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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700469
Report Date: 11/29/2023
Date Signed: 11/29/2023 12:12:13 PM

Document Has Been Signed on 11/29/2023 12:12 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ARSHAKYAN FAMILY CHILD CAREFACILITY NUMBER:
197700469
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
11/29/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Anzhela ArshakyanTIME COMPLETED:
10:36 AM
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On 11/29/2023 LPA Isabel Ortega conducted a Case Management inspection as Licensee is requesting to increase capacity from 8 children 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 6 children in care and two staff providing care and supervision.

Licensee was initially licensed on 2/09/2021 as a Small Family Child Care Home. The Fire Department has inspected the home and granted a fire clearance for 14 children on 11/27/2023. Family Child Care Home operates Monday through Friday from 7:30 a.m. to 10:30 p.m. The facility provides breakfast, morning snacks, lunch, afternoon snack and dinner as needed.

This is a two-story family home. There is a living room, dining room, kitchen, six bedrooms, four restrooms, and a Accessory Dwelling Unit (ADU permit posted. Main care activities are provided in the permit ADU referred to as the Day Care area and pick up and drop off are at the main home. Licensee provides children with cots and playpens for infants during nap time. The off-limits areas are the five bedrooms, three restrooms, and the second floor.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2023
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: ARSHAKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700469
VISIT DATE: 11/29/2023
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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. LPA did not observe any bodies of water. Per the licensee there are no weapons or firearms of any kind in the facility, nor did the LPA observe any weapons during inspection. The front and side yard are utilized by the children for outside play and 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 tested the smoke and carbon monoxide detectors at 9:35 a.m., and LPA 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.

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 11/27/2023, therefore, a Large Family Child Care Home License capacity of 14 children has been granted effective today, 11/29/2023.

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. Notice of site visit shall be posted for 30 days.

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

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
LIC809 (FAS) - (06/04)
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