<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700216
Report Date: 08/13/2024
Date Signed: 08/13/2024 11:22:24 AM

Document Has Been Signed on 08/13/2024 11:22 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:MNATSAKANYAN FAMILY CHILD CAREFACILITY NUMBER:
195700216
ADMINISTRATOR/
DIRECTOR:		GOR MNATSAKANYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 307-6870
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91403
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/13/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Gor Mnatsakanyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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 meeting was conducted in English and Armenian.

On 8/13/24, at 10AM, Licensing Program Manager (LPM) Rita Ramos and Licensing Program Analyst (LPA) Joe Katrdzhyan met with Licensee, Gor Mnatsakanyan, for an in-person informal meeting at the El Segundo North Regional Office.

The purpose of the informal meeting was to discuss information and documentation submitted to the Department showing legal separation from ex-wife Shushanik Grigoryan. Licensee, Shushanik Grigoryan is also a licensed Family Child Care Provider, license # 197493473 / Grigoryan Family Child Care. Gor Mnatsakanyan had agreed to submit the documentation showing legal separation no later than 07/05/24. Gor Mnatsakanyan provided divorce documentation on 06/07/24.

In review of the divorce documentation submitted, it was discovered that the documents are from the state of Nevada and they indicate that the place of residence for Licensee was a Nevada residence. Per Gor Mnatsakanyan, they used to reside in Nevada during the approximate period of October 2019 - March 2020 (6 - 8 months). A written declaration was provided during the meeting.

Per Licensee, they resided in the city of Sherman Oaks, CA from 2013 to 2018 when they were married.

LPM and LPA asked Licensee when they were residing in Nevada during the period of 6 - 8 months, who was providing licensed child care at Grigoryan and Mnatsakanyan Family Child Care #197494320 in which he obtained a Family Child Care Home license effective 09/30/19. Per Gor, the Co-licensee /
Hovhannes Grigoryan was either caring for children in care or was probably closed due to COVID-19. Gor does not know because he was residing in Nevada.

Pg. 1 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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: MNATSAKANYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700216
VISIT DATE: 08/13/2024
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
26
27
28
29
30
31
32
Based on disclosure and information provided during today’s informal meeting, LPM and LPA advised Licensee, Gor Mnatsakanyan, that a discussion will be held with the Regional Manager to determine if anything else will be requested of Licensee.

An exit interview was conducted with Licensee / Gor Mnatsakanyan and a copy of this report was provided.


Pg. 2 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2