197494748-5-14-2024-58-CC-ECAO-D59RN9-20240514130957

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494748
Report Date: 05/14/2024
Date Signed: 05/14/2024 01:11:01 PM

Document Has Been Signed on 05/14/2024 01:11 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:	VARDANYAN FAMILY CHILD CARE		FACILITY NUMBER:	197494748
ADMINISTRATOR/ DIRECTOR:	GOHAR VARDANYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 284-9943
CITY:	GRANDA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 10	CENSUS: 7	DATE:	05/14/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:56 AM
MET WITH:	Gohar Vardanyan, Licensee		TIME VISIT/ INSPECTION COMPLETED:	01:30 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	Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced annual required inspection to the above facility on 05/14/2024. LPA arrived at the facility at 08:56 AM, identified self and met with Hamlet Tadevosyan, Licensee’s Spouse and Staff #1, who guided analyst on a tour of the inside and outside of the facility. There were 8 children present upon arrival. Gohar Vardanyan, Licensee arrived shortly after. LPA provided Licensee with a copy of the LIC125 Entrance Checklist to help facilitate the inspection. Facility operation hours are Monday to Friday from 08:00 AM to 5:00 PM. The family child care home is a one-story studio ADU dwelling, includes combined living/dining/bedroom/kitchen and 1 bathroom. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that combined living/dining/bedroom/kitchen and bathroom (located near entrance) are used for providing care and are accessible to children. The indoor combined living/dining/bedroom area is used for child care activities, eating, and sleeping, the area is set up with children’s tables, children’s chairs, play items, toys, books, children’s cots and bedding. The outdoor area includes a fenced play area that is shared with the second home on the property. The children use the bathroom near the entrance and was observed to be safe and sanitary. The licensee provides food for children in care. The kitchen is off-limits and made inaccessible by use of child proof locks. There is telephone service via a cellphone that is used, and the cellphone stays at the facility during operation hours. Per Licensee, there are no areas off limits to children and parents inside the home. All areas identified that are accessible for children to use were inspected for safety, comfort, and cleanliness. The second home on the property is off limits to children and an outside area next to the second home is off limits and is made inaccessible using a child gate secured to the wall and building. Page 1 of 5

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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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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: VARDANYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494748
	VISIT DATE: 05/14/2024

NARRATIVE

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Licensee stated after child care hours, they use a sofa that converts to a bed and move the children’s tables and chairs out of the way to convert area for personal use. Licensee’s personal items and bedding are kept in cabinets near the entrance during the hours of care.

LPA did not observe any pools, spas, hot tubs, fish ponds, or similar bodies of water during the inspection. LPA observed a bird bath about 2 feet in height and used as a decorative item as the basin had several holes drilled into the basin to prevent water from collecting.

Per Licensee, there are no firearms or ammunition on the premises. Per Licensee, there are no poisons kept in on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There are no pets on the premises.

There is a working 2A 10BC fire extinguisher and the value indicates fully charged and was serviced on 04/04/2024, as indicated on service tag. The combination smoke and carbon monoxide detector located at the entrance hallway was tested and operable. There was adequate heating and ventilation for safety and comfort. LPA did not observe a fireplace or open face heater.

There are currently no infants 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.

Licensee was reminded that children in care are always supervised all the time 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.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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: VARDANYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494748
	VISIT DATE: 05/14/2024

NARRATIVE

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The outdoor play area is located behind the second house on the property, is fenced and there are no hazards to children present. LPA observed appropriate toys and play equipment for children in care. The play yard is shared with the second home on the property.

Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete and documented on the LIC857.

The home shall conduct fire and disaster emergency drills at least once every six months and document the date and time of each drill. Last fire and disaster emergency drill was completed and documented within the last 6 months on 04/08/2024. Licensee’s Mandated Reporter Training was completed on 10/18/2024. Licensee’s pediatric CPR/First Aid expires on 10/28/2025.

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

There were one personnel record for LPA to review and observed files were complete and documented on LIC859.

Emergency Disaster Plan (LIC 610A), Parent’s Rights Poster (PUB 394), Earthquake Preparedness (LIC 9148) and the Facility License were observed to be posted.

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.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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: VARDANYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494748
	VISIT DATE: 05/14/2024

NARRATIVE

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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/.

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

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.

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.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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: VARDANYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494748
	VISIT DATE: 05/14/2024

NARRATIVE

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At this time, the licensee is in compliance with California Code of Regulations Title 22 and no deficiencies were cited.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted, report and appeal rights was reviewed with the Gohar Vardanyan, Licensee.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC809 (FAS) - (06/04)

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