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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700209
Report Date: 01/22/2024
Date Signed: 01/22/2024 10:46:15 AM

Document Has Been Signed on 01/22/2024 10:46 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:EDINELYAN FAMILY CHILD CAREFACILITY NUMBER:
195700209
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
01/22/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Azatuhi Edinelyan, LicenseeTIME COMPLETED:
10:50 AM
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On January 22, 2024 at 10:25 am Licensing Program Analyst (LPA) Silva Garibyan met in-person with Licensee Azatuhi Edinelyan. Also present was Artur Ghevinyan, Licensee's husband. The purpose of the meeting is to deliver an amended page of the pre-licensing report issued on 11/09/2023 and hand deliver the facility license as the licensee has requested to pick up the license in person.

The original report was amended to remove wording from Page 2 of 5.


Exit interview conducted and report was reviewed with Licensee Azatuhi Edinelyan.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2024
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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