198021482-6-3-2024-33-CC-AEIN-D5VMY2-20240603100048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021482
Report Date: 06/03/2024
Date Signed: 06/03/2024 10:00:53 AM

Document Has Been Signed on 06/03/2024 10:00 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:	SARGSYAN FAMILY CHILD CARE		FACILITY NUMBER:	198021482
ADMINISTRATOR/ DIRECTOR:	SARGSYAN, ARMEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 523-4755
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91201
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/03/2024
TYPE OF VISIT:	Office	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Armen Sargsyan, Applicant		TIME VISIT/ INSPECTION COMPLETED:	10:00 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	Licensing Program Manager (LPM) Christina Gabelman and Licensing Program Analyst (LPA) Anomeh Eivazian met with applicant, Armen Sargsyan on 06/03/24 at 9:30 AM in Monterey Park Regional Office. The purpose of this office meeting is for the department to go over the expectations of a licensed childcare provider. During this meeting Liliya Ivazova, applicant’s partner was also present. LPM Gabelman reviewed and discussed with the applicant the following Title 22 Regulations to ensure applicant 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. REPORT CONTINUES ON NEXT PAGE 1 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024

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: SARGSYAN FAMILY CHILD CARE	FACILITY NUMBER: 198021482
	VISIT DATE: 06/03/2024

NARRATIVE

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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.

LPM Gabelman explained to applicant that Applicant is required to operate separately from other providers regardless of family relationships. The applicant’s partner, Liliya Ivazova is family childcare home provider with facility number 198018222 located as front home with separated address, 1912 W Kenneth Rd., Glendale, CA 91201

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 applicant, he is planning to use the front yard for outdoor playtime based on a staggered scheduled with Ivazova FCC, 198018222. Per applicant, Ivazova FCC will use the outdoor playarea from 10:00 AM to 11:00 AM and Sargsyan FCC will use the outdoor playarea anytime except 10:00 AM to 11:00 AM.

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

Per applicant, he does not have other residents and the facility address is his only resident where he lives. Per applicant he will never commingle his daycare children with Ivazova FCC 198018222. A written declaration was submitted on 06/03/24. Per applicant he does not have outside employment.
Exit interview conducted and report was reviewed with the Applicant, Armen Sargsyan.

REPORT END 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024

LIC809 (FAS) - (06/04)

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