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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021409
Report Date: 11/14/2024
Date Signed: 11/14/2024 12:39:12 PM

Document Has Been Signed on 11/14/2024 12:39 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:LOPOYAN FAMILY CHILD CAREFACILITY NUMBER:
198021409
ADMINISTRATOR/
DIRECTOR:		LOPOYAN, GAYANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 200-8456
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 9DATE:
11/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Gayane Lopoyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case- management inspection to the above facility on 11/14/24 at 9:00 AM. LPA met with Gayane Lopoyan, licensee who guided LPA on a tour of the facility.

Upon LPA's arrival to the facility, LPA met with Gayane Lopoyan, licensee who guided analyst on a tour of the facility. During this inspection there were 9 children present in the facility. Also during this inspection were present Tamara Sargsyan and Kristine Kalashyan, licensee's assistants.



Licensee's assistant, Kristine Kalashyan who was present in the home during this inspection did not have criminal record clearance on file. Per licensee, Kristine Kalashyan has been working at her facility since late September 2024.

The following is being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 809D for cited deficiencies.



LPA Eivazian informed licensee, Gayane Lopoyan that this report dated 11/14/24 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, Gayane Lopoyan to provide a copy of this licensing report dated 11/14/24 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.
The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee, Gayane Lopoyan.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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 11/14/2024 12:39 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 11/14/2024 at 11:09 AM
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: LOPOYAN FAMILY CHILD CARE
FACILITY NUMBER: 198021409

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2024
Section Cited
CCR
102370(d)(1)

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Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: etc..
This requirement was not met as evidenced by...
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Per licensee, Kristine Kalashyan will complete required criminal record clearance and a copy of Livescan request form LIC 9163 will be submitted to LPA.
$500 immediate civil penalty was assessed on this date.
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Licensee's assistant, Kristine Kalashyan who was present during this inspection did not have criminal record clearance on file. Per licensee, she has been working at her facility since late September 2024.
This his poses an immediate health, safety and personal right risk to the children care.
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LPA informed licensee that her assistant can not be present in the home until grant criminal record clearance in Licensing Information System.

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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: 11/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2024


LIC809 (FAS) - (06/04)
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