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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494162
Report Date: 08/18/2022
Date Signed: 08/18/2022 02:36:08 PM

Document Has Been Signed on 08/18/2022 02:36 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:BARAKYOZYAN FAMILY CHILD CAREFACILITY NUMBER:
197494162
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
08/18/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Gevorg Barazyozyan - LicenseeTIME COMPLETED:
02:45 PM
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On 08/18/2022 at 1:15 pm Licensing Program Analyst Suzette Ornelas arrived to the Barazyozyan Family Child Care home for a capacity increase inspection for a large family child care. The facility has a completed 850 Fire Inspection report, a pull down fire alarm with light was added, no corrections are needed to the home.

LPA Ornelas completed a tour of the home inside and outside as well. Home is found to be in substantial compliance. A records file review of children present and licensee was conducted and all required forms are present including required licensing posted forms. The licensee will increase capacity for 14 children and a flyer was given to show how many children and their ages can be admitted to care. LPA provided licensee with information on infant safe sleep along with informative flyers. LPA also provided licensee with LIC311D -forms/records to keep at your family child care home, to ensure files are maintained up to date.

The room that will be used as the facility is spacious enough to fit 14 children as well as 14 cots/pack n plays. There are substantial toys and equipment for the increase in children. There a tables and chairs to eat along with three high chairs and 4 pack n play, play pens with enough cots for the capacity increase.

A copy of this report will be given to the licensee and a new license will be emailed and sent in the mail.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2022
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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