Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419098
Report Date: 09/18/2019
Date Signed: 09/23/2019 08:08:59 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:HARMON OAKS NURSERY SCHOOLFACILITY NUMBER:
197419098
ADMINISTRATOR:KUPCHYAN, MARIYAFACILITY TYPE:
850
ADDRESS:7028 BALBOA BOULEVARDTELEPHONE:
(818) 386-8409
CITY:LAKE BALBOASTATE: CAZIP CODE:
91406
CAPACITY:49CENSUS: 41DATE:
09/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Mariya Kupchyan/ Director/licenseeTIME COMPLETED:
01:15 PM
NARRATIVE
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Licensing Program Analysts (LPA), Silva Garibyan met with the Director/Licensee, Mariya Kupchyan and conducted an Annual Random visit. LPA toured and inspected the preschool in accordance with the facility sketch on 09/18/2019 at 11:00 a.m. There were six teachers on the premises along with the director. Upon arrival, LPA observed children engaged in various activities (37 preschool children in the classrooms and 4 toddlers on the playground) . LPA observed a total of 41 children present being supervised by 6 staff members. LPA verified that all adults have obtained criminal record clearances and are associated to the facility. The facility operates a combination center consisting of a Pre-school and Toddler Option program. The facility operates Monday through Friday, from 7:00 AM to 6:00 PM. A review of the sign in/out sheet was conducted to verify the current census of children .The facility consists of 6 classrooms ( 5 preschool and 1 Toddler option) , a Director's office, and 2 play yards. There is a separate Kitchen for Preschool use. Director's office and staff bathroom are used as isolation areas for sick children. The following were observed during this visit:
1. Teacher/child ratio;
2. Care and supervision of children in care; teacher/child interaction;
3. Availability of drinking water to children both indoors and outdoor
4. Cleanliness of facility and children's toys/equipment; cushioning under outdoor equipment.
5. Cleanliness of bathrooms, operation of toilets and sinks.
The preschool bathroom has 4 toilets and 4 sinks.
6. Inaccessibility of chemicals and toxins to children in care;
7. Sign in/out sheets; postings; emergency disaster drill logs.

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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HARMON OAKS NURSERY SCHOOL
FACILITY NUMBER: 197419098
VISIT DATE: 09/18/2019
NARRATIVE
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Licensee is advised that effective January 1 2012 only not flavored, unsweetened nonfat (fat free skim, 0%) or low-fat (1%) milk can be served to children. No beverages with added sweeteners can be served (this includes sodas, sweet teas, juice drinks with added sugars, flavored milks and diet drinks) A maximum of one serving (4-6 ounces for 1 to 6 year olds) of 100% juice will be allowed per day.

Licensee was reminded it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. Licensee was also made aware that the quarterly updates are also in Spanish.

Safe Sleep information links were provided as follows:

AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx

NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative

Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials


On September 18, 2019, the facility has been found operating within substantial compliance per the California Health & Safety Code(s) and Title 22 Regulation(s).

A copy of this report was provided to the director and an exit interview was conducted.
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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HARMON OAKS NURSERY SCHOOL
FACILITY NUMBER: 197419098
VISIT DATE: 09/18/2019
NARRATIVE
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New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016 personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university.

The assistant director was informed of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541


Email Address: childcareadvocatesprogram@dss.ca.gov

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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HARMON OAKS NURSERY SCHOOL
FACILITY NUMBER: 197419098
VISIT DATE: 09/18/2019
NARRATIVE
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8. Storage of children's belongings/Napping equipment.
There are cubbies for children's belongings in the classrooms. LPA observed a sufficient quantity of cots available for napping children. The bedding is stored separately and properly.
9. Current certification for CPR and First Aid for Licensee and staff (expiration date: 05/2021)
10. Sample of children's files were reviewed for accuracy and completeness.
11. Sample of staff files were reviewed. Files were complete

Children are inspected for illnesses as they arrive. A review of medication policy indicated that Medication is administered by the director or teachers, who documents the date, time and dosage onto a log. Medications are stored securely and inaccessible to children. There is a separate area for isolation and care of ill children in the director's office. There is a cot available for each ill child. An isolated toilet and sink are available for ill children.
Lunches are not be prepared by the school. Hot lunch is catered by an independent company. There is a clean, fully equipped kitchen area with sink, refrigerator, freezer and microwave oven for the facility staff use. The facility provides morning and afternoon snacks daily.

LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food.
The following was discussed:

Senate Bill 792: that prohibits a person from being employed or volunteering at a child care facility if he or she has not been immunized against influenza, pertussis and measles and Assembly Bill 290 (Alejo, Chapter 734, Statutes of 2013). Staff immunization records are up to date.

AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com. .


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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
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