisyan, AssistantTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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CASE-MANAGEMENT INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case-management inspection to the above facility on 01/29/25 to clear deficiencies that were cited on 12/03/24. LPA arrived at the facility at 11:50 AM and met with licensee's assistants, Vardanush Avetisyan and Ani Yeghiazaryan. Licensee's assistant, Vardanush Avetisyan guided analyst on a tour of the facility. During this inspection licensee, Marine Topchyan was not present in the home. LPA talked to licensee over the phone at 11:55 AM who stated she has a meeting . At 1:00 PM licensee, Marine Topchyan arrived to the facility and licensee's assistant, Vardanush Avetisyan left the facility.

During this inspection 15 children were present in the home, all being under six year old and not attending school, with licensee's two assistants. The licensee was observed not to be operating within the licensed capacity and is exceeding the required limitations with three children during this inspection. This is a repetitive Type A citation under Title 22 code: 102416.5(a)--Staffing Ratio and Capacity within 12 months. $250 Civil Penalty was assessed during this inspection. A copy of Capacity poster was provided to Licensee during this inspection.

During this inspection facility current roster was not available. This is a repetitive Type B citation under Title 22 code: 102417(g)(8)--Operation of A Family Child Care Home within 12 months. $250 Civil Penalty was assessed during this inspection.

During this inspection licensee's assistants, Vardanush Avetisyan and Ani Yeghiazaryan did not have proof of immunization against Measles, Pertussis and Influenza on file. This is a repetitive Type B citation under Health and Safety Code: 1597.622(a)(1)--General Provisions and Definitions within 12 months. $250 Civil Penalty was assessed during this inspection.

During this inspection from 15 present children, 5 children files were not available for review. This is a repetitive Type B citation under Title 22 code: Child's Records: 102421(b) within 12 months. $250 Civil Penalty was assessed during this inspection.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
Document Has Been Signed on 01/29/2025 02:48 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 01/29/2025 at 12:33 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TOPCHYAN FAMILY CHILD CARE

FACILITY NUMBER: 198020562

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/30/2025
Section Cited
CCR
102416.5(a)

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102416.5(a)--Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
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Per licensee, she will disenroll three children and effective 01/30/25 will only have 12 children under six years old and not attending school at one time.
An updated facility roster will be submitted to LPA via email by 01/30/25.
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During this inspection 15 children were present in the home, all being under 6 years old and not attending school, licensee was operating out of her license limitation with three children.
This poses an immidiate health, safety and personal right risk to the children in care.
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This is a repetitive citation within 12 months, $250 civil penalty was issued on this date.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025


LIC809 (FAS) - (06/04)
Page: 2 of 5
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: TOPCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020562
VISIT DATE: 01/29/2025
NARRATIVE
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During this inspection Licensee was not able to provider Acknowledgment Receipt of Licensing Report LIC 9224 for 12/03/24 inspection.

LPA Eivazian informed licensee, Marine Topchyan that this report dated 01/29/25 document (1 of Type A citation). Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Eivazian informed the licensee, Marine Topchyan to provide a copy of this licensing report dated 01/29/25 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

DURING THIS INSPECTION LICENSEE REFUSED TO SIGN THE REPORT.

The Notice of Site Visit (LIC 9213) was given 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, Marine Topchayn.


REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5
Document Has Been Signed on 01/29/2025 02:48 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 01/29/2025 at 01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TOPCHYAN FAMILY CHILD CARE

FACILITY NUMBER: 198020562

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
HSC
1597.622(a)(1)

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(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
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Per licensee, her assistants, Vardanush Avetisyan and Ani Yeghiazaryan will have proof of immunization against pertussis, measles and influenza by 12/14/25.
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Based on staff file review, licensee's assistants, Vardanush Avetisyan and Ani Yeghiazaryan did not have proof of immunization against measles, pertussis and influenza on file.
This poses a potential health, safety or personal rights risk to persons in care.
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Type B
02/14/2025
Section Cited
CCR102421(b)

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102421(b)--Child's Records
The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).

This requirement is not met as evidenced by:
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Per licensee, she will have 5 children files available for review by 02/14/25.
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Based on 15children file review, 5 out of 15 children file was not available today for review .
This poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 01/29/2025 02:48 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 01/29/2025 at 01:48 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TOPCHYAN FAMILY CHILD CARE

FACILITY NUMBER: 198020562

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2025
Section Cited
CCR
102417(g)(8)

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Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

This requirement is not met as evidenced by:
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Per licensee, she will submit her facility current roster by 02/14/25.
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Based on facility file review, current facility roster was not available during this inspection for review.
This poses a potential health, safety or personal rights risk to persons in care.
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Type B
02/14/2025
Section Cited
HSC1596.8595(c)(1)

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(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation , etc...
This requirment is not met as evidence by...
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Per licensee, she will obtain Acknowledgment Receipt of Licensing Report LIC 9224 for 12/03/24 inspection by 02/14/25.
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Based on 15 children files review, licensee was not able to provide LPA Acknowledgment Receipt of Licensing Report LIC 9224 for 12/03/24.
This poses a potential health, safety and personal right risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025


LIC809 (FAS) - (06/04)
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