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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700344
Report Date: 02/18/2026
Date Signed: 02/18/2026 05:24:50 PM

Document Has Been Signed on 02/18/2026 05:24 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:HAKOBYAN FAMILY CHILD CAREFACILITY NUMBER:
195700344
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
02/18/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:08 PM
MET WITH:Gohar Hakobyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
05:35 PM
NARRATIVE
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On February 18, 2026, at approximately 1:08 PM, , Licensing Program Analyst (LPA) Dawn Dowling conducted an unannounced, case management visit. Licensee let LPA Dowling in and gave LPA a tour of the home. LPA met with Licensee and explained the purpose of the visit, Licensee does not speak English well and telephoned her daughter to assist in translating. At 1:20 PM Licensee's daughter and granddaughter arrived and assisted Licensee with inspection by translating. Present during LPA's visit included the licensee, Assistant, daughter, granddaughter and 5 children in care. All adults are fingerprint cleared.

Licensees requested to increase capacity from a small family child care home to a large family child care home. Capacity increase application was submitted to the department October 06, 2025. Fire clearance approval was obtained on January 27, 2026.

Licensee lives alone in the home. Licensee was reminded if children live in the home under 10 years old, they are counted towards overall capacity. All adults living and/or working in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 8:00 AM to 12:00 AM.

Home consists of 3 Bedrooms, 2 bathrooms, Living room, Kitchen(inside there is a Dining room area), Laundry room (located outside by back yard- (kept locked), Front Yard, Back yard,
On Limit Areas of home:
  • Bedroom #1- play area and isolation room


Page 1
NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2026
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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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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700344
VISIT DATE: 02/18/2026
NARRATIVE
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  • Bedroom#2-Napping area there are 8 beds currently in place
  • Bathroom #1- Used for children in care
  • Living Room- Main Child Care room (Licensee will place additional (6) beds/mats in living room to accommodate for capacity increase. There is a fireplace in the living room but made inaccessible to children in care( fireplace is inoperable there is a wooden cubby storage area making it inaccessible to children in care)
  • Back Yard
OFF Limit Rooms:
  • Bedroom #3- Licensee's bedroom
  • Bathroom #2 -Located in Bedroom #3- Licensee's area.
  • Front Yard
  • Upper Portion of back yard has gate with lock surrounding it and inaccessible to children in care.
  • Front Yard
  • Kitchen- has child proof gate making it inaccessible to children in care.
  • Laundry Room( near back yard has lock on door-inaccessible to children in care)

The home is equipped with a fully charged fire extinguisher that was purchased from Home Depot on 12/11/2025, a first aid kit, and smoke and carbon monoxide detectors. Licensee's daughter tested the carbon monoxide and smoke detector, they were operable.

Capacity limits and ratios for a large family day care home were reviewed with the licensee on this date. The LPA reminded the licensee that an assistant must be present when operating under a large license. Licensee was reminded that anyone working in the home must be fingerprint cleared and have Mandated Reporter Training Certificate, Proof of Immunization of Measles, pertussis and Influenza (or declination of influenza), TB Clearance or risk assessment. LIC 9052- Employee Rights, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse. Current Pediatric CPR and First Aid Certification issued by American Red Cross or the American Heat Association or by approved Emergency Medical Services Authority (EMSA) Vendor.

Licensee provided LPA with the following:

  • Mandated Reporter Certificated issued 01/09/2026 expires 01/2028.

Page 2
NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC809 (FAS) - (06/04)
Page: 3 of 10
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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700344
VISIT DATE: 02/18/2026
NARRATIVE
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  • Proof of Immunization of Measles, Mumps, Rubella (MMR) Pertussis
  • TB clearance

Assistant had the following on file:
  • LIC 9052- Employee Rights
  • LIC 9108- Statement Acknowledging Requirement to Report Child Abuse
  • Proof of Immunization for Measles, Mumps, Rubella (MMR), Pertussis

Assistant did not have the following on file:
  • Mandated Reporter Certificate
  • TB Clearance or risk assessment
  • Current Pediatric CPR and First Aid Certificate issued by American Red Cross or the American Heart Association, or by an approved Emergency Medical Services Authority (EMSA) vendor (must be taken in person and not online)

LPA reminded the licensee that when an assistant is not present, licensee must operate within capacity limits of a small family child care home

Entrance Checklist was provided to the applicant, LPA Dowling went over what Records to make available during inspection for Licensee/Assistant and for Children's Records.

Licensee did not have Verification of Disaster and Fire Drills.

Licensee will provide proof or declination of Influenza (flu) shot for herself and assistant.

Deficiencies were issued during today's visit.

Page 3

NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC809 (FAS) - (06/04)
Page: 10 of 10
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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700344
VISIT DATE: 02/18/2026
NARRATIVE
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 A notice of site visit was given and must remain posted. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Capacity increase is pending, Licensee will need to correct the deficiency that were issued.

Once LPA Dowling receives proof of corrections, LPA Dowling will submit file to Licensing Program Manger for approval.

Exit interview conducted and report was reviewed with the licensee, Gohar Hakobyan.

Page 4

NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC809 (FAS) - (06/04)
Page: 4 of 10
Document Has Been Signed on 02/18/2026 05:24 PM - It Cannot Be Edited


Created By: Dawn Dowling On 02/18/2026 at 04:39 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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [observation, interview and record review , the licensee did not comply with the section cited above in Licensee is not conducting required fire drills once every six months which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 03/02/2026
Plan of Correction
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Licensee will conduct required Disaster and Fire Drill once every six month and document date and time each drill was conducted. Licensee will provide LPA copy of Disaster and Fire Drill Log.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 persons, (Assistant) does not have Mandated Reporter Training Certificate which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 03/02/2026
Plan of Correction
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Licensee will have Assistant take the required Mandated Reporter Training and provide LPA Dowling with a copy of the Certificate.
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: 02/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2026


LIC809 (FAS) - (06/04)
Page: 5 of 10
Document Has Been Signed on 02/18/2026 05:24 PM - It Cannot Be Edited


Created By: Dawn Dowling On 02/18/2026 at 04:39 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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 2 persons do not have TB Clearance or risk assessment which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 03/02/2026
Plan of Correction
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Licensee will have Assistant obtain TB Clearance and provide LPA Dowling proof of TB Clearance.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 persons do not have current Pediatric CPR and First Aid Certification which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 03/02/2026
Plan of Correction
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Licensee will have Assistant obtain a Current Pediatric CPR and First Aid Certificate issued by American Red Cross or the American Heart Association, or by approved Emergency Medical Services Authority (EMSA) vendor in person (NOT ONLINE) and provide LPA Dowling proof of Certification.
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: 02/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2026


LIC809 (FAS) - (06/04)
Page: 6 of 10
Document Has Been Signed on 02/18/2026 05:24 PM - It Cannot Be Edited


Created By: Dawn Dowling On 02/18/2026 at 04:39 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: HAKOBYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in[3 out of 5 children do not have requirement documents signed and dated in their file which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 03/02/2026
Plan of Correction
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Licensee will ensure that all documents are completed, signed and dated and will provide LPA Dowling with copy of signed documents.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: 02/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2026


LIC809 (FAS) - (06/04)
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