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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700474
Report Date: 06/20/2022
Date Signed: 06/20/2022 10:14:40 AM

Document Has Been Signed on 06/20/2022 10:14 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:BARAKEZIAN FAMILY CHILD CAREFACILITY NUMBER:
197700474
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
06/20/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Armenui BarakezianTIME COMPLETED:
10:45 AM
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On 06/20/2022, Licensing Program Analyst (LPA) Liana Stepanyan conducted an announced pre-licensing site visit for a capacity increase; this visit is to verify that the licensee remains in substantial compliance with the health & safety standards as required by regulations governing family child care homes. LPA met with both licensees, Armenui Barakezian and Lusine Markosyan with 4-day care children under care and supervision. Licensee has all appropriate forms posted. First Aid/CPR certificate is valid thru/expired on 04/2024. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. Children’s records were reviewed and found to be in order. Licensee has/not practiced fire/emergency drills with daycare children on 03/04/22.

This 2 story, 3-bed, 2.5-bath home was toured, the following areas are used for daycare: living/family room, hallway bathroom/bedroom, and kitchen. Off limit areas include: entire 2nd floor of the home and garage. There is a barricade present on the bottom of staircase; licensee is reminded that barricade(s) must remain in place during daycare hours if there are children under 5 years old in care. Drawers and lower cabinets in kitchen/bathroom are either latched or do not contain any hazardous items. There is an operational smoke alarm and fire extinguisher maintained in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit in bedroom #1. The fireplace has a glass/screen curtain preventing access and fireplace tools have been removed. There are adequate age appropriate toys, books, games, and napping mats/hygienic diaper changing equipment.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2022
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BARAKEZIAN FAMILY CHILD CARE
FACILITY NUMBER: 197700474
VISIT DATE: 06/20/2022
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There are no firearms present on the premises as stated by licensee. Furthermore, there are no bodies of water. The outdoor play area is a fenced backyard, which is free of hazards and has sufficient toys. There are no pets in the home. Per licensee, operating hours are from 8am-6pm, Monday thru Friday.

LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, heat-related illness, child passenger law, unusual incidents, mandated reporting, SIDS, and Shaken Baby Syndrome. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation.

For licensing regulations/updates/forms, go to webpage http://www.ccld.ca.gov

The facility is found to be in compliance with Title 22.

The home meets the requirements and has adequate space for a Large Family Child Care Home. As a condition of licensure, capacity includes the children residing in provider's home under 10 years of age; also, capacity must be withheld with the assistant of a qualified helper. This home is approved for a large Family Child Care Home for a capacity of 12 children, with no more than 4 infants. In addition, landlord consent was provided, thus home is approved to care for the maximum capacity of 14 children when 2 are at least 6 years of age or enrolled in school and a maximum of 3 infants.

An exit interview is conducted copy of the report was review and provided to licensee along with notice of site.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
LIC809 (FAS) - (06/04)
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