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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700253
Report Date: 04/11/2024
Date Signed: 04/11/2024 10:23:47 AM

Document Has Been Signed on 04/11/2024 10:23 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:BAGHDASARYAN FAMILY CHILD CAREFACILITY NUMBER:
195700253
ADMINISTRATOR/
DIRECTOR:		LUSINE BAGHDASARYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 873-2233
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/11/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:24 AM
MET WITH:Applicant / Lusine BaghdasaryanTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 4/11/2024, at 9:24AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an announced follow up Pre-Licensing Inspection. The purpose of this visit is to ensure the corrections requested during the initial Pre-Licensing Inspection (conducted on 4/4/24) had been completed by the Applicant. This is a change of location for a Large Family Child Care Home, for a Capacity of 14 children - ages 2 years of age to 12 years of age. The family child care home will operate Monday through Sunday, 8AM to 12AM. Upon arrival, LPA met with Applicant / Lusine Baghdasaryan, who guided LPA on a tour of the inside and outside of the home. LPAs observed no children in care. At the time of visit, the applicant confirmed that she is not currently residing in the home until the application is approved. Applicant is currently licensed and is residing in Van Nuys, CA (#197494030).

During the initial Pre-licensing inspection, corrections were requested on the items listed below;

· The fireplace will be screened to prevent access by children.


· The kitchen is off-limits and will be made inaccessible by a baby gate.
· The grass area will be made off limits with the use of a removable gate.
· Applicant will remove the bricks and wooden stakes located in the back yard and submit proof of correction.
· Applicant will purchase lamps for bedrooms 1 and 2, as the rooms currently have no lighting.
· Applicant will purchase a safety mechanism/lock for the shed located in the back yard and submit proof of correction.
· Applicant will submit proof of completion for preventative health practices course including Childhood Nutrition and Lead Exposure. (Health & Safety Training, 8 hours / includes 1-hour Nutrition Training & 1-hour Lead Training)
· Applicant will submit a declaration stating that a cell phone with active service will be maintained in the home and be the main contact number while children are in care.
· Applicant will cover the water outlets that protrude from the wall located in the outdoor play area accessible to children, to prevent injuries.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
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: BAGHDASARYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700253
VISIT DATE: 04/11/2024
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During today's visit, LPA confirmed all corrections had been completed by the Applicant.

An exit interview was conducted and a copy of this report was issued to the Applicant / Lusine Baghdasaryan.

Final license determination will be made upon review by the Licensing Program Manager.

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC809 (FAS) - (06/04)
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