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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700462
Report Date: 11/01/2024
Date Signed: 11/01/2024 11:15:17 AM

Document Has Been Signed on 11/01/2024 11:15 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:YERITSYAN FAMILY CHILD CAREFACILITY NUMBER:
197700462
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
11/01/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Tatevik Yeritsyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 11/01/2024 LPA Isabel Ortega conducted a Case Management inspection as Licensee is requesting to increase capacity from a Small Family Childcare Home of 8 children to a Large Family Childcare Home with a capacity up to 14 children. LPA announced the purpose of the inspection and was granted entry by Licensee. A tour of the facility was completed. Upon arrival LPA observe seven children in care and two staff providing care and supervision.

Licensee was initially licensed on 06/07/2021 as a Small Family Childcare Home. The Fire Department has inspected the home and granted a fire clearance for 14 children on 10/30/2024. Family Childcare Home operates Monday through Friday from 8:00 a.m. to 9:00 p.m.

The facility Participates in the Food Nutrition Program and provides breakfast, morning snacks, lunch, afternoon snack and dinner as needed.

There is a living room, dining room, kitchen, three bedrooms, three restrooms, family room, a pool, a jacuzzi, car port, and side yard(utilized for the day care children and a second back yard (off limits). Main care is provided in the family room referred to as the children’s play area(separate entrance to the home).

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YERITSYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700462
VISIT DATE: 11/01/2024
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 The off-limits areas are the three bedrooms, two restrooms, living room, kitchen, dinning room and the pool and jacuzzi in the back yard(off limits)and the two sheds in the front patio utilized for equipment and storage, maintained locked (LPA observed a pad lock). Children utilize the restroom located in the family room. Children utilize the side yard for outdoor play(LPA observed a black mesh fence 5 feet in height.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. There are age-appropriate toys and equipment on the premises. Per the licensee there are no weapons or firearms of any kind in the facility, nor did the LPA observe any weapons during inspection. LPA observed cots and playpens for infants while napping.
The side yard is utilized by the children for outside play and the yard is fenced all around. The outdoor play area was inspected and play equipment was observed to be free of hazards, loose and sharp parts. LPA observed age-appropriate toys both inside and outside of the home.
The facility’s fire extinguisher (2A10BC) is reading in green and met the State Fire Marshal standards. Licensee has a smoke and carbon monoxide detector found them to be in operable condition. The facility annual fees are current. The parent board was reviewed and had all the required forms posted and accessible to parents.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YERITSYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700462
VISIT DATE: 11/01/2024
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Licensee is reminded with a capacity increase she must have a qualified assistant present whenever she has more than 8 children in care. Licensee was provided with a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 http://www.ada.gov/childqanda.htm

Licensee was reminded with a capacity increase she must have a qualified assistant present whenever she has more than 8 children in care. Licensee was provided with a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time.

Licensee has met Title 22 regulations; Fire clearance was granted 10/30/2024, therefore, a Large Family Childcare Home License with a capacity of 14 children has been granted effective today 11/01/2024. An exit interview was conducted, and a copy of this report, appeal and notice of site visit was provided to Licensee on this day. All Licensing reports are recommended to be kept on file for a minimum of three years.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024
LIC809 (FAS) - (06/04)
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