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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021079
Report Date: 02/02/2023
Date Signed: 02/02/2023 01:42:19 PM

Document Has Been Signed on 02/02/2023 01:42 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:KARAPETYAN FAMILY CHILD CAREFACILITY NUMBER:
198021079
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
02/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Karine Karapetyan, LicenseeTIME COMPLETED:
02:00 PM
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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 02/02/2023 due to add the detached garage as day care area, limited activity space only. LPA arrived at the facility at 12:20 PM and met with Karine Karapetyan, License who guided analyst on a tour of the facility. During this inspection, Hayk Beglaryan, licensee's husband and Anzhela Beglaryan, licensee's daughter were present in the home.

All areas identified on the facility sketch were inspected. This is a one story home located on the first level. The home consists of 2 bedrooms, 1 restroom, living room, kitchen, front yard, detached converted garage which consists of a room and one bathroom, studio attached to the garage, and backyard (fenced). There is a fireplace in the living room which has been blocked off to prevent access to children.

Areas that are accessible to children are as follows: Bathroom in the hallway, living room, one bedroom, kitchen, front part of back yard (fenced), bathroom in detached garage and detached garage.

Areas off limits based on facility sketch submitted to children and parents include: One bedroom, front yard, studio in the backyard, and back of backyard.
**Rooms that are off-limits need to be made inaccessible during operating hours**

Fire clearance to use the detached garage for limited activity only was granted on 01/17/2023. LPA informed licensee that children can not eat and sleep in the detached garage. LPA informed licensee that detached garage can only be used for limited activity only.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KARAPETYAN FAMILY CHILD CARE
FACILITY NUMBER: 198021079
VISIT DATE: 02/02/2023
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Per licensee, children eat and sleep inside the main home. Per licensee, children will use the detached garage for limited activity only daily from 9:00 a.m. to 12:00 p.m. and 3:00 p.m. to 5:00 p.m..

During this inspection LPA approved licensee to use the detached converted garage for limited activity only.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today from the areas that were inspected today.

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, Karine Karapetyan at 2:00 p.m..


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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
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