195700215-6-23-2026-58-CC-DDOG-DV7W3J-20260619165600

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700215
Report Date: 06/19/2026
Date Signed: 06/23/2026 03:18:56 PM

Document Has Been Signed on 06/23/2026 03:18 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:	TALASYAN FAMILY CHILD CARE		FACILITY NUMBER:	195700215
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 8	DATE:	06/19/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:25 AM
MET WITH:	Varduhi Talasyan, Licensee		TIME VISIT/ INSPECTION COMPLETED:	05:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	This is an amended report of Original report written on 06/19/2026: The reports been amended to remove two of the citations issued. On 6/19/26 at 09:30 am Licensing Program Analyst (LPA), Dawn Dowling conducted an unannounced Annual Inspection and was met by Licensee, Varduhi Talasyan. Entrance checklist was provided. LPA observed eight children in care being supervised by licenses spouse. LPA observed an female adult enter home at 9:35 am, Licensee indicated that is her mother that also has a Family Child Care Home and is helping her for about an hour due to her being 8 weeks pregnant and she was helping this week with cooking as licensee was not feeling well. LPA informed licensee and mother that although she has a Family Child Care Home she is not associated with licensee's home and needs to be associated to the home as this a civil penalty. LPA observed mother was still in home at 11:42 am, licensee indicated she has assistants at her home and was staying longer to help out due to LPA being at residence. Capacity as specified on the license is being maintained. Days and hours of operation are Monday through Sunday , 24 hours; however; licensee indicates she does not have any children currently enrolled for overnight care. Licensee request to increase capacity to 14. LPA observed signed LIC 9149 Landlord consent to care for 12-14 children. Fire clearance granted on 3/16/2026. LPA observed the following required postings: License, PUB 394- Notification of Parents’ Rights Poster,LPA gave Licensee LIC 9148 Earthquake Preparedness Checklist to post on board. . LPA observed LIC 9040 Children Roster, LIC610A Emergency Disaster Plan, the disaster/fire drill log was last completed on 03/16/2026 at 10:40 am to 11:05 am. Page 1

NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

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 13

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: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
	VISIT DATE: 06/19/2026

NARRATIVE

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LPA toured the home inside and outside. The home is a single story, 5 bedrooms, 2 bathrooms, living room, dining room, kitchen, laundry room, backyard.

The children enter and exit the child care home from the facility side door, they have cubbies to store their personal property.

The areas that are accessible to children:

Bedrooms #4 and #5 are (childcare rooms)
bathroom #1 (there is a child gate that divides the hallway from the inaccessible areas of the home)
portion of backyard to the left of home that has grassy area for outdoor activities.

The areas are inaccessible to children in care:

Bedroom #1
Bedroom #2
Bedroom # 3
Living Room
Dining Room
Kitchen
Backyard area to the right of the home that is cemented.

LPA observed in Bedroom #4 and #5 chairs and tables, books, class room materials, toys, and play items that were safe, clean, and appropriate for the ages of the children in care. There were no play yards or cots for children in care. LPA informed licensee should she enroll infants she will need to have crib/play yard for infant child to nap.

LPA observed the children will have access to bathroom #1 located in the hallway near bedroom #2. There are two sinks with a vanity cabinet with personal items that is made inaccessible to children with the use of a

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 3 of 13

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: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
	VISIT DATE: 06/19/2026

NARRATIVE

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child proof latch. LPAs observed that the bathroom that children is safe, sanitary and no hazards were present.

The outdoor play area is located in the back of the house, is fenced, and the ground is covered with artificial grass. LPA observed there are toys and play equipment that are free of sharp pointed parts, in good repair, and appropriate for the ages of the children. LPA observed the cement area of the back yard that is off limits is separated by a gate.

Licensee stated that when a child shows signs of an illness the child will be isolated in the childcare room (Bedroom #4 or Bedroom #5) , whichever room that children in care are not using until a parent can come pick up child.

There is telephone service via a cellphone. LPA advised Licensee that if a cellphone is used it must remain in the child care home during the operation hours.

There is a combination smoke detector and carbon monoxide detector in all rooms of the home, smoke detector/carbon monoxide located in the hallway near the laundry room was tested and is operable. The fire extinguisher was last serviced on 03/18/2025,Licensee will need to have it serviced or purchase a new one..

LPA did observe a fireplace that has a screen in the living room. LPA did not observe any open-faced heaters. There are adequate heating and ventilation for safety and comfort.

LPA did not observe any pools, spas, hot tubs, fish ponds, or similar bodies of water during the inspection on the property. LPA observed 2 birds on the premises, cage is located in the kitchen. .

LPA observed firearm in safe with firing pin and ammunition attached. LPA informed licensee that ammunition shall be stored and locked separately per regulation. Licensee's spouse removed clip and ammunition and placed ammunition in a case separate from firearm. Per Licensee, poisons are stored in the shed in the outside area, LPA observed shed is on the off limit area of the backyard and is locked. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 4 of 13

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: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
	VISIT DATE: 06/19/2026

NARRATIVE

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**This page has been amended to remove wording pertain to the citations which were removed.**

Licensee was reminded that children in care are to be supervised at all times and made aware that children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for
sleeping children.

LPA reviewed children’s records and observed files have the following :

LIC 282- Affidavit Regarding Liability Insurance
Immunization Record
LIC 700- Identification and Emergency Information
LIC 627 Consent for Emergency Medical Treatment
LIC 995A- Notification of Parent's Rights

LPA reviewed Staff files as file, Licensee had the following:

Heart Saver Pediatric First Aid/CPR/AED issued by American Heart Association issued on 03/01/2023 expires 03/28.
Mandated Reporter Certificate issued 03/03/2026 expires 3/2028.
Declination of Influenza shot.
Proof of Immunization of Measles, Mumps, Rubella (MMR), Pertussis, TB Clearance.

Licensee Assistant file reviewed as follows:

Current Heart Saver Pediatric CPR/First Aid/AED issues by American Heart Association, issued on 09/17/2025 expires 9/2027.
Mandated Reporter Certificate issued 10/17/2025 expires 10/2027.
Proof of immunization of Measles, Mumps, Rubella (MMR), Pertussis
TB Clearance

Assistant did not have the following in file:

LIC 9052- Employee Rights
LIC 9108- Statement Acknowledging Requirement to Report Child Abuse

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 5 of 13

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: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
	VISIT DATE: 06/19/2026

NARRATIVE

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Licensee informed that the above documents need to be completed and placed in assistants file.

All adults who reside or work in the home have a criminal record clearance . There are no excluded individuals present at this home.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee currently does not have any infants enrolled in care, LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep
as an additional resource.
LPA informed licensee of having a crib or play yard for infant should licensee enroll any infants. PA also informed Licensee of the importance of checking for and removing any 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.

Licensee does not give medication to children in care, 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: https://www.ada.gov/resources/child-care-centers/.

During the exit interview, Varduhi Talasyan, Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 10 of 13

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: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
	VISIT DATE: 06/19/2026

NARRATIVE

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**This page has been amended to remove wording pertaining to the citations which were removed.**

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided.

Please complete the survey and share your inspection experience. If you have any questions
regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Licensee provides meals which consist of Breakfast, Snack, Lunch, Snack and Dinner. Licensee reminded if child brings food from home to ensure it is labeled with child's name and stored separate.

A notice of site visit was given and must remain posted for 30 days.

Before Capacity Increase approval the deficiencies need to be corrected on or before the due date of June 26, 2026.

Exit interview conducted and report was reviewed with the Varduhi Talasyan, Licensee.

Page 6

NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 13 of 13

Document Has Been Signed on 06/29/2026 10:27 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 06/23/2026 01:25 PM

Created By: Dawn Dowling On 06/19/2026 at 02:02 PM

Link to Parent Document Below:

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: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Type B

Section Cited

CCR

102416.1(a)(10)

(a) Personnel records shall be maintained on each employee and shall contain the following information: (10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in [1 out of 1 employee does not have personnel records on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/26/2026
	Plan of Correction
1 2 3 4	Licensee will have employee complete LIC 9052 and submit copy to LPA.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Betty Bell
NAME OF LICENSING PROGRAM MANAGER:

	Dawn Dowling
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 6 of 13

Document Has Been Signed on 06/19/2026 04:57 PM - It Cannot Be Edited

Created By: Dawn Dowling On 06/19/2026 at 02:02 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 1 employee does not have influenza shot or declination of influenza shot on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/26/2026
	Plan of Correction
1 2 3 4	Licensee will have assistant provide proof of influenza shot or declination of influenza shot and provide LPA with copy.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Betty Bell
NAME OF LICENSING PROGRAM MANAGER:

	Dawn Dowling
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 7 of 13

Document Has Been Signed on 06/19/2026 04:57 PM - It Cannot Be Edited

Created By: Dawn Dowling On 06/19/2026 at 02:45 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Fireplaces and open-face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in fire extinguisher was last serviced 03/18/2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/26/2026
	Plan of Correction
1 2 3 4	Licensee will purchase a Fire Extinguisher or have the one in the home serviced by 06/26/2026, Licensee will provide LPA with photograph of new Fire Extinguisher or photograph of new service tag.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Raul Navarro
NAME OF LICENSING PROGRAM MANAGER:

	Dawn Dowling
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 11 of 13

Document Has Been Signed on 06/19/2026 04:57 PM - It Cannot Be Edited

Created By: Dawn Dowling On 06/19/2026 at 03:46 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TALASYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700215
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102370(d)(2)

Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 102370(j) This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in licensee's mother does not have criminal background clearance transfer to licensee's facility which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/22/2026
	Plan of Correction
1 2 3 4	Licensee provided LIC 9182 Criminal Background Clearance Transfer Request to LPA along with copy of mother's Driver License to submit to Regional Office.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Raul Navarro
NAME OF LICENSING PROGRAM MANAGER:

	Dawn Dowling
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC809 (FAS) - (06/04)

Page: 12 of 13