Pre-licensing visit·October 28, 2025

PRE-LICENSING INSPECTION CONDUCTED IN ARMENIAN Licensing Program Analyst (LPA) Shushanik Safaryan conducted an announced pre-licensing inspection of the above facility on 10/28/2025. Upon arrival , at 08:30 am LPA met with Hasmik Khachatryan, applicant who guided analyst on a tour of the facility. During the inspection, applicant`s husband was present too. Licensee was previously licensed with facility number 198021345 at 1522 DIXON STREET, 10, GLENDALE, CA 91205. Pre-licensing Entrance Checklist (LIC9280) was provided to applicant. During this inspection individuals who reside in the home were discussed and notes on Confidential Name List (LIC811) and attached to this report. Per applicant operation hours will be Monday to Sunday from 7:30a.m. to 10:00 p.m. Applicant states she will care for children 0-13 years old. All areas identified on the facility sketch were inspected. This is a one story home consisting of 2 bedrooms , 2 bathrooms, living room, dining room, kitchen, front yard, back yard, garage, laundry room. Areas that are accessible to children are as follows: Living room, dining room, bathroom in hallway, kitchen , back yard. Per applicant, parents will enter the home from the main entrance directly to the living room. Page 1 of 6 Areas off limits based on facility sketch submitted to children and parents include : Two bedrooms, bathroom in the master bedroom, front yard, garage, laundry area. **Rooms that are off-limits need to be made inaccessible during operating hours**. At 08:45 am, the applicant began touring LPA through the home starting with the entry way which led directly to the Living room (day care room). In the living room, LPA observed small chairs, table , shelves with toys and books. LPA discussed with the applicant regarding securing shelves to the wall. Next LPA toured the dining room and observed dining table and chairs, and sofas. Per applicant children will use bathroom in the hallway. LPA toured the bathroom and observed cabinet on the wall and under the sink have a child safety latch where cleaning supplies stored. Next LPA toured the bedrooms and bathroom in the bedroom were observed family belongings. LPA observed child safety plastic doorknobs on the doors to be inaccessible to the children in care. Per applicant , children will pass the kitchen to go to the backyard, LPA toured the kitchen and observed child safety latches on the cabinets where sharp items and cleaning supplies stored. Per applicant, children will use the back yard for outdoor play time . LPA toured the backyard which is fenced and has gates with access to the side of the property. LPA observed door alarms on the doors for additional safety. Next LPA toured back yard area and observed artificial grass area for children in care. In the outdoor play area , LPA observed play structure with small slides, swing sets and other toys for children in care. LPA observed garage door locked with key , per licensee it will be used as an office area or storage . Per applicant , she understands children are not allowed to use the garage . Next, LPA observed laundry room and observed child safety knob to be inaccessible to the children in care . During this inspection , LPA observed the required 2A 10BC fire extinguisher in the kitchen area with the service tag 01/06/2025 .LPA observed carbon monoxide and smoke detectors in the living room. Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. The applicant states that supervision is always provided. The applicant states that she will provide food for children in care. Applicant was advised that if food is brought from the children\342\200\231s homes, all containers must be labeled with child\342\200\231s name and properly stored or refrigerated. Page 2 of 6 Per applicant, at 10:00 am, there are no pets, weapons, firearms or bodies of water on the premises. There are toys available for children. There is telephone service via cellphone that is used at the facility during operation hours. LPA advised applicant that if a child shows signs of illness, he/she/they shall be separated from other children. Per applicant no one smokes in the home. There is first aid kit located in the bathroom cabinet. Applicant has proof of CPR and First Aid training as indicated on the certificate. The applicant does have proof of Health and Safety training, Pediatric First Aid and CPR with expiration date 07/2027. The applicant has proof of immunization against influenza, pertussis, and measles. Applicant completed required mandated reporter training , LPA observed Mandated Reporter certificate with an issue date 07/12/2025. Mandated reporter training must be completed every 2 years. www.mandatedreporterca.com The applicant provided proof of control of property. The following was discussed with the applicant: Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. -In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license. -A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. -Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License shall be terminated. Page 3 of 6 -The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should check, and batteries replaced as needed. -Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home. -Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (Use LIC624B for written report) -Fire and safety drills must be performed every six months and documented for review by the Department. -Smoking is prohibited in a family childcare home. -Children and Staff records must be maintained and updated as needed and must be available for review by the Department. -Dog(s) and or pets are recommended to be isolated from children in care. -No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. -All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation. - Applicant shall reveal each facility license number in all advertisements, publications or announcements with the intent to attract clients. - Emergency Disaster Plan, Parent\342\200\231s Rights Poster and the Facility License are required to be posted. INFANT CARE: Applicant states that she will care for infants. Applicant states that infants will sleep in the living room where they are constantly supervised. Appropriate sleeping arrangements and cribs will be available once an infant being enrolled. LPA informed one crib for each infant in care will be needed. Cribs or play yards shall not hinder the entrance or exit from the sleeping space, mattresses shall be firm and covered with a fitted sheet that overlaps the underside so it cannot be dislodged. Cribs and play yards shall be free of loose articles and objects. No objects shall be hanging above or attached to the side of the crib. LPA informed Applicant infants cannot be swaddled while in care. LPA advised the Applicant that infants shall be placed on their backs for sleeping and shall be supervised. Infants shall be checked on every 15 minutes and the time of each 15-minute check shall be documented with child\342\200\231s name and date. The LIC 9227 Page 4 of 6 Individual Infant Sleeping Plan shall be completed for each infant up to 12 months of age. A copy of the LIC 9227 was provided to Applicant. LPA provided the Applicant with a copy of A Child Care Provider\342\200\231s Guide to Safe Sleep, by American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting, Never Shake a Baby, and Safe Sleeping practices. SAFE SLEEP: LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP . When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm . Per applicant, there are no dual licenses at this address. Applicant\342\200\231s email address was obtained during this inspection. The applicant was advised that email may be public information. Per applicant, she does not carry liability insurance or a bond in accordance with standard established by Family Child Care statue. Signed statements (LIC282) will be on children\342\200\231s files. The law requires Family Child Care providers to carry liability insurance or bond in the amount of $300,000 annually or to maintain the signed statement in the facility file. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. Page 5 of 6 To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. Megan\342\200\231s Law - Family Child Care Homes On this date, 10/28/2025 the California Attorney General - Megan\342\200\231s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ. MyChildCarePlan.org--Child Care Centers and Family Child Care Home Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California LPA reviewed with applicant the LIC 311D, Forms/Records to Keep in Your Family Child Care Homes, children\342\200\231s forms/records, facility forms/records, and information to be posted. Entrance checklist was provided to the applicant. The following corrections are needed for further processing .Corrections are due by 11/03/2025. 1. Applicant will secure shelf to the wall in the living room for additional safety. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license. The applicant\342\200\231s 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, Hasmik Khachatryan on 10/28/2025. Page 6 of 6