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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493839
Report Date: 03/16/2023
Date Signed: 03/16/2023 04:05:07 PM


Document Has Been Signed on 03/16/2023 04:05 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:MKRTCHYAN FAMILY CHILD CAREFACILITY NUMBER:
197493839
ADMINISTRATOR:MKRTCHYAN, ARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 406-7898
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY:14CENSUS: 14DATE:
03/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:12 PM
MET WITH:MKRTCHYAN, ARMEN- LicenseeTIME COMPLETED:
04:15 PM
NARRATIVE
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On 3/16/2023 at 2:12pm Licensing Program Analyst (LPA) Suzette Ornelas made unannounced plan of correction visit. During the previous visit on 10/26/2022, LPA cited CCR 102416.3(b) The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.

LPA Ornelas met with Armen Mkrtchyan, Licensee. LPA toured the facility per facility sketch and observed 14 children in care supervised by 2 staff in the on limits day care room asleep for nap time.

The violations previously cited have yet to be cleared.

Per licensee, contractor has been to his home and provided estimate to take entire gate down; however, he is attempting to alter the gate to comply with the city instead of having to entirely remove it. Additionally, licensee stated that he is currently waiting on inspector Bryan Bunker to visit the home to inform him on what can be done to alter the gate instead of having to completely remove it.

Licensee further stated that he is hopeful progress will be made by 07/16/2023 which is the POC date.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: CCR 102416.3(b) The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction. (see next page, 809 D) Licensee was provided a copy of their appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023
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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Document Has Been Signed on 03/16/2023 04:05 PM - It Cannot Be Edited

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: MKRTCHYAN FAMILY CHILD CARE

FACILITY NUMBER: 197493839

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/16/2023
Section Cited

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CCR 102416.3(b)
The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.
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Licensee will lower the gate to meet city requirements of being 42". POC due date: 07/16/2023.
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Based on LPA observation and statements made by licensee, he is currently working with the city to resolve this.
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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: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023
LIC809 (FAS) - (06/04)
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