197700474-4-5-2023-12-CC-AVIA-CQLR9X-20230405125016

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700474
Report Date: 04/05/2023
Date Signed: 04/05/2023 12:51:16 PM

Document Has Been Signed on 04/05/2023 12:51 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:	BARAKEZIAN FAMILY CHILD CARE		FACILITY NUMBER:	197700474
ADMINISTRATOR:	ARMENUI BARAKEZIAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 237-6580
CITY:	TUJUNGA	STATE: CA	ZIP CODE:	91042
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	04/05/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:46 AM
MET WITH:	Armenui Barakezian, Licensee		TIME COMPLETED:	01:15 PM

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On April 5, 2023, Licensing Program Analysts (LPA) Annelise Villa, met with licensee, Armenui Barakezan who guided analyst on a tour of the facility for the One Year Required inspection. Upon arrival LPA observed 8 children in care and 2 adults caring for them. Family members residing in the home include Licensee and licensee’s husband. Facility hours of operation are Monday - Friday 8:00 am to 6:00 pm. Incidental Medical Services (IMS) policy was discussed.

Physical Plant: This is a two story family home. The home consists of a kitchen, living room, three bedrooms, 2.5 bathrooms and a garage. The primary care for children will be conducted in the living room. Bathroom #1 located on the back left side of the living room. Bathroom #2 is located inside bedroom #1. Children have access to both bathrooms. The living room has a fireplace that is inaccessible to children by a mesh gate and a secondary locked gate. The home was inspected inside and out for safety, comfort, cleanliness, orderliness, telephone service (cell phone), heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds and medicines are kept in bathroom #1 and under the kitchen sink with an operable safety latch, sharp knives are kept in the kitchen drawer with an operable safety latch and are inaccessible to children). Children nap on mats or cribs in the daycare area. There is a safety gate on the stairs preventing upstairs access.

Safe and age appropriate toys, play equipment and materials were observed. The smoke detector, carbon monoxide detector and Fire Extinguisher (2A10BC) are all in operable condition. Electrical outlets are inaccessible. No recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary in the living room. Per Licensee, there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

Bathroom: LPA observed toilet and faucet are clean and operable in both restrooms. There are no shampoos or cleaning products in bathroom #1 or #2.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

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: BARAKEZIAN FAMILY CHILD CARE	FACILITY NUMBER: 197700474
	VISIT DATE: 04/05/2023

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Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Breakfast, lunch, and snacks are provided. Licensee stated she currently is not a participant in a food program.

Outdoor: The front yard is off limits. The backyard is completely fenced in. There are no pets on the premises. LPAs observed age appropriate toys, well secured and safe for children.

Pools/Spas/Bodies of Water: There are no bodies of water in the premises.

Advisory/Other: First Aid kit was observed in the living room with supplies readily available. CPR/First Aid expires 4/2024. Mandated Reporter expires on 5/27/2023. LPA reminded licensee mandated reporter training must be completed every 2 years.

Fire Disaster Drills: LPA observed Fire/Disaster Drill log for completion. Last Drill was conducted on April 4, 2023. Licensee was reminded disaster drills must be completed every 6 months.

The facility annual fees are current. Licensee had all the required posted documents: Facility License (LIC 203), Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148). Children files were found to be complete. F

Documents Provided and or Discussed: Fire Drill Log, Postings, Employee's and Children's records, Safe Sleep PIN 20-24-CCP and Individual Sleeping Plan (LIC9227). Licensee currently does not have child care insurance.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: BARAKEZIAN FAMILY CHILD CARE	FACILITY NUMBER: 197700474
	VISIT DATE: 04/05/2023

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LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs 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.

This Family Child Care Home was found to be in compliance with Title 22 regulations. No citations were given as a result of this inspection.

An exit interview was conducted, a copy of this report was reviewed and provided to licensee along with the appeal rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC809 (FAS) - (06/04)

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