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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700194
Report Date: 10/16/2023
Date Signed: 10/16/2023 02:16:39 PM

Document Has Been Signed on 10/16/2023 02:16 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:HOVAKIMYAN FAMILY CHILDCAREFACILITY NUMBER:
195700194
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/16/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:LILIT HOVAKIMYAN, APPLICANTTIME COMPLETED:
02:30 PM
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On 10/16/2023, Licensing Program Analyst (LPA) Loyce Phillips conducted an announced Pre-Licensing inspection with Applicant, Lilit Hovakimyan. This inspection is due to an application received for a small family childcare license. Applicant resides in the home with 2 adults and 2 minor children. All adults have criminal record clearance. Applicant guided LPA on a tour of the home and intends to operate Monday through Friday from 7:00am to 8:00pm. Applicant intends to provide breakfast, lunch dinner and am/pm snacks to children.

Applicant does not have child-care insurance. The areas identified on the facility sketch were inspected. This is a 5 bedrooms, 3 bathroom home with living room, dining area, kitchen, breakfast nook, laundry room and attached garage.

Areas that are accessible to children are as follows: Living room, dining area, breakfast nook, kitchen, bathroom #3 and the backyard for outdoor play activities. LPA observed age appropriate safe toys, play equipment and materials for children.

The off-limits areas are as follows: All bedrooms, bathroom #1, #2, laundry room and garage. All rooms are made inaccessible by locked doors. Applicant advised the doors will remain locked during child care hours.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation. Poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible. The home has a fireplace that is screened and inaccessible. Applicant advised; children will nap on cots. Applicant has a smoke detector and carbon monoxide that was tested and working properly. LPA observed Fire Extinguisher purchase on 5/9/2023 located in the laundry room. LPA observed a first aid kit. Medications observed in the refrigerator located in the garage. Knives are stored in a kitchen drawer inaccessible to children. Cleaning products are kept in the garage inaccessible to children.

LPA reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: HOVAKIMYAN FAMILY CHILDCARE
FACILITY NUMBER: 195700194
VISIT DATE: 10/16/2023
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resources. LPA also informed Applicant 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. LPA provided Recently Approved Safe Sleep Regulations PIN 20-24-CCP.

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: http://www.ada.gov/childqanda.htm

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletter and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cd.ss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, the facility is approved for a License pending managers approval.

Exit interview conducted and report was reviewed with Applicant, Lilit Hovakimyan.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023
LIC809 (FAS) - (06/04)
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