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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494308
Report Date: 10/22/2025
Date Signed: 10/22/2025 01:51:47 PM

Document Has Been Signed on 10/22/2025 01:51 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:YEPREMYAN FAMILY CHILD CAREFACILITY NUMBER:
197494308
ADMINISTRATOR/
DIRECTOR:
HASMIK YEPREMYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 517-8911
CITY:NORTH HOLLYWOOD,STATE: CAZIP CODE:
91606
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 13DATE:
10/22/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Hasmik YepremyanTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 10/22/2025 at 12:30PM, Licensing Program Analyst (LPA) Angela Luz met with Licensee Hasmik Yepremyan to conduct an unannounced Plan of Correction (POC) inspection to follow up on deficiencies cited on 10/14/25. Also present at the time of inspection were 13 children (11 preschool, and 2 school age), assistant who is fingerprint cleared and associated to the facility, and one art instructor. The art instructor is present for one hour each week and is not left alone with children in care. The art instructor is exempt from requiring background clearance at this time.

On 10/14/25, two Type A deficiencies were cited:
  • Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. By plan of correction due date of 10/15/25, Licensee will submit proof that Staff 3 (S3) submitted a new application for criminal record clearance. Licensee understands that S3 cannot return to work until a clearance or exemption is granted. On 10/15/25, Licensee provided LPA with proof that S3 submitted a new application for criminal record clearance. During today's inspection, Licensee stated S3 has not come back because their fingerprints are pending. LPA did not observe S3 to be at the facility today. This deficiency is cleared.
NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Angela Luz
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2025
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: YEPREMYAN FAMILY CHILD CARE
FACILITY NUMBER: 197494308
VISIT DATE: 10/22/2025
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  • The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. By plan of correction due date 10/15/25, Licensee will submit a written declaration acknowledging the requirement for the number of children to be at or under the capacity listed on the license. The declaration will also include a plan on how to coordinate with families so that Licensee does not go over capacity. On 10/15/25 Licensee submitted a written declaration acknowledging the requirement for the number of children to be at or under the capacity listed on the license. During today's inspection, Licensee signed an additional declaration form to include the plan on how they will coordinate with families so that they do not go over capacity. This deficiency is cleared.


Also on 10/14/25, two Type B deficiencies were issued:
  • Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. By plan of correction due date 10/24/25, Licensee will submit a current roster of children. During today's inspection, Licensee provided LPA with a copy of the current roster of children. This deficiency is cleared.
  • Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. By plan of correction due date 11/14/25, Licensee will submit measles and pertussis immunization records and TB clearance for Staff 2 and Staff 3. During today's inspection, LPA observed S3's immunization against pertussis and measles, and a negative TB test. LPA observed Staff 2's immunization against pertussis and measles. Clearance for this deficiency is pending Staff 2's TB test.

During today's inspection, Licensee asked to add bedroom 2 as an ON LIMIT area. LPA inspected the room for health and safety. LPA advised bedroom 2 will be approved as on limits pending updated facility sketch and confirmation of fire clearance for the room. Bedrooms 1 and 3 will remain off limits.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee Hasmik Yepremyan.
NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Angela Luz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC809 (FAS) - (06/04)
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