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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700690
Report Date: 11/27/2024
Date Signed: 11/27/2024 01:11:54 PM

Document Has Been Signed on 11/27/2024 01:11 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MANUKYAN FAMILY CHILD CAREFACILITY NUMBER:
197700690
ADMINISTRATOR/
DIRECTOR:		NAIRA MANUKYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 272-2936
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
11/27/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:01 PM
MET WITH:Naira Manukyan, Licensee TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 11/27/2024, Licensing Program Analyst (LPA) Justeene Tamayo conducted a one year required inspection and met with licensee Naira Manukyan who guided LPA Tamayo on a tour of the facility. The entrance of the daycare is separate from the home’s entrance, and is a gated entrance on the right side of the home. Upon arrival there was 1 preschool child present. Family members residing in the home include(licensee, licensee's spouse, licensee's adult daughter, and licensee's adult son). Operating hours are Monday to Saturday from 6:30 a.m. to 11:00 p.m. and care for children ages 0 to 13. No pools or bodies of water on the premises.

This facility is a two-story home that consists of 4 bedrooms, 5 bathrooms, kitchen, living room, dining room, and backyard fenced.

Areas off limits to children include- The entire main home which include: 3 bedrooms, 4 bathrooms, kitchen, living room, dining room, and garage.

Areas accessible to children include the daycare play room and bathroom located in the daycare room, and back yard.

LPA Tamayo inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone). For ventilation, LPA Tamayo observed central air conditioning /heater and observed ceiling vents in the daycare room. LPA observed the furniture, children’s materials, to be in good condition and age appropriate toys and play equipment. LPA observed cots, and 2 portable cribs for infants in care.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MANUKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700690
VISIT DATE: 11/27/2024
NARRATIVE
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During initial walk through, LPA observed adult #1 assisting with child #1 without a fingerprint clearance, which poses an immediate health and safety risk to day care children in care. Facility has been cited a Type A Citation. Please see LIC809-D for deficiency page. Per licensee, adult #1 only assisted with day care children for one day. Therefore, an immediate civil penalty of $100 has been assessed.

The entire child care area is barricaded by a door from the rest of the house. LPA Tamayo observed cleaning supplies in the kitchen drawer. Sharp knives are stored in the kitchen drawer. For water drinking, license stated there is filtered drinking water and children use their own sippy cups. Licensee stated she provides the meals for the children. LPA informed licensee food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. Licensee does not have a food program at this time.

LPA Tamayo entered the day care bathroom and observed the toilet, hand washing sink, hand soap and LPA observed the bottom sink cabinet closed. No hazardous items were observed under the bathroom sink. LPA observed the bathroom to be in good condition.

LPA Tamayo asked licensee if there are any pets, poisons, firearms, weapons, or bodies of water. Licensee stated she has no pets, no poisons and no bodies of water, no firearms, and no weapons. LPA did not observe pets, poisons, firearms, weapons, nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items that fall into that category), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.



LPA Tamayo observed the required 2A10BC fire extinguisher in the daycare room and lever on the green area indicating fully charged. LPA informed licensee, the fire extinguisher needs to be serviced annually or purchase a new one within a year and tape the purchase receipt. LPA observed a carbon monoxide detector and pull down fire alarm located near the sliding door in the day care room. licensee tested the carbon monoxide detector. LPA Tamayo heard the sounds and are operable. LPA observed the first aid complete with band aids, gauzes, adhesive bandages, and antiseptic wipes and located in the daycare room and licensee has a thermometer for checking children’s temperature. For ill isolation, licensee stated the nap room will be utilized.

LPA Tamayo inspected the play outdoor (back yard) area that is used by children for safety, comfort, and cleanliness. LPA observed the yard with artificial grass and fenced on both sides and locked. There is a black mesh fence extending over the clear fencing to add height and prevent children from climbing over the railing.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MANUKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700690
VISIT DATE: 11/27/2024
NARRATIVE
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LPA observed the equipment to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards.

First Aid/CPR expired for licensee on 10/20/2024. Licensee will retake her CPR/First aid and send proof of completion to LPA Tamayo no later than 12/11/24. Facility has been cited a Type B citation. Please see LIC809-D for deficiency page.

Mandated Reporter Training is maintained current. Mandated Reporter training expires on 01/30/2025. Fire/Disaster Drill is complete and current: 09/24/2024.

Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC9227), and Emergency Disaster Plan. Licensee stated currently does not have child care insurance.

Licensee Manukyan 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.

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

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/27/2024 01:11 PM - It Cannot Be Edited


Created By: Justeene Tamayo On 11/27/2024 at 12:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MANUKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700690

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/27/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview, record review, the licensee did not comply with the section cited above. LPA observed an uncleared adult #1 assisting with day care child, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2024
Plan of Correction
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Licensee will have adult #1 fingerprint cleared and associated to facility before adult #1 assists with day care children. Licensee will submit proof of fingerprints taken to LPA Tamayo no later than 12/04/24.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mariela Ramon
LICENSING EVALUATOR NAME:Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:
DATE: 11/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/27/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/27/2024 01:11 PM - It Cannot Be Edited


Created By: Justeene Tamayo On 11/27/2024 at 12:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MANUKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700690

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/27/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. Licensee's First Aid/CPR expired 10/20/2024, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/11/2024
Plan of Correction
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Licensee will retake her CPR/FIirst Aid and send proof no later than 12/11/24.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mariela Ramon
LICENSING EVALUATOR NAME:Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:
DATE: 11/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/27/2024


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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MANUKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700690
VISIT DATE: 11/27/2024
NARRATIVE
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Due to a Type A citation being cited today, licensee shall post the report for 30 days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months and licensee will obtain a signed acknowledgment of Licensing Reports (LIC9224) from parent/guardian and place it in each child's file. If these requirements are not met, civil penalties will be assessed.

A notice of site visit was given to licensee and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Naira Manukyan, along with her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024
LIC809 (FAS) - (06/04)
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