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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494471
Report Date: 03/23/2021
Date Signed: 03/23/2021 02:54:32 PM

Document Has Been Signed on 03/23/2021 02:54 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ISGANDAROVA FAMILY CHILD CAREFACILITY NUMBER:
197494471
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
03/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:04 PM
MET WITH:Ilhama IsgandarovaTIME COMPLETED:
03:05 PM
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Tele-Visit via Face-Time.
A Case Management visit was conducted to inspect the facility before approving license for Large Family Child Care Home. Licensee is Russian speaking. Her sister, Ana Ahmadova helped her during the visit.
Licensee has been advised that an email shall be sent with the report attached, which has been reviewed during the Tele-Visit and a read receipt via email shall be considered an acknowledgement that they are in receipt of this form.
Margarit Sislyan, Licensing Program Analyst (LPA) met with Ilhama Isgandarova who guided analyst on a tele-tour at the facility. The facility was following Title 22 regulations.
Per facility sketch there is no pool or other bodies of water on the premises. During the tele-visit LPA did not observe pool or any other bodies of water on the premises.
There are age appropriate toys and equipment on the premises.
The following were discussed:
No smoking, no infant walkers, Johnny jumpers, exersaucers or any other item that falls into that category.
The LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements. Fingerprint clearance, transfer process and capacity / ratios. Regulation 102416.3 was explained and discussed
with applicant.
Novel Corona virus (COVID-19) Los Angeles County Department of Public Health Guidance for Early Childhood Education Providers.Additional information available at: www.publichealth.lacounty.gov
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available a Large: http://www.ada.gov/childqanda.htm.
License for Family Child Care will be granted.

Exit interview
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Margarit Sislyan
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2021
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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