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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495168
Report Date: 09/30/2022
Date Signed: 10/03/2022 11:01:58 AM

Document Has Been Signed on 10/03/2022 11:01 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:GRIGORYAN & KHECHIKYAN FAMILY CHILD CAREFACILITY NUMBER:
197495168
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
09/30/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Sofya Khechikyan and Gohar GrigoryanTIME COMPLETED:
04:20 PM
NARRATIVE
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Forum: Zoom
Date: 09/30/2022 at 4:00 p.m.
Claudia Escobedo, Licensing Program Manager (LPM)
Judy Laureano, Licensing Program Analyst (LPA)
Gohar Grigoryan, Applicant -Sofya Khechikyan, Applicant

The purpose of this Informal Meeting is to discuss a pending application for a small family childcare home license.

Areas of concern:
· Sofya Khechikyan is the Director at Prime Residential Senior Care - 197609950

Operation of a Family Child Care Home
102417(a) – Operation of Family Child Home - The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

During visits by Licensing Program Analysts (LPA) to the home they will be looking to see that both Licensees are present in the home.

Due to Sofya Kchechikyan being listed as the Director at Prime Residential Senior Care, we do not believe that Soyfa is able to meet the supervision duties to maintain both locations and licenses.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2022
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: GRIGORYAN & KHECHIKYAN FAMILY CHILD CARE
FACILITY NUMBER: 197495168
VISIT DATE: 09/30/2022
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Applicant agrees to do the following to complete application process by the following dates:
Submit an updated LIC279 reflecting Gohar Grigoryan as the sole applicant. Sofyan Kchechikyan will submit a signed statement stating she will be removed from the application, LIC 279, and only Gohar Grigoryan will be the applicant.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022
LIC809 (FAS) - (06/04)
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