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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890279
Report Date: 11/17/2025
Date Signed: 11/17/2025 12:42:40 PM

Document Has Been Signed on 11/17/2025 12:42 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:ARMINTA STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191890279
ADMINISTRATOR/
DIRECTOR:
VIKEN KAZARIANFACILITY TYPE:
850
ADDRESS:7911 GOLL AVE.TELEPHONE:
(818) 765-4312
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 115TOTAL ENROLLED CHILDREN: 82CENSUS: 71DATE:
11/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Pricipal Viken KazarianTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
NARRATIVE
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on 11/17/25 at 10:15am Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced follow up case management inspection from 11/6/25 to follow up on an incident that was reported to the Department. LPA met with Pricipal Viken Kazariann, who guided LPA on a tour of the facility. There were 71 children and 19 staff present upon arrival.

During todays inspection, LPA obtained a copy of an emergency card, written expectations for students and staff and conducted an interview with Staff #3 S3.

On 10/28/25 two children were playing in the sandbox being supervised by 1 staff. Child #1 C1 hit Child #2 C2 on the head with a small shovel and C2 sustained a cut and contusion on the left side of the forehead. Per staff the child's head turned reddish purple and swell. A small amount of blood was seen from what look like a scratch. Per C2 The teacher was standing right thier looking at them in the sandbox when the incident happen. Per staff the incident happened in an instance and they immediately went to the child's aid after it happened. The staff called the parent, and sent photos through "Class Dojoe". Staff applied ice to the injury and after an hour the swelling went down. The parent arrived later to pick up the child. The child did not go to the doctor and returned to school the following day.

The shovel was a small kid size, hand size, metal shovel with a wooden handle and green tip. Per Staff #2 S2 the shovel was purchased to dig in the garden and they did not know how it ended up in the sandbox. Per Staff #1 S1 they did not realize the shovel was metal and thought it was plastic and removed it from the sandbox immediately after the incident. Per S3 they purchase tools for the students to use as apart of the outdoor nature activity to help with their fine motor skills.
NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Jeanine Lipsey
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: ARMINTA STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890279
VISIT DATE: 11/17/2025
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Per S3 to prevent this type of incident from happening again, the staff will continue to closely supervise the children when playing with the tools, They will continue to go over the expectations with the children before they go out, give the children steps they can take if the have a disagreement with their friends. They will remove the metal shovels from the sandbox and only use them when the children have direct supervision while planting plants.

Although the child was injured it was determined that it was not for lack of supervision.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Pricipal Viken Kazarian.


NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Jeanine Lipsey
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC809 (FAS) - (06/04)
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