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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700002
Report Date: 08/23/2022
Date Signed: 08/29/2022 08:41:15 AM

Document Has Been Signed on 08/29/2022 08:41 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BAGHRAMYAN FAMILY CHILD CAREFACILITY NUMBER:
195700002
ADMINISTRATOR:ANNA BAGHRAMYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 299-3580
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
08/23/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:TIME COMPLETED:
04:30 PM
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This is an electronic version of a manual report created MM/DD/YYYY. Due to (consistency check, technical difficulties, etc.) with the FAS database, an electronic version of the Facility Evaluation/Complaint Investigation Report could not be provided. Licensee is being provided an electronic version of this site visit. A manual report was provided at time of visit (809/809S/ signed by the licensee is in the file).


On 08/23/2022 Licensing Program Analyst (LPA) Lisa Clayton conducted an announced Pre-licensing Site Inspection with Licensee Anna Baghramyan for an ANNOUNCED RELOCATION INSPECTION. Present for the inspection was licensee, there were no children in care. The home was toured with the licensee for a health and safety inspection. Hours of operation are Monday through Friday 8am to 5pm. Licensee will provide breakfast, lunch, dinner and snacks.

This is a two story home which consists of the following rooms: 5 bedrooms, 2 full bathrooms, and two ½ baths, living room, formal dining room, kitchen, upstairs family room, attached garage, fenced front and backyard . The home is neat and clean with heating and ventilation for safety and comfort. The licensee has requested the OFF-LIMIT AREAS are as follows: kitchen, bedroom 1, 1st half bath, downstairs full bath, attached garage, and the entire upstairs floor, (bedrooms 4 and 5, a full bathroom and the family room), all of which will be inaccessible by child safety gates, closed and/or locked doors and visual supervision. The Licensee has requested the following rooms be ON LIMITS: the formal dining room (play/eating area), dining room (play area), bedroom 2 (classroom), bedroom 3 (napping room), 2nd half bath, fenced front and backyards. The ISOLATION AREA will be in the play/eating area. Per licensee, there are no firearms in the home. A copy of the lease/deed/mortgage statement was reviewed and shows control of property.

Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.


There are toys and learning materials present at the facility during today's inspection. There are no pools, hot tubs or any other bodies of water on the premises. LPA Clayton observed construction in backyard to the steps leading out of the patio doors, closing off the area leading to the garage, and the railing to the upstairs patio. Licensee reports that the backyard will not be used by the children until the work is complete. LPA Clayton instructed licensee to submit photos of the completed backyard prior to allowing the children to play in that area.

The home has a fully charged 3A:40:BC fire extinguisher, 2 working smoke detector/ carbon monoxide detectors, and working telephone. The home was cleared by the LA City Fire Department on 08/13/2022, and there is a pull-down fire alarm system in the daycare play/eating room. The licensee’s CPR and First Aid certificate is current and expires on 08/2024. The licensee's Mandated Reporter training certificate is current and expired in May 2024. The licensee is in compliance with the immunization law which pertains to day care providers.



There are currently no infants enrolled. LPA discussed the safe sleep regulations with licensee 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 licensee 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.

LPA provided licensee with the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2022
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BAGHRAMYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700002
VISIT DATE: 08/23/2022
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SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BAGHRAMYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700002
VISIT DATE: 08/23/2022
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Licensee is not providing IMS at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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

California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.



Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

The licensee is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing. Licensee was reminded of Departments inspection authority, with or without any notice.

This home is recommended for licensing as of 08/23/2022. Exit interview conducted and report was reviewed with the Licensee, Anna Baghramyan.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2022
LIC809 (FAS) - (06/04)
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