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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417713
Report Date: 03/20/2025
Date Signed: 03/20/2025 03:50:28 PM

Document Has Been Signed on 03/20/2025 03:50 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:GEVORKYAN FAMILY CHILD CAREFACILITY NUMBER:
197417713
ADMINISTRATOR/
DIRECTOR:		GEVORKYAN, TERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 744-7230
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
03/20/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Teresa Gevorkyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 03/20/2025 at 03:00 PM, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced Plan of Correction (POC) Visit. LPA identified self and met with Teresa Gevorkyan, Licensee. LPA identified self, reason for the visit, and toured the inside and outside of the facility. There were 7 children and no additional staff present.

During today's visit, LPA cleared the Plan of Correction for the Type B Deficiency cited on 03/13/2025 for 102417(g) Operation of A Family Child Care Home.

LPA observed the trampoline has been removed from the facility play yard, obtained photographs of the facility play yard, observed that the trampoline is no longer on the facility grounds, and provided Licensee with POC Cleared Letter.

A Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to comply with posting requirement will result in an immediate civil penalty of $100.00.

Exit interview was conducted with Teresa Gevorkyan, Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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