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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700550
Report Date: 03/30/2022
Date Signed: 03/30/2022 11:24:41 AM

Document Has Been Signed on 03/30/2022 11:24 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:EKMEKCHYAN FAMILY CHILD CAREFACILITY NUMBER:
197700550
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/30/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Ani Ekmekchyan, ApplicantTIME COMPLETED:
11:45 AM
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On March 30, 2022, Licensing Program Analyst (LPA) Monique Ayala conducted an announced Prelicensing follow up inspection. The purpose of the follow up Prelicensing inspection was to ensure the the firearms and ammunition were stored separately, the air conditioning unit was covered and the fire extinguisher was a 2A10BC. Upon arrival LPA was greeted by applicant who guided LPA on a tour of the facility.

LPA observed the firearms are stored on the second floor in the mater bedroom in a gun safe. The ammunition is stored in a separate safe within the gun safe in the master bedroom. The entire second floor is off limits and is inaccessible to children in care. Applicant also wrote a declaration stating that that all firearms are to remain unloaded and the firearms and ammunition will be stored separately. LPA observed fully charged Fire Extinguisher 2A10BC. LPA observed all alcoholic beverages have been made inaccessible (placed in off limits garage).

During this inspection, LPA discussed with the applicant that child care children must be accompanied or assisted when utilizing the steps between the entrance way and the dinning area.

Applicant is ready for liensure.

An exit interview was conducted and a copy of this report was provided to the applicant.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2022
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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