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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494835
Report Date: 08/31/2022
Date Signed: 09/07/2022 08:33:43 AM

Document Has Been Signed on 09/07/2022 08:33 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:ASATRYAN AND OUZOUNIAN FAMILY CHILD CAREFACILITY NUMBER:
197494835
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
08/31/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:OFELYA ASATRYAN & PAUL OUZOUNIAN, LICENSEESTIME COMPLETED:
12:30 PM
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On 08/31/2022 Licensing Program Analyst (LPA), Lisa Clayton conducted an Announced Capacity Increase Inspection. Present during the inspection were Licensees Ofelya Asatryan and Paul Ouzounian, and their fingerprint cleared assistant Jaklin Shahbazian. LPA Clayton observed 8 children in being supervised and care for appropriately. Operating hours are Monday – Friday, 8:30am – 4:30pm. Licensee will provide breakfast, lunch, and am/pm snacks.

LPA toured the home inside and outside for a Health and Safety inspection. The two story home consists of the following: 4 bedrooms, 4 bathrooms, living room, family room, formal dining room, kitchen, laundry room, attached garage, and fenced front yard and fenced backyard.

The ON-LIMIT areas are as follows: bedroom #2 (napping/eating room), bathroom #2, converted garage (day care play area), kitchenette, and fenced front yard.

The OFF-LIMIT areas are: the kitchen, living room, formal dining room, laundry room, family room, Master bedroom and bathroom, and bathroom 3 (all downstairs), bedrooms 3 and 4, and bathroom 4 (all upstairs) and the backyard all of which are made inaccessible by locked doors, child safety gates and supervision.

The day care area has 2 working carbon monoxide detectors, a working smoke detector, and 2 fully charged 2A10BC fire extinguisher. A Fire Clearance by the LACFPB was granted on 08/12/2022. The home is neat and clean and has adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed.

The Per the licensee, there are no firearms in the home. The fountain in the backyard is free of water. Any detergents, cleaning compounds, medication, poisons and other hazardous items are made inaccessible to children.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Capacity as specified on the license is being maintained.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2022
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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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: ASATRYAN AND OUZOUNIAN FAMILY CHILD CARE
FACILITY NUMBER: 197494835
VISIT DATE: 08/31/2022
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California Law requires Family Child Care Home Licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented. Please report Telephone number changes and/or if you move from home.

Update on Incidental Medical Services (IMS):


Currently, the facility does not provide Incidental Medical Services. Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. IMS Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag. Incidental Medical Services (IMS) policy was discussed. For further IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417.

LPA discussed with Licensee the process of childcare during a pandemic: facial coverings in day care, social distancing, hand washing hygiene, postings, and cleaning and disinfecting of surfaces and high traffic areas. Children should follow social distancing when indoors. LPA Clayton discussed isolation area with Licensee when children are sick. LPA discussed the importance and process of health screenings for children upon arrival to the facility. LPA also provided resources and materials as well as links for COVID-19 to assist the provider. LPA also discussed the proper way to clean and disinfect items used daily throughout the day care, by submerging toys in or spraying with disinfectant and allowing enough contact time prior to wiping down.

As of 08/31/2022, this home is recommended for an increase of capacity. There are no deficiencies cited today. The report will remain on file for three years. Exit interview was conducted, and the report was reviewed with Licensee Ofelya Asatryan.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC809 (FAS) - (06/04)
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