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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494859
Report Date: 07/07/2021
Date Signed: 07/07/2021 03:04:22 PM

Document Has Been Signed on 07/07/2021 03:04 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:ILOULIAN FAMILY CHILD CAREFACILITY NUMBER:
197494859
ADMINISTRATOR:ORA ILOULIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 279-5808
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/07/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Judith IloulianTIME COMPLETED:
11:40 AM
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On 7/7/2021 at 9:00 AM, Licensing Program Analyst (LPA) Lillian Casillas conducted an announced Pre-Licensing Tele-Inspection via FaceTime. LPA Casillas met with the Licensee’s daughter, Judith Iloulian, who guided LPA Casillas on a tour of the inside and outside of the Family Child Care Home. Judith stated the Licensee was at Iloulian Family Child Care #197402938. LPA observed 0 adults and 0 children in care. Hours of operation are scheduled for Monday through Friday, 8:00am to 7:00pm.

Licensee is applying for a Large Family Child Care Home with maximum capacity for 14 children, ages 0 to 12 years old. Licensee is currently licensed for a Large Family Child Care Home at Iloulian Family Child Care #197402938.

This is a single-story house with 4 bedrooms, 3 bathrooms, dining room, living room, kitchen, and backyard. Childcare areas are: bedroom #1, bathroom #1, dining room, living room, and kitchen. Off-limits areas are: bedroom #2, bedroom #3, bathroom #2, bathroom #3, and backyard.

Indoor


Parents enter the property through a gate and driveway, then follow a concrete walkway to a side gate that leads to the entrance of bedroom #1. Bedroom #1 is the primary child care area. It features its own entrance and exit. In this room, LPA observed 1 couch, built-in closets lining one wall, 2 large mats, age-appropriate toys, books, and cubbies. Cleaning supplies are stored in the built-in closets and LPA observed a child safety latch on the closet door. The 2A10:BC fire extinguisher (serviced on 7/2021) is installed on the wall next to a filing cabinet where the Licensee will store the children's files and facility files. LPA observed a fire alarm and a functioning smoke/carbon monoxide detector next to the entrance door. LPA observed a First-Aid Kit located on the top shelf of a bookshelf situated next to the entrance door. A private bathroom with 1 toilet, 1 shower, and 1 sink is included in this room.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ILOULIAN FAMILY CHILD CARE
FACILITY NUMBER: 197494859
VISIT DATE: 07/07/2021
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In the kitchen, LPA observed a clean and organized refrigerator. LPA observed all knives stored in an upper cabinet, making the knives inaccessible to children. LPA observed a large dining table with 8 chairs in the dining room and a china cabinet with key locks on all cabinet doors. In the living room, LPA observed 1 table with 2 chairs and a tv mounted to the wall. The living room is not entirely moved in yet.

Indoor Off-Limits
Bedroom #2, bedroom #3, bathroom #2 are made inaccessible to children with key locks. Judith stated she will add child safety knobs to bedroom #4 and bathroom #3. Cleaning supplies are located in cabinets above the washer and dryer in a small room next to the kitchen.

Outdoor
Children will play and eat in the front patio directly outside of bedroom #3. This area is completely fenced. Children will eat on children's benches in the front patio. Judith stated that when the weather does not permit outdoor eating, the benches will be moved inside bedroom #3. The backyard can be accessed via bedroom #1 and sliding doors in the kitchen. The backyard includes a birdhouse room, which features a key lock, making it inaccessible to children.

Judith Iloulian stated there are no firearms or weapons of any kind in the facility at the time of the visit. LPA observed a parent board with the facility sketch, Emergency Disaster Plan, Notification of Family Child Care (PUB394), and a space for license,

Judith Iloulian agreed to meet with LPA Lillian Casillas together with the Licensee on 7/8/2021 at 4:00 PM for a second pre-licensing inspection. By the second inspection, Judith agreed to correct the following items:


  • All day care furniture (benches and toys) placed in front patio


An exit interview was conducted with Judith Iloulian (Licensee's daughter) at 11:40 PM and a copy of this report (LIC809) was sent to Judith via email. Judith agreed to reply to the email in lieu of a signature.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC809 (FAS) - (06/04)
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