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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021074
Report Date: 09/09/2024
Date Signed: 09/09/2024 11:27:14 AM

Document Has Been Signed on 09/09/2024 11:27 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALRAHELI FAMILY CHILD CAREFACILITY NUMBER:
198021074
ADMINISTRATOR/
DIRECTOR:		ARWA M ALRAHELIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 696-8967
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 6DATE:
09/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Arwa Alraheli, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case- management inspection to the above facility on 09/09/24 at 8:40 a.m. LPA met with Arwa Alraheli, licensee, who guided analyst on a tour of the facility. During this inspection there were total of 8 children present in the home, 4 being infants. Also, Jemma Martirosyan, licensee's assistant was present in the home during this inspection.

This is a one story home located on the first level. The home consists of 2 bedrooms, 1 restroom, living room (day care play area), kitchen, laundry room, detached guests house in the backyard which consists of a room and a bathroom, garage, front yard and backyard (fenced). Per licensee the children use the bathroom in the hallway, living room, kitchen, one bedroom and backyard (fenced). Per licensee areas off limits to children and parents include: One bedroom, detached guests house which consists of a room and a bathroom, garage, laundry room, and front yard. During this inspection individuals who reside in the home were discussed and notes on Confidential Name List (LIC811) and attached to this report.



During the tour of the home LPA observed garage was set up as a classroom. LPA observed children toys, tables, chairs, children bags, changing tables and diapers in the detached garage. Per licensee, she has been using the detached garage as play area for couple hours per day since May 2024. Per licensee, children did not eat and sleep in the detached garage. Also, Jemma Martirosyan, lives in the home in the detached guests room since May 2024, who has criminal record clearance on file, but licensee did not submit an updated Application for Family Child Care Home, LIC 279.

LPA Eivazian informed licensee, Arwa Alraheli that this report dated 09/09/24 document(s) 1 Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2024
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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Document Has Been Signed on 09/09/2024 11:27 AM - It Cannot Be Edited


Created By: Anomeh Eivazian On 09/09/2024 at 10:31 AM
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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALRAHELI FAMILY CHILD CARE
FACILITY NUMBER: 198021074

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/10/2024
Section Cited
CCR
102371(a)

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102371(a)-- Fire Safety Clearance-- A fire safety clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal shall be required for a large family child care home.
This requirement was not met as evidenced by...
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Per licensee, effective today she will not use the detached garage for limited activity any more.

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Per licensee, she has been using off-limit detached garage as playarea for couple hours a day since May 2024.
There is no fire clearance on file for the use of the garage for the day-care children to use for play or sleep.
This poses an immediate health, safety, and personal right risk to the children in care.
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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:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/09/2024 11:27 AM - It Cannot Be Edited


Created By: Anomeh Eivazian On 09/09/2024 at 10:33 AM
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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALRAHELI FAMILY CHILD CARE
FACILITY NUMBER: 198021074

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2024
Section Cited
CCR
102416.2(a)(2)

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102416.2 (a) (2)--Reporting Requirements (2) Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.
This requirement was not met as evidenced by...
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Per licensee, she will submit an updated Application for Family Child Care Home, LIC 279, by plan of correction due date.
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During this inspection licensee stated that her assistant, Jemma Martirosyan has been lived in the detached guests since May 2024 but did not submit an updated Application form, LIC 279.
This poses a potential health, safety, and personal right risk to the children in care.
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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:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2024


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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALRAHELI FAMILY CHILD CARE
FACILITY NUMBER: 198021074
VISIT DATE: 09/09/2024
NARRATIVE
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Also, LPA Eivazian informed the licensee, Arwa Alraheli to provide a copy of this licensing report dated 09/09/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given 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, Arwa Alraheli.

REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2024
LIC809 (FAS) - (06/04)
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