195700698-3-4-2026-58-CC-DDOG-DRFUQA-20260219144650

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700698
Report Date: 02/19/2026
Date Signed: 03/04/2026 03:49:32 PM

Document Has Been Signed on 03/04/2026 03:49 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:	AVETISYAN & BABAYAN FAMILY CHILD CARE		FACILITY NUMBER:	195700698
ADMINISTRATOR/ DIRECTOR:	A.AVETISYAN & L.BABAYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(747) 966-0333
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91606
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	02/19/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:10 AM
MET WITH:	Ashot Avetisyan, Applicant		TIME VISIT/ INSPECTION COMPLETED:	03:00 PM

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On February 19, 2026, at 10:10 am Licensing Program Analyst's (LPA's) Dawn Dowling and Samantha Barba conducted an announced pre-licensing inspection at the facility stated above. This is an application for a relocation for a large family childcare home, up to 14 children - ages 1 month to 14 years of age. The family childcare home will operate Monday through Sunday 7:00 am to 11:30 pm.

LPA's met with Applicant, Ashot Avetisyan, who guided LPA on a tour of the inside and outside of the home. LPA observed no children in care at the time of the visit.

Applicants Ashot Avetisyan and Lilit Babayan are the only ones that reside in the home. All adults who live in home have a cleared background check.

This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room, dining room, front yard, and backyard (fenced). There is an ADU in the back of the property with it's own address (6053) which is off limits to children in care, there is a gate separating the area; however applicant wants to use the driveway portion and the yard near the ADU as the outdoor play area for children in care and have the grassy area which is closer to the home as the off limit outdoor play area.)

The on limit area of the home will be:

Bedroom #1- Master bedroom/Bathroom(Primary child care area for eating and napping)
Living Room-Child Care area and isolation area
Front yard

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

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: AVETISYAN & BABAYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700698
	VISIT DATE: 02/19/2026

NARRATIVE

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Backyard- Driveway and portion of grassy area near ADU
Dining Room Area

Off Limit Areas:

Bedroom #2 ( Has lock on door making it inaccessible to children in care)
Bedroom #3 (Has lock on door making it inaccessible to children in care)
Bathroom #2(located in hallway has lock on door making it inaccessible to children in care)
Kitchen has a child proof gate(stove is on an island in living room area, applicant indicates will put some type of partition in order to prevent children in care access to area when applicants are preparing food)
Backyard grassy area off of Bedroom #1/Master bedroom

Applicant states that there are no firearms stored in the home.

Applicants will use cell phone for telephone service, cellphone will stay at the facility during operation hours. The ventilation and heating control panel is in the hallway of the home

There were no safe toys, play equipment, napping equipment and materials in the home during inspection. Applicants will move furnishing and materials from other residence to this location and provide LPA with photographs.

LPA's observed all outlets plugs are covered. LPA's did not observe a fireplace in the home during the inspection.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. During inspection, LPA observed cleaning compounds being stored in the kitchen under the sink, that area is off limits to children. The bathroom that will be used was observed to be safe and sanitary.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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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: AVETISYAN & BABAYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700698
	VISIT DATE: 02/19/2026

NARRATIVE

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Napping arrangements were discussed. Children will be napping on cots, which will be stored in Bedroom#1/Master bedroom closet. Applicants will provide photographs of napping equipment and furnishings to LPA. Applicant stated that blankets will come from children’s home, applicants will have parents take bedding home every 3 days to wash and return.

Applicants will provide meals and snacks for children in care, LPA informed applicant if child brings food from home to ensure item is labeled and stored separately.

The valve on the required 2A 10BC fire extinguisher indicates fully charged, fire extinguisher was purchased on 01/11/2026. Fire extinguisher is located in the closet of Bedroom #1/Master bedroom. Applicant was reminded to have fire extinguisher serviced every year or purchase a new one and to keep purchase receipts.

Smoke and carbon monoxide detectors were tested and are operable. There is smoke detector in each room, each one being interconnected if an emergency is to occur. The carbon monoxide detector is located in the hallway of the home.

Children will play in the backyard for outdoor play time. LPA's did not observe toys in the fenced backyard area. LPA is requesting for applicant to provide equipment and toys for outside play time.

The applicants has completed training on preventative health practices as follows:

Lilit Babayan- American Heart Association Heart Saver Pediatric First Aid/CPR/AED- Issue Date 04/12/2025 expires 04/27
Ashot Avetisyan- American Heart Association Heart Saver Pediatric First Aid/ CPR/AED- Issue Date 04/15/2025 expires 04/27.

Applicants have proof of immunization for the following:

Measles, Mumps, Rubella (MMR)
Pertussis
TB Clearance or risk assessment

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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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: AVETISYAN & BABAYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700698
	VISIT DATE: 02/19/2026

NARRATIVE

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Declination of Influenza (Flu) Shot

LPA observed that the applicant did have the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. LPA informed applicant that the Mandated reporter training should be updated every two years. Applicants will provide Proof of Mandated Reporter Training Certificate to LPA.

The Living Rooms will serve as an isolation are if a child is to be sick while in care.

LPA informed applicant that all homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA advised applicant to make a document or folder specifically for the drills that are conducted.

There are no pets at the home.

LPA did not observe any bodies of water on the premises.

Smoking is prohibited in a licensed Family Child Care Home. Per Applicant, no one smokes in the home

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, 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.

Because the applicant is buying the home, Applicant provided LPA with copy of the Grant Deed. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant provided a signed Property Owner/Landlord Consent form (LIC 9149).

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) or (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.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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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: AVETISYAN & BABAYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700698
	VISIT DATE: 02/19/2026

NARRATIVE

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LPA reviewed with Ashot Avetisyan, 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

LPA provided to the applicant the LIC 126-. Entrance Checklist.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep web page at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. 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.

On this date 01/06/2026, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

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

LPA has requested the following corrections for the family childcare home:

safe toys that are age appropriate

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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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: AVETISYAN & BABAYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700698
	VISIT DATE: 02/19/2026

NARRATIVE

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furnishings and equipment
tables and chairs for children
napping equipment for children
outside play equipment
Locking device for Bedroom#1/Master bedroom to prevent children from opening/closing sliding door
barricade near stove that is on island in living room
posting board
Mandated Reporter Training Certificate

Applicant must send photograph of proof of corrections. These correction should be received by March 1, 2026

LPA informed applicant that after proof of corrections have been received, the application and report will go under a final review with a Licensing Program Manager (LPM), who will determine completion to obtain license.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/04/2026 03:49 PM - It Cannot Be Edited

Created By: Dawn Dowling On 02/19/2026 at 02:34 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: AVETISYAN & BABAYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700698
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(d)

Operation of A Family Child Care Home

(d) The home shall provide safe toys, play equipment and materials. 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 home does not have safe toys, play equpment and material in home which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/02/2026
	Plan of Correction
1 2 3 4	Applicant will provide LPA with proof age appropriate safe toys, play equipment and materials by sending LPA photographs.

Type B

Section Cited

CCR

102425(a)

Infant Safe Sleep

(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. 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 home does not have crib or play yard for infant which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/02/2026
	Plan of Correction
1 2 3 4	Applicant will purchase a portable play yard and will provide LPA proof of equipment by sending LPA photograph.

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: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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