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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700667
Report Date: 03/13/2025
Date Signed: 03/13/2025 11:09:26 AM

Document Has Been Signed on 03/13/2025 11:09 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:BARSEGIAN FAMILY CHILD CAREFACILITY NUMBER:
197700667
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
03/13/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Gaiane Barsegian, LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 3/13/2025 LPA Isabel Ortega conducted a Case Management inspection as Licensee is requesting to increase capacity from a Small Family Childcare Home of 8 children to a Large Family Childcare Home with a capacity up to 14 children. LPA announced the purpose of the inspection and was granted entry by Licensee. A tour of the facility was completed. Upon arrival LPA observe six children in care and two staff providing care and supervision.

Licensee was initially licensed on 07/17/2023 as a Small Family Childcare Home. The Fire Department has inspected the home and granted a fire clearance for 14 children on 03/12/2025. Family

This is a one-story family home which consists of 3 bedrooms, 2 restrooms, a kitchen, dining room, living room, one shed and back yard. There is another back home with a different address on the same premises. The second home is separate and gated all around inaccessible to children in care. The dining room and living room is the primary location in which care is provided referred to as the Child Care Play area. Bedroom #2 is utilized for napping (door remains open while children are napping). Children utilize the restroom located to the right from the main entrance of the home to the next to the napping which is room #2. The off-limit areas are the master bedroom #1 and bedroom #3 office (maintained key locked) and the shed maintained locked utilized for equipment and toy storage.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BARSEGIAN FAMILY CHILD CARE
FACILITY NUMBER: 197700667
VISIT DATE: 03/13/2025
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Childcare Home operates Monday through Saturday from 8 :00 a.m. to 5:00 p.m.
The facility Participates in the Food Nutrition Program and provides breakfast, morning snacks, lunch, afternoon snack and dinner as needed.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. There are age-appropriate toys and equipment on the premises.


According to licensee there are no bodies of water on the premises. LPA did not observe any bodies of water. Per the licensee there are no weapons or firearms of any kind in the facility, nor did the LPA observe any weapons during inspection. LPA observed cots and playpens for infants when napping.

The backyard is utilized by the children for outside play and the yard is fenced all around. The outdoor play area was inspected and play equipment was observed to be free of hazards, loose and sharp parts. LPA observed age-appropriate toys both inside and outside of the home.

The facility’s fire extinguisher (2A10BC) is reading in green and met the State Fire Marshal standards. Licensee has a smoke and carbon monoxide detector found them to be in operable condition. The facility annual fees are current. The parent board was reviewed and had all the required forms posted and accessible to parents.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BARSEGIAN FAMILY CHILD CARE
FACILITY NUMBER: 197700667
VISIT DATE: 03/13/2025
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Licensee is reminded with a capacity increase she must have a qualified assistant present whenever she has more than 8 children in care. Licensee was provided with a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following 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 at http://www.ada.gov/childqanda.htm


Licensee was reminded with a capacity increase she must have a qualified assistant present whenever she has more than 8 children in care. Licensee was provided with a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time.

Licensee has met Title 22 regulations; Fire clearance was granted 3/12/2025, therefore, a Large Family Childcare Home License with a capacity of 14 children will be requested effective 03/13/2025.



An exit interview was conducted, and a copy of this report, appeal and notice of site visit was provided to Licensee on this day. All Licensing reports are recommended to be kept on file for a minimum of three years.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
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