195700224-1-19-2024-58-CC-ECAO-CZN4XF-20240119182929

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700224
Report Date: 01/19/2024
Date Signed: 01/19/2024 06:29:41 PM

Document Has Been Signed on 01/19/2024 06:29 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	NABIYEV FAMILY CHILD CARE		FACILITY NUMBER:	195700224
ADMINISTRATOR:	AYAZ NAMIYEV		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 448-6776
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	01/19/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:58 PM
MET WITH:	Ayaz Nabiyev, Applicant		TIME COMPLETED:	06:30 PM

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	On 01/19/24, beginning at 02:58 PM, Licensing Program Analysts (LPAs) Elicia Calvillo, Brittanee Cleveland and LPM Emiko Bell arrived at 03:20pm conducted an announced Pre-Licensing, re-location inspection at 19126 Erwin Street, Reseda, CA 91335. The purpose of the inspection was to ensure that the health, safety, and personal rights as required by Title 22 Regulations governing California Family Child Care Homes will be met by the applicant. Applicant is applying for a large Family Child Care Home, anticipating caring for 14 children from ages infant to 12 years of age. The applicant’s current proposed hours of operation are Monday through Friday 7:00 am – 7:00 pm. LPAs/LPM met with Applicant Ayaz Nabiyev, who guided LPAs/LPM on a tour of the inside and outside of the home. There were 2 adults present during the inspection, applicant and Alex Nabiyev, applicant’s brother. Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). As drawn on the facility sketch and observed during the tour, the facility is a one-story residence consisting of a living/dining room, kitchen, three bedrooms, and two bathrooms. There is fenced play area and fenced pool. LPAs and LPM observed the following inside areas will be used for child care: Combined Living and Dining room area will be used for child care activities. Toys and play items are safe, clean, and appropriate for the ages of the children. Electrical outlets have safety covers installed. Page 1 of 5

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NABIYEV FAMILY CHILD CARE	FACILITY NUMBER: 195700224
	VISIT DATE: 01/19/2024

NARRATIVE

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Bathroom#1 located in hallway near bedrooms. The vanity cabinet is empty and no hazards were observed. Electrical outlets have safety covers installed.

Bedroom #1 will be used for sleeping area for napping and isolation when a child is ill; room is equipped with 3 toddler beds with linens and blankets. Applicant stated that three additional beds will be available for 6 children to sleep. Electrical outlets have safety covers installed.

Bedroom #3 will be used for infant sleeping area. There are two cribs and a bassinet and applicant stated he will purchase a changing table. Electrical outlets have safety covers installed.

Each bedroom is equipped with a smoke detector and there is one combination smoke/carbon monoxide detector in the hallway; all were tested and are operable.

LPAs and LPM observed the following inside areas are not used for child care:
The Kitchen and Bathroom #2 located in the Kitchen area is inaccessible to children in care by a locked door and baby gate.

LPAs and LPM observed the following outside areas:
The back yard can be accessed from Living/Dining Room Sliding door and through Kitchen area, which will remain locked. Play area accessible to children is fenced. Outdoor toys and play items are safe and appropriate for the ages of the children. There are conditions that pose a hazard as follows; metal wire fencing, a foot from the ground, has gaps with spikes that is in the path of children and the window from the Living Room has direct access to the pool area. LPA Calvillo observed that the window is double latched and photos were taken.

Applicant Ayaz Nabiyev agrees on the LIC 809 report that the fencing will remain in place whenever licensed care is provided, and so long as the mesh fence makes the swimming pool inaccessible to children as determined by licensing staff.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

LIC809 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NABIYEV FAMILY CHILD CARE	FACILITY NUMBER: 195700224
	VISIT DATE: 01/19/2024

NARRATIVE

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Front yard is used as a walk way when children enter the home.

Fire Clearance was completed on 1/5/2024.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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 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

Reviewed reporting and notification requirements for any unusual incident or injury to the Child Care Regional Office by telephone within 24 hours and within 7 days complete a written report, LIC 624B Unusual Incident/Injury Report

Reviewed only children eating may be in highchairs and that car seats are utilized only for transportation.

Reviewed regulation prohibits smoking in a private residence licensed as a family child care home.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NABIYEV FAMILY CHILD CARE	FACILITY NUMBER: 195700224
	VISIT DATE: 01/19/2024

NARRATIVE

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Reviewed fire extinguisher type 2A:10BC must be serviced annually. Smoke and carbon monoxide detectors should be checked, and batteries should be replaced.

Criminal Record Clearance - Family Child Care Homes Applicant Ayaz Nabiyev was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at http://www.cpsc.gov and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Review of records to be maintained - Child Care Centers LPA reviewed with [applicant, licensee, or facility representative] the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative record.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NABIYEV FAMILY CHILD CARE	FACILITY NUMBER: 195700224
	VISIT DATE: 01/19/2024

NARRATIVE

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Applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

On this date, 11/16/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

The following list of corrections needs to be completed prior to licensure approval:
· Metal wire fencing in outdoor play area needs to be repaired or removed.
· Living room window with direct access to pool area, applicant stated a fence will be installed to block access to pool area.
· Applicant needs to complete relocation and stated that personal items and daycare items will be moved.
· Department to verify that the cribs meet the United States Consumer Product Safety Commission safety standards.
· Applicant state an assistant will be associated by the time the license is issued.

Applicant to correct the above issues by 2/20/2023.
Exit interview conducted and report was reviewed with Applicant Ayaz Nabiyev.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

LIC809 (FAS) - (06/04)

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