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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700247
Report Date: 04/16/2021
Date Signed: 04/16/2021 11:11:00 AM

Document Has Been Signed on 04/16/2021 11:11 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ESSMAILIAN FAMILY CHILD CAREFACILITY NUMBER:
197700247
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/16/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Selineh Essmailian, LicenseeTIME COMPLETED:
11:45 AM
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On 4/16/2021 Licensing Program Analyst (LPA) Monique Ayala conducted a Case Management inspection for the purpose of a capacity increase.LPA was greeted by licensee. Due to COVID-19 Emergency Response this inspection was conducted virtually. LPA virtually toured the facility and took a census of the children. There are 0 children in care. The hours of operation are 8am to 5:30pm Monday through Friday.

The facility is currently licensed for a capacity of 8 children. The day care area is provided rear bedroom, bathroom located on the right side of the hall and rear yard.

The LPA inspected the facility and found the facility to be clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. LPA observed age appropriate toys and materials.

LPA reviewed infant safe sleep regulation, ratios and COVID-19 guidance with licensee.

The facility has requested an increase of capacity from 8 to 14 on 06/29/2020. Fire clearance was granted on 04/12/2021. Capacity will be approved of today, 04/16/2021.



An exit interview was conducted, a copy of this report along with Notice of Site Visit was provided to the licensee via email.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2021
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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