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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020998
Report Date: 06/14/2022
Date Signed: 06/14/2022 09:44:31 AM

Document Has Been Signed on 06/14/2022 09:44 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:SAGHATELYAN FAMILY CHILD CAREFACILITY NUMBER:
198020998
ADMINISTRATOR:ANI SAGHATELYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 231-9888
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
06/14/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Ani Saghatelyan, ApplicantTIME COMPLETED:
10:00 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 06/14/2022 to ensure all corrections from 05/24/2022 inspection have been completed. LPA arrived at the facility at 8:40 AM and met with Ani Saghatelyan, Applicant who guided analyst on a tour of the facility. During this inspection applicant and her family members were present in the home.
Per applicant operation hours will be Monday to Saturday, 7:00 a.m. to 11:59 p.m.. Applicant states she will care for children 0-14 years old.
For Large Family Child Care Fire Inspection was granted on 05/05/22.

All areas identified on the facility sketch were inspected. This is a one story home located on the first level. The home consists of 4 bedrooms, 3 restrooms, living room, dining room, kitchen, front yard and backyard (fenced). There is a fireplace in the living room which has been blocked off to prevent access to children. There is a detached back house in the backyard with separated address 623 A Salem Street, Glendale CA 91203. Per applicant she rented out entire 623 Salem Street property.

Areas that are accessible to children are as follows: Two last bedrooms adjacent to the backyard, one bathroom in the daycare room, living room, dining room, and front yard (fenced).
Areas off limits based on facility sketch submitted to children and parents include: Kitchen, two bedrooms, two bathrooms, and backyard. **Rooms that are off-limits need to be made inaccessible during operating hours**

At 9:00 am, the applicant began touring LPA’s through the home starting with the entry way which lead directly to the living room and dining room. The living room and dining room was inspected and electrical outlets were observed to be covered. LPA observed sofas, a coffee table, children toys in the living room and
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2022
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: SAGHATELYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020998
VISIT DATE: 06/14/2022
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a dining table and chairs in the dining room. Next LPA toured the kitchen and observed a safety gate was installed to the kitchen to make it inaccessible. LPA observed child proof safety latches were installed on the cabinets where applicant stores sharp items and cleaning compounds. Next LPA toured the off-limit bathroom in the hallway, two off-limit bedrooms in the hallway and one off-limit bathroom in the master bedroom and did not observe any hazards. LPA observed plastic door knobs on off-limit bedrooms door knobs. Next LPA toured the two daycare rooms and one bathroom in the daycare bedroom and observed children toys, tables and chairs in the daycare area. Per applicant, parents will enter the facility thought the main entrance door which leads to the living room. Per applicant children will walk through the hallway and living room to go to the front yard (fenced). LPA observed the required 2A 10BC fire extinguisher was anchored to the wall in the kitchen. Per applicant it was purchased April 2022 but applicant was not able to locate the receipt. Applicant tested the carbon monoxide in the kitchen and smoke detector in the living room. Both sounded off the alarms and heard by LPA to be functional. Detergents, cleaning compounds, medications, and other items which could pose a danger to children wereobserved to be inaccessible to children.

Next LPA toured the front yard (fenced) for outdoor activity. Per applicant children will use the front yard for outdoor activity. Front yard was gated in two sides and barricaded by trees and a gate in front. LPA did not observe any objects that can pose a danger to children on the outdoor yard. The applicant states that supervision is always provided.

During this inspection applicant submitted an updated facility sketch, a copy of Control of Property/Rental Agreement.

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



Final review of application will be completed prior to licensure.

The applicant’s 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, Ani Saghatelyann at 10:00 a.m..
REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
LIC809 (FAS) - (06/04)
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