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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700107
Report Date: 06/26/2024
Date Signed: 06/26/2024 10:06:48 AM

Document Has Been Signed on 06/26/2024 10:06 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MKRTUMYAN & MKRTUMYAN FAMILY CHILD CAREFACILITY NUMBER:
195700107
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
06/26/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:59 AM
MET WITH:Karen MkrtumyanTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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 On 06/26/2024 Licensing Program Analyst ( LPA) Doris Whitmore conducted an announced inspection with Karen Mkrtumyan, for the purpose of observing the corrections from prior pre-licensing inspection 06/19/2024. At the time of the inspection Karen was the only one available. LPA Whitmore observed the following corrections: The bedroom where the children will be sleeping LPA Whitmore observed a changing table for the infants and a Bi- Folding Sliding Barn Door to cover the Mirrors. LPA Whitmore observed more materials for the infants a musical travel bar and Tambourine& Maracas Gift Set. LPA Whitmore took several pictures of the day care. The file will be given for managerial review prior to licensure. An exit interview was conducted with Karen Mkrtumyan.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
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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