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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018582
Report Date: 05/09/2022
Date Signed: 05/09/2022 01:28:15 PM

Document Has Been Signed on 05/09/2022 01:28 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:YERANYAN FAMILY CHILD CAREFACILITY NUMBER:
198018582
ADMINISTRATOR:YERANYAN, SRBUHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 423-9766
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
05/09/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Srbuhi Yeranyan, LicenseeTIME COMPLETED:
02:04 PM
NARRATIVE
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On 05/09/22, Licensing Program Analyst (LPA) Liana Stepanyan and Licensing Program Manager (LPM) Mariela Ramon conducted a Case Management Inspection. Upon arrival LPA and LPM were greeted by Licensee who guided LPA and LPM on a tour of the facility. LPA and LPM observed 3 children in care with 2 staff members.

The purpose of this inspection is to notify the licensee of information obtained by the Department. The Department learned that on 03/30/22, licensee contacted day care parents to pick up their children while staff from the Department were conducting interviews with day care children. Licensee admitted intentionally contacting day care parents in order to prevent LPAs from conducting interviews to pick up the children early. As of result, LPAs were unable to conduct children’s interviews.

The Department obtained Resource and Referral time sheets of children enrolled during the months of January, February, and March 2022 reflecting child #4, #5, and #6 currently attending the facility. Based on interviews conducted with children’s parents it was disclosed children stopped attending the facility one to two years ago.



On 03/30/22, the Department interviewed licensee and licensee’s assistant to determine the authentication of a voice recorder that was recorded at the facility of the licensee making statements. Licensee and licensee’s assistant initially denied it was the licensee’s voice in the recording. On 03/31/22, licensee contacted the Department and admitted that it was her voice in the same recording.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2022
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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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: YERANYAN FAMILY CHILD CARE
FACILITY NUMBER: 198018582
VISIT DATE: 05/09/2022
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It was also determined that licensee and her assistant sent child #4 and child #6 to the backyard under the rain because they did not want to take a nap. Licensee would tell the children to stay in the rain as form of punishment and the children got wet.

Furthermore, during three different occasions, Licensee provided the Department with altered facility rosters. In addition, the facility rosters do not reflect names of children receiving subsidized care resulting in an inaccurate number of children enrolled.

The facility is being cited violations of Inspection Authority including a $500.00 dollars immediate civil penalty; Conduct Inimical; Personal Rights and failure to provide a current roster. Type A and B deficiencies according to the California Code Title 22 Regulations. See Case Management Deficiencies LIC809 D for deficiencies cited.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit & 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 & Licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview was conducted, a copy of this report and appeal rights was provided to licensee along with notice of site visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 05/09/2022 01:28 PM - It Cannot Be Edited


Created By: Liana Stepanyan On 05/09/2022 at 10:09 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: YERANYAN FAMILY CHILD CARE
FACILITY NUMBER: 198018582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2022
Section Cited
CCR
102391(b)

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Inspection Authority of the Department: The licensee shall permit the Department to inspect the family childcare home, and to privately interview children or staff, to determine compliance with or to prevent violations of family childcare laws or regulations. The Department shall exercise this authority * as specified in Health and Safety Code Section 1596.8535(a).
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The Department is taking an administrative action against the facility.
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This requirement was not met as evidence by: Based on observation and interviews conducted it was determined that licensee contacted children’s parents asking them to pick up their children early to prevent the Department from interviewing children. This poses an immediate health and safety risk to children in care.
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Type A
05/09/2022
Section Cited
HSC1596.885(c)

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Conduct inimical: Denial, suspension or revocation of license, registration, or special permits; grounds. Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidence by:
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The Department is taking an administrative action against the facility.
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licensee committed fraud by obtaining subsidized payments from child #4, #5 and #6 who have stopped attending the facility for one to two years. Furthermore, licensee and licensee’s assistant were not truthful concerning the authentication of a voice recorder that was recorded at the facility of the licensee making direct threats, profanity and abusive language to day care children. This poses an immediate health and safety risk to 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:Mariela Ramon
LICENSING EVALUATOR NAME:Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022


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Document Has Been Signed on 05/09/2022 01:28 PM - It Cannot Be Edited


Created By: Liana Stepanyan On 05/09/2022 at 10:17 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: YERANYAN FAMILY CHILD CARE
FACILITY NUMBER: 198018582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2022
Section Cited
CCR
102423(a)(4)

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Personal Rights: Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative...This requirement was not met as evidence by:
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POC: The Department is taking an administrative action against the facility.
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licensee and licensee’s assistant sent child #4 and child #6 to the backyard to stay in the rain as a form of punishment because the children did not want to take a nap. This poses an immediate health and safety risk to 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:Mariela Ramon
LICENSING EVALUATOR NAME:Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 05/09/2022 01:28 PM - It Cannot Be Edited


Created By: Liana Stepanyan On 05/09/2022 at 10:20 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: YERANYAN FAMILY CHILD CARE
FACILITY NUMBER: 198018582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2022
Section Cited
CCR
102417(8)

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Operation of a Family Child Care Home - Each family childcare home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement was not met as evidence by:
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The Department is taking an administrative action against the facility.
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Licensee provided the Department with altered facility rosters which did not include names of children receiving subsidized care resulting in an inaccurate number of children enrolled. This is a type B deficiency that if not corrected, it could become a risk to the health, safety or personal rights to 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:Mariela Ramon
LICENSING EVALUATOR NAME:Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022


LIC809 (FAS) - (06/04)
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