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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700008
Report Date: 09/13/2022
Date Signed: 09/13/2022 12:38:29 PM

Document Has Been Signed on 09/13/2022 12:38 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:POGHOSYAN & SUKIASYAN FAMILY CHILD CAREFACILITY NUMBER:
195700008
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
09/13/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:NEKTAR POGHOSYAN & MIKHAYIL SUKIASYANTIME COMPLETED:
12:55 PM
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On 9/13/2022, Licensing Program Analyst (LPA) Loyce Phillips conducted an announced Pre-Licensing inspection with Applicants Nektar Poghosyan and Mikhayil Sukiasyan. This inspection is due to an application received for a small family childcare license. Licensee guided LPA on a tour of the facility and intends to operate Monday through Friday from 8:00am to 5:00pm.

Applicants do not have child-care insurance. The areas identified on the facility sketch were inspected. This is a 3 bedroom, 3 bathroom home with living room, dining area, kitchen, family room, bonus room, laundry room, outdoor storage area and detached garage. Applicants resides in the home with 3 minor children. Applicants intends to provide breakfast, lunch, dinner and am/pm snacks to children.

Areas that are accessible to children are as follows: Living room, dining area, kitchen, bathroom #2, family room (main day care room), bonus room (napping room) and back yard area. Off-limit areas to children: bedroom #1, bathroom #1, bedrooms #2, #3, bathroom #3 and laundry rooms. The storage room and garage located outdoors are off limits. The home has a fire place located in the family room inaccessible to children. The home does not have any firearms or weapons. The home does not have a swimming pool or other bodies of water.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible. LPA observed age appropriate safe toys inside and outside. Licensee advised; children will nap on cots. Licensee has a carbon and smoke detector that was tested and operating. Medications are stored in a lower kitchen cabinet inaccessible to children. Knives were observed in a drawer inaccessible to children. Cleaning products are kept under the sink in the kitchen area and in the laundry room inaccessible to children

LPA reviewed with Applicants 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: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: POGHOSYAN & SUKIASYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700008
VISIT DATE: 09/13/2022
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Applicants 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.

LPA discussed the safe sleep regulations with Applicants and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resources. 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 safe sleep FAQ to applicant, PIN 19-02 and PIN 20-24-CCP.

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)/ (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

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletter and other important information communication platform.

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.

Based on today's inspection, the facility is approved for a License pending managers approval.

Exit interview conducted and report was reviewed Applicants Nektar Poghosyan and Mikhayil Sukiasyan.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC809 (FAS) - (06/04)
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