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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408278
Report Date: 02/04/2025
Date Signed: 02/04/2025 03:40:06 PM

Document Has Been Signed on 02/04/2025 03:40 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:AKHAMZADEH FAMILY CHILD CAREFACILITY NUMBER:
197408278
ADMINISTRATOR/
DIRECTOR:		AKHAMZADEH, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 286-0854
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: DATE:
02/04/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Licensee Monica Akhamzadeh TIME VISIT/
INSPECTION COMPLETED:
03:55 PM
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On 02/04/2025, Licensing Program Analyst (LPA) Amelia Morales conducted an unannounced- Required 3 Year inspection to the above facility. The purpose of the inspection was to ensure that health, safety, and personal rights as required by Title 22 Regulations governing California Family Child Care Homes are being met by the Licensee. LPA met with Licensee Monica Akhamzadeh, who guided analyst on a tour of the home. An entrance checklist was provided. A census was taken right before children were picked up by parents, there were 9 children during the time of the visit and 1 staff member. The children’s roster was reviewed and is current. Per licensee, the facilities hours of operation are Monday through Thursday 9:00 AM to 1:00PM, and Fridays 9:00AM to 12:00PM.

This is a two story home which includes: six bedrooms, five bathroom, kitchen, dining room, living room, family room, laundry room, backyard, and a detached garage. The five bedrooms and three bathrooms are located on the second floor and one bedroom (office) on the first.

Per Licensee, areas off limits to children in care includes: living room, dining room, bathroom #1 (powder room), and bedroom #1(office) that is on the first floor. The areas off limits is the whole second floor which includes the five bedrooms, laundry room, bathroom #3, bathroom #4 and bathroom #5. The second floor is barricaded with a baby gate making the stairs and second floor inaccessible to the children in care.

Per Licensee, areas that are accessible to children include: the kitchen, bathroom #2, family room and backyard. Per licensee, the facility does not provide food for children in care. Licensee was reminded if children bring food from home, it must be labeled with the child’s name and properly stored or refrigerated.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: AKHAMZADEH FAMILY CHILD CARE
FACILITY NUMBER: 197408278
VISIT DATE: 02/04/2025
NARRATIVE
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LPA observed the following: the home is clean and orderly. There were age-appropriate toys and play items. Licensee was informed that baby-walkers, bouncers, jumpers, and other prohibited items will not be used for children in care. All electrical outlets have safety covers. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked with a key or combination lock. Per licensee, there are no pets, LPA did not observe any pets at the time of visit. Per Licensee, isolation area for sick children is in the living room couch. The main entry door is used to enter the facility. The home is not equipped with surveillance cameras. LPA observed mats for napping purposes.

The home has a fireplace that is barricaded and located in the living room. Per Licensee the fireplace is inoperable.

The combination smoke/carbon monoxide is located in hallway right before bathroom #2, tested and found to be operable. The required (2A10BC) fire extinguisher was observed in the kitchen and was purchased on December 2024. LPA Morales observed a completed first aid kit.

Per Licensee, children utilize the back yard. LPA observed that the outdoor play area is fenced. Per applicant, when children are having outside time, they will ensure 100% supervision and never leave children unattended. There were no bodies of water present. 

The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. Per Licensee Mandated Reporter training is not current, Licensee stated they will take the course again. LPA Morales informed Licensee that Mandated Reporter training certification must be taken every two years as well as the Pediatric First Aid CPR.

— Pediatric First Aid and CPR Card valid until: 3/3/2026
— Mandated Reporter AB1207 is not current.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: AKHAMZADEH FAMILY CHILD CARE
FACILITY NUMBER: 197408278
VISIT DATE: 02/04/2025
NARRATIVE
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and­resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.


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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/04/2025 03:40 PM - It Cannot Be Edited


Created By: Amelia Morales On 02/04/2025 at 03:21 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: AKHAMZADEH FAMILY CHILD CARE
FACILITY NUMBER: 197408278

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in having a current mandated reporter training certification, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/04/2025
Plan of Correction
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Per Licensee, they will provided proof of current Mandated reporter certification, by emaill by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Betty Bell
LICENSING EVALUATOR NAME:Amelia Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025


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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: AKHAMZADEH FAMILY CHILD CARE
FACILITY NUMBER: 197408278
VISIT DATE: 02/04/2025
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Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Monica Akhamzadeh , confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Monica Akhamzadeh .












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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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