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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700069
Report Date: 03/29/2023
Date Signed: 03/29/2023 12:13:15 PM

Document Has Been Signed on 03/29/2023 12:13 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:HAYRAPETYAN FAMILY CHILD CAREFACILITY NUMBER:
195700069
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/29/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:28 AM
MET WITH:Applicant Alvard HayrapetyanTIME COMPLETED:
12:20 PM
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On 03/29/23 at 9:15 AM, Antonio Almanza, Licensing Program Analyst (LPA), conducted an announced Pre-Licensing site visit. Upon Arrival LPA met with Alvard Hayrapetyan, applicant. The applicant is applying for a small family child care home to provided services to children ages 0 months to 15 years. The days and hours of operation requested are Monday thru Friday from 7:00 AM to 6:00 PM. The applicant is the only person living in the home.

The home is an attached ADU and according to the applicant it has the same address is the main home and is called a mother-in-law loft. The home is composed of living room, kitchen area attached to the livening room, bedroom, bathroom, and walk in closet. The home is setup as a Child Care Center. The floors of the living room/kitchen and bedroom are covered in cushioned interlocking squares. In the living room/kitchen area there is a small refrigerator, stove, children’s table with 4 chairs, small 4 tier cabinet with small bins and toys, and high chair. The bedroom has 6 cots, bassinet and 4 small children’s toys. Applicant does not have sufficient toys and equipment to operate a family child care home. Applicant does not have required postings location set up.

LPA observed Fire Extinguisher (2A10BC) in the living room that was purchased on 03/28/23. LPA observed combination Smoke Detector and Carbon Monoxide detector in the living room and bedroom. Smoke Detector/Carbon Monoxide detector were tested and are operable.

The main home is a 3 story home with 4 bedrooms, 4 bathrooms and attached garage. The first floor consists of living room, kitchen, dining room and bathroom. The second floor has 4 bedrooms and 3 bathrooms. The third floor is a loft with bathroom that is used as an office by the applicant’s husband.

Pg 1.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HAYRAPETYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700069
VISIT DATE: 03/29/2023
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The applicant will use the backyard for children in care. The backyard is surrounded by block wall and a large metal sliding gate. The area that the applicant wishes to use for children has been separated with mesh gating that is anchored to the ground and has artificial turf.

LPA did not observe any personal belonging or furniture in the home. The applicant is reporting that she is in the process of moving to the back home and is currently living in the main home. The Applicant is reporting that her children will leave in the main home with her husband.

"Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away.

The applicant will provide LPA with the following:
- A written plan on how the applicant will comply with all regulations and laws governing family childcare homes in the space being requested for a Small Family Child Care License.
- Updated facility Sketch for indoor and outdoor space.
-Written statement of the living arrangements between the applicant and her husband .

Exit interview conducted and report was reviewed with the applicant Alvard Hayrapetyan. Final license determination will be made upon review by the Licensing Program Manager.


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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC809 (FAS) - (06/04)
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