197494668-3-13-2025-58-CC-ECAO-DEQU5N-20250313151700

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494668
Report Date: 03/13/2025
Date Signed: 03/13/2025 03:17:16 PM

Document Has Been Signed on 03/13/2025 03:17 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:	GARIBYAN FAMILY CHILD CARE		FACILITY NUMBER:	197494668
ADMINISTRATOR/ DIRECTOR:	GARIBYAN, NUNE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 382-7833
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 1	CENSUS: 0	DATE:	03/13/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:	Nune Garibyan, Licensee		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

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On 03/13/2025, Licensing Program Analyst (LPA) Elicia Calvillo conducted an announced Annual and Capacity Increase inspection at 16648 Dommetz Street, Granada Hills, CA. 91344. LPA arrived at the facility at 01:15 PM, identified self and met with Nune Garibyan, Licensee, who guided analyst on a tour of the inside and outside of the facility. There were 0 children and 1 adult resident present at arrival. LPA provided Licensee with a copy of the LIC126 Entrance Checklist -Family Child Care Homes to help facilitate the inspection. Licensee cares for children from ages 0 years to 8-year-olds. Facility hours of operation are Monday to Friday from 08:00AM to 05:30PM.

The licensee provided proof of control of property.

The family child care home is a one-story dwelling, includes combined living room/ dining room/ kitchen, day care room, 4 bedrooms, 3 bathrooms, laundry room, and no garage. The front yard is fenced and the back yard is fenced with a in ground swimming pool.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The children use the Day Care Room for child care activities, sleeping, and eating. There are tables and chairs, toys and play items that are safe, clean, and appropriate for the ages of the children. LPA observed there are cots for children and bed linens are provided by the parents. The children use the bathroom #1 in the hallway near the Day Care Room. The vanity cabinet stores personal products and items and is secured with the use of child proof latch.

The kitchen IS used to prepare snacks and meals Licensee stated they will provide snacks and meals and understands if food is brought in by the parent the container will be labeled with the child’s name.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

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 03/13/2025 03:17 PM - It Cannot Be Edited

Created By: Elicia Calvillo On 03/13/2025 at 02:09 PM

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

FACILITY NAME: GARIBYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494668
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/13/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.814(a)(1)

Pool Safety

(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in that drowning prevention safety features were not installed per PIN 25-01-CCP -2024 Chaptered Legislation Affecting Child Care Faciliites which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/14/2025
	Plan of Correction
1 2 3 4	Licensee stated they will purchase the required drowning preventions safety features and provide LPA with copies of the purchase receipts by the plan of correcton due date 04/14/2025.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Rita Ramos

LICENSING EVALUATOR NAME:

Elicia Calvillo

LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

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: GARIBYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494668
	VISIT DATE: 03/13/2025

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The kitchen is made inaccessible with the use of use of child proof magnetic latches used on the cabinets.

Per Licensee, the areas off limits to children and parents include the combined living room/ dining room/ kitchen, 4 bedrooms, 2 bathrooms, laundry room, and are made inaccessible by the use of door locks.

There is telephone service via a cellphone that stays at the facility during the hours of operation.

The outdoor play area located in the back yard of the house, is fenced and there are no hazards to children present. LPA observed appropriate toys and other play equipment for children in care. The ground is covered with cement.

LPA did observe a front yard, per Licensee, the front yard is not used for child care activities and is used for dropping off and picking up children.

LPA observed a pool, the fenced is in good repair, completely surrounds the pool, is designed and installed so children could not remove any portion, is at least 5 feet high, is constructed so that it does not obscure the pool from view. Children can not easily climb over the fence, there is no window or door with direct access. The gate swings away from the pool, self closes, is self-latching, and the self-latching device is located no more than 6 inches from the top. There are no gaps more than 4 inches, and the bottom of the fence is no more than 4 inches from the ground.

The pool is missing the additional safety requirements, per PIN 25-01-CCP, all affected licensees must comply with the new drowning prevention safety requirements, effective January 1, 2025.

AB 2866 adds section 1596.814 to the HSC to require specific drowning prevention safety features for (1) all child care centers with in-ground pools and (2) all family child care homes that are operated at a private single-family home with an in-ground pool. For these facilities, effective January 1, 2025, the following safety equipment must be visible from the swimming pool and readily available for immediate use:
1. A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard.
2. A rescue pole with a body hook and minimum fixed length of 12 feet.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

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: GARIBYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494668
	VISIT DATE: 03/13/2025

NARRATIVE

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Under HSC section 1596.814, these facilities must also perform a daily inspection of their drowning prevention safety features and safety equipment before opening the facility, and they must maintain a log of the inspections to be provided to the department upon request.

In addition to the above requirements, HSC section 1596.814 also adds the below requirements, for each facility type:
Family Child Care Homes (FCCH) Licensed FCCHs operating at a private single-family home with an in-ground swimming pool are required to ensure the following safety features are equipped and/or implemented by January 1, 2025: One of the following two safety features below:
1. A safety pool cover that meets the performance.

a.A safety pool cover that meets the performance standards of ASTM International Standard F1346-23. Licensee must maintain and make available for the Department’s inspection, documentation verifying that the pool cover meets this standard.

2. A pool alarm that will sound upon detecting an entrance into the water and must be turned on and be in working condition during the FCCH’s operating hours while the swimming pool is not in use. Licensee must maintain and make available for the Department’s inspection, documentation verifying that the alarm meets the ASTM International Standard F2208.

Per Licensee, there are no firearms, ammunition, or poisons on the premises. LPA did not observe any firearms, ammunition or poisons during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

Licensee stated there are no pets on the premises. LPA did not observe any pets on the premises.

There is a working fire extinguisher, the valve on the required 2A:10BC fire extinguisher indicates fully charged and was last serviced on 08/05/2024. There is a combination smoke and carbon monoxide detector located in the Day Care Room and was tested and is operable.

LPA reviewed with Applicant that all homes shall conduct fire and disaster drill at least once every six months and document the date and time of each drill.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

LIC809 (FAS) - (06/04)

Page: 4 of 7

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: GARIBYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494668
	VISIT DATE: 03/13/2025

NARRATIVE

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An emergency fire/disaster drill has been completed and documented within the last 6 months on 02/19/2025. Licensee’s Mandated Reporter Training was completed on 03/25/2025. Licensee’s pediatric CPR/First Aid expires on 03/2026.

There is adequate central heating and ventilation for safety and comfort. LPA did observe a fireplace in the combination living/ dining/ kitchen room and is made inaccessible to children with glass enclosure and a child proof latch. LPA did not observe any open face heater.

There is currently one (1) infant enrolled in care. LPA discussed the safe sleep regulations with Licensee 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 of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that fall into these categories are not permitted in a family child care facility.

Licensee was reminded that children in care are to be supervised at all times and made aware that children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

LPA reviewed a sample of children’s files and observed files were complete and documented on the LIC857. There were no personal records to review.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

LIC809 (FAS) - (06/04)

Page: 5 of 7

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: GARIBYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494668
	VISIT DATE: 03/13/2025

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LPA reviewed with licensee 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.

During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Licensee was reminded that all adults 18 and over living or working in the home, 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.

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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee 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.

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.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

LIC809 (FAS) - (06/04)

Page: 6 of 7

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: GARIBYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494668
	VISIT DATE: 03/13/2025

NARRATIVE

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To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During today's visit, per Title 22, Division 12, Chapter 3, in accordance with the California Code of Regulations, there is one (1) Type B citation being cited for HSC section 1596.814(a)(1) Pool Safety.

A Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to comply with posting requirement will result in an immediate civil penalty of $100.00.

Exit interview was conducted with Nune Garibyan, Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

LIC809 (FAS) - (06/04)

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