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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493669
Report Date: 05/02/2025
Date Signed: 05/07/2025 09:49:06 AM

Document Has Been Signed on 05/07/2025 09:49 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:ABBASI FAMILY CHILD CAREFACILITY NUMBER:
197493669
ADMINISTRATOR/
DIRECTOR:		HAJRA ABBASSIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 747-9723
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
05/02/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Lincensee / Hajra AbbasiTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 5/2/25, at 1PM, Licensing Program Analyst (LPA) Joe Katrdzhyan and Licensing Program Manager (LPM) Rita Ramos conducted an Unannounced Required – 3 Year inspection to the above facility. Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee, Hajra Abbasi who guided the LPA and LPM on a tour of the facility. Adults in the home were discussed, however LPA and LPM observed two adults present in the licensed family child care home without a criminal record clearance. There were 3 day care children present, which are the Licensee's own children. Licensee states that there are currently zero (0) children enrolled. Per licensee, the facility’s hours of operation are Monday - Friday, 7AM - 6PM. Emergency Disaster Plan and License were posted at the time of inspection. Disaster drill log was not available during today’s inspection.

This is a single story home in which Licensee's own admission, construction occurred in 2021 which was not reported to the Department. LPA and LPM observed at least 6 room additions which were not noted on the original licensed facility sketch. LPA and LPM observed that Licensee added a chicken coop with hens and chickens. Per Licensee, all spaces and rooms are accessible to children if there were children in care. LPA and LPM observed knives located inside the kitchen and personal items in the bathrooms left accessible to children in care. Although Licensee stated that there are no children enrolled, LPA and LPM advised Licensee that their own children under the age of 10 are included in the licensed capacity. When touring outdoors, LPA and LPM observed a heater, fire pit, electrical cord, paint, gardening tools, lighter and cleaning chemicals left accessible to children in care (pictures were taken). LPA and LPM also observed a trailer in the outside activity area which is being used as an office. LPA and LPM did not observe any gates or barriers separating this facility from the facility located in the back, BEGUM FAMILY CHILD CARE #197494350.
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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Joe Katrdzhyan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: ABBASI FAMILY CHILD CARE
FACILITY NUMBER: 197493669
VISIT DATE: 05/02/2025
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Due to time constraints, a continuation visit will take place at a later time to address additional deficiencies and inspection conducted on today's date of 05/02/25. However, during today's visit, the following Type A deficiencies and civil penalties are being cited and addressed;
  • LPA and LPM observed two adults present in the licensed family child care home without a criminal record clearance. A civil penalty of $200 was assessed during today's visit.
  • This is a single story home in which Licensee's own admission, construction occurred in 2021 which was not reported to the Department. LPA and LPM observed at least 6 room additions which were not noted on the original licensed facility sketch. LPA and LPM also observed a trailer in the outside activity area which is being used as an office.
  • Per Licensee, all spaces and rooms are accessible to children if there were children in care. LPA and LPM observed knives located inside the kitchen and personal items in the bathrooms left accessible to children in care. When touring outdoors, LPA and LPM observed a heater, fire pit, electrical cord, paint, gardening tools, lighter and cleaning chemicals left accessible to children in care (pictures were taken). LPA and LPM did not observe any gates or barriers separating this facility from the facility located in the back, BEGUM FAMILY CHILD CARE #197494350.


The following deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6 (refer to 809D).

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report


documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive
days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this
report shall be provided to the parent/guardian of children currently enrolled by the next business day or
immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly
enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be
maintained in each child ’s file immediately upon receipt from parent. Licensee was provided with a copy of
the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Licensee and Appeals Rights provided.


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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Joe Katrdzhyan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/07/2025 09:49 AM - It Cannot Be Edited


Created By: Joe Katrdzhyan On 05/02/2025 at 02:22 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABBASI FAMILY CHILD CARE
FACILITY NUMBER: 197493669

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/05/2025
Section Cited

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Personnel Requirements. Prior to employment or initial presence in the child care home, all employees and volunteers subject to a criminal record review shall: Obtain a California clearance or a criminal record exemption as required by law or Department regulations.
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This requirement was not met as evidenced by: During today's visit, LPA and LPM observed two adults present in the licensed family child care home without a criminal record clearance. A civil penalty of $200 was assessed during today's visit. This poses an immediate health, safety or personal rights risk to persons in care.
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proof to CCL by the POC due date.
Type A
05/05/2025
Section Cited

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Alterations to Existing Buildings or Grounds. Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Room additions to the family child care home.
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This requirement was not met as evidenced by: This is a single story home in which Licensee's own admission, construction occurred in 2021 which was not reported to the Department. LPA and LPM observed at least 6 room additions which were not noted on the original licensed facility sketch. LPA and LPM also observed a trailer in the outside activity area which is being used as an office. This poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Rita Ramos
NAME OF LICENSING PROGRAM MANAGER:
Joe Katrdzhyan
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/07/2025 09:49 AM - It Cannot Be Edited


Created By: Joe Katrdzhyan On 05/02/2025 at 02:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABBASI FAMILY CHILD CARE
FACILITY NUMBER: 197493669

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/05/2025
Section Cited

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Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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This requirement was not met as evidenced by: Per Licensee, all spaces and rooms are accessible to children if there were children in care. LPA and LPM observed knives located inside the kitchen and personal items in the bathrooms left accessible to children in care. When touring outdoors, LPA and LPM observed a heater, fire pit, electrical cord, paint, gardening tools, lighter and cleaning chemicals left accessible to children in care (pictures were taken). LPA and LPM did not observe any gates or barriers separating this facility from the facility located in the back, BEGUM FAMILY CHILD CARE #197494350.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Rita Ramos
NAME OF LICENSING PROGRAM MANAGER:
Joe Katrdzhyan
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2025


LIC809 (FAS) - (06/04)
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