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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021179
Report Date: 08/06/2024
Date Signed: 08/06/2024 03:12:56 PM


Document Has Been Signed on 08/06/2024 03:12 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:HAKOBYAN FAMILY CHILD CAREFACILITY NUMBER:
198021179
ADMINISTRATOR:HAKOBYAN, LILITFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 294-8916
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:14CENSUS: 23DATE:
08/06/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Lilit Hakobyan, LicenseeTIME COMPLETED:
03:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case-management inspection to the above facility on 08/06/24 at 12:10 pm. Upon LPA's arrival to the facility licensee was not present in the home. LPA met with Meline Galstyan, licensee's assistant who guided analyst on a tour of the facility. During this inspection there were total of 23 children present in the home. Also, Nare Gabrilyan, Anait Ohanyan, and Anna Margaryan, licensee's assistants were present in the home. At 12:20 PM licensee, Lilit Hakobyan and her husband, Vigen Baghumyan arrived to the facility.

Upon LPA's arrival to the facility LPA observed 8 school age children with Meline Galstyan in the living room, 10 children with Nare Gabrilyan in the middle bedroom, 5 children with Anait Ohanyan in bedroom adjacent to the entrance door, and Anna Margaryan in the kitchen. The licensee was observed not to be operating within the licensed capacity and is exceeding the required limitations during this inspection with 12 children.

During this inspection Meline Galstyan, Anait Ohanyan and Nare Gabrilyan, licensee's assistants were present in the home who did not have criminal record clearance on file. Per Meline Galstyan she has been working at this facility Monday to Friday, 10AM to 2PM over 2 years, Anait Ohanyan has been working at this facility more than 3 months Monday to Friday, 10 AM to 2 PM, and Nare Gabrilian has been working at this facility about 10 months Monday to Friday 10AM to 2PM. $1500 Civil Penalty was assessed during this inspection.

LPA Eivazian informed licensee, Lilit Hakobyan that this report dated 08/06/24 document(s) 1 Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.


Also, LPA Eivazian informed the licensee, Lilit Hakobyan to provide a copy of this licensing report dated 08/06/24 that documents any Type A citation(s) 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.
A notice of site visit 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, Lilit Hakobyan.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:
DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2024
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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Document Has Been Signed on 08/06/2024 03:12 PM - It Cannot Be Edited

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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 198021179

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/07/2024
Section Cited
CCR
102416.5(a)

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102416.5--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 is requirement was not met as evidenced by...
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Per licensee, effective tomorrow she will only have her license limitation children present in the facility.
A written declaration will be submitted to LPA along with an updated facility roster.
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On 08/06/24 at 12:10 PM upon LPA's arrival to the facility, LPA observed 23 children were present in the home, and licensee was observed exceeding her license limitation with 12 children. This poses an immediate health, safety, and personal right risk to the children in care.
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Type A
08/07/2024
Section Cited
CCR102370(d)(1)

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102370(d)(1)--Criminal Record Clearance
(1) Obtain a California clearance or a criminal record exemption as required by the Department or

This requirment was not met as evidenced by...
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Per licensee, effective tomorrow Meline Galstyan, Anait Ohanyan and Nare Gabrilyan will not be present in the facility until grant criminal record clearance.

$1500 Civil Penalty was assessed during this inspection.
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On 08/06/24, at 12:10PM Meline Galstyan, Anait Ohanyan and Nare Gabrilyan licensee's assistants were present in the home over one month who did not have criminal record clearance on file.
This poses an immediate 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 GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:
DATE: 08/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2024
LIC809 (FAS) - (06/04)
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