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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021099
Report Date: 11/01/2022
Date Signed: 11/01/2022 10:41:15 AM

Document Has Been Signed on 11/01/2022 10:41 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:RIZER FAMILY CHILD CAREFACILITY NUMBER:
198021099
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/01/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Hayk Rizer and Armine Rshtuni Rizer, applicantsTIME COMPLETED:
11:10 AM
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PRELICENSING INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an announced pre-licensing follow up inspection to the above facility on 11/01/2022. LPA arrived at the facility at 8:40 AM and met with Hayk Rizer and Armine Martirosyan, Applicants who guided analyst on a tour of the facility. Per applicant operation hours will be Monday to Friday, 8:00 a.m. to 10:00 p.m.. Applicants states they will care for children 3 months old to 13 years old.

All areas identified on the facility sketch were inspected. This is a one story home located on the first level.
The home consists of living room, one bedroom, one bathroom, kitchen and backyard. There is a main house in the front that applicants' family live there at 919 E. Elk Ave., Glendale, CA 91205. There is a detached garage and detached one room in the backyard. Per applicants, parents will enter the facility through the side gate which leads to the side yard and daycare area. There is a door in the living room which leads to the main home and per applicants it will be kept closed all the times.

Areas that are accessible to children are as follows: Bathroom in the living room, living room, one bedroom and backyard (fenced).

Areas off limits based on facility sketch submitted to children and parents include: Kitchen, detached room in the backyard, and detached garage.
**Rooms that are off-limits need to be made inaccessible during operating hours**

The following corrections observed during this inspection:
- Applicants submitted City of Glendale Permit for Unit A to show unit A is permitted and separated property through City of Glendale.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: RIZER FAMILY CHILD CARE
FACILITY NUMBER: 198021099
VISIT DATE: 11/01/2022
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- Applicants submitted a working phone line for daycare. The is a cellphone line (909)-418-0884 that will be used and will stay at the daycare during daycare hours.
- Applicants submitted TB test clearance for Hayk Rizer and Armine Rshtuni.
- Applicants submitted a copy of Tax Bill.

The following corrections need to be corrected prior to obtaining a small family child care license. Corrections are due by 11/24/2022.
1. Applicants will submit proof of immunization against TDAP, MMR, and influenza, Family Child Care Home Orientation Certificate for Armine Rshtuni Rizer.
2.Applicants will remove the trampoline from backyard.
3. Applicants will submit 16 hours preventative Health and Safety and Pediatric First Aid and CPR for Armine Rshtuni Rizer.

A small family child care license will be granted upon receipt of proof of corrections for the above. Once licensed, the applicants are required to adhere to the terms and limitations stated on the license.

The applicants' signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.

Exit interview conducted and report was reviewed with the applicant, Armine Rshtuni Rizer at 11:10 AM.

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

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC809 (FAS) - (06/04)
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