Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419354
Report Date: 11/04/2015
Date Signed 11/04/2015 09:56:01 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:OGANESYAN & MARGARYAN FAMILY CHILD CAREFACILITY NUMBER:
197419354
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
11/04/2015
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:50 AM
MET WITH:Andranik OganesyanTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA), Silva Garibyan, met with licensee for the purpose of a Pre-licensing visit, capacity increase. Licensee meets the requirements for a large capacity license after having been a small family child care home provider for 17 months. Present during the visit were the licensee, 1 infant and 3 pre-school children in care. Family members residing at the facility are: 2 adults. Main care will be provided in the living room and two bedrooms on the first floor Off limit areas include the entire second floor, which consists of 1 bedroom and 1 bathroom, detached garage and the guest house. The licensee has a safety gate positioned at the bottom of the staircase, making the upper level inaccessible.. The licensee was reminded that if she decided to rent the guest house, the tenants have to be fingerprinted and cleared. Children utilize the bathroom located in the hall way (down stairs). Children play in the back yard which is fenced. Notification of Parents’ Rights Poster and Emergency Disaster Plan are posted. Pediatric CPR and First Aid expire 03/2016.

Per the licensee there has been no noted changes to the home or occupants since her last visit ( pre-licensing conducted on 07/02/15), the facility remains in substantial compliance at this time.

Capacity and Ratios: The licensee has applied for a capacity increase for a large family . The Max capacity is 12 with no more than 4 infants and a qualified assistant. Without a qualified assistant the license reverts back to the requirements for a small family childcare. Optional care may be provided for a maximum capacity of 14 children with no more then 3 infants, 2 school age children and a qualified assistant. School age children must be 1 age 6 yrs and 1 in Kindergarten.
Exit interview was conducted and a copy of the report was provided.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (310) 337-4826
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (310) 337-3754
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2015
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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