195700759-8-5-2026-58-CC-JGIL-DWNQ4S-20260805115048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700759
Report Date: 08/05/2026
Date Signed: 08/05/2026 11:51:12 AM

Document Has Been Signed on 08/05/2026 11:51 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 CARE		FACILITY NUMBER:	195700759
ADMINISTRATOR/ DIRECTOR:	TATEVIK MNATSAKANYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(747) 283-7686
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	08/05/2026
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:19 AM
MET WITH:	Tatevik Mnatsakanyan - Applicant		TIME VISIT/ INSPECTION COMPLETED:	12:20 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	On August 5th, 2026, at approximately 9:00 a.m., Licensing Program Analyst (LPA) Janet Gil conducted an announced pre-licensing inspection and met with applicant Tatevik Mnatsakanyan. LPA was granted entry into the home by the applicant and explained the purpose of the visit. Present during the inspection were the applicant, the applicant’s spouse, three minor children, and the applicant’s family friend. The applicant’s family friend,Lilit Hakopyn, provided interpretation by translating the inspection from Armenian to English during today’s visit. The applicant was previously licensed at 315 W. Palmer Ave., Apt. 3, Glendale, CA 91204. The applicant and spouse have cleared criminal background clearances and are authorized to be present in the child care facility. The applicant owns a single-story home consisting of a living room, dining room, three bedrooms, two bathrooms, a kitchen, and a backyard containing a separated accessory dwelling unit (ADU). According to the applicant, LPA observed the ADU has a separate entrance, and ADU to be empty. Per applicant, no one lives in the ADU and as of now it is used as storage space. LPA observed that the ADU has a separate address located off 10332 Louise Avenue, Granada Hills, CA 91344. The applicant resides in the home with her spouse and three minor children. The facility's proposed days and hours of operation are Monday through Friday, from 6:00 a.m. to 11:30 p.m. Day Care Areas: Living Room, Dinning Room, Bathroom 1, and designated backyard space. Off-limit Areas: Side Yard, Kitchen, All Bedrooms, ADU in Backyard, and Bathroom 2. LPA observed child safety gates properly barricading all off limit areas of the home. At approximately 10:00 AM, LPA, the applicant, and applicant's family friend, inspected the entire home for Health and Safety Hazards. The home was observed to have sufficient lighting and ventilation. There are a variety of age-appropriate toys and materials for children. LPA observed 8 sleeping cots and 2 play pens. The applicant plans to have parents wash sheets weekly or as needed. Continued on page 2...

Betty Bell
Janet Gil
	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

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: MNATSAKANYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700759
	VISIT DATE: 08/05/2026

NARRATIVE

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The facility has a carbon monoxide detector in the dining room. LPA tested detector which was observed to be working. LPA observed the home also has multiple dual smoke/carbon detectors throughout the home. Applicant has a fully stocked and accessible first aid kit in the kitchen area. LPA observed a fully charged fire extinguisher near the entrance of the dining room. All harmful objects, sharp objects, and toxins are stored in off limit areas to children in the kitchen area.

Per the applicant, there are no pets in the home. The applicant stated that there is only a fish tank with fish located in the kitchen area. The applicant also stated that there are no weapons or firearms maintained on the premises. LPA observed that all electrical outlets in the child care areas of the home were covered with outlet protectors. The backyard was observed to be fully enclosed and equipped with age-appropriate toys and play materials that appeared to be clean, safe, and in working condition.
At approximately 11:10 a.m., LPA informed the applicant that emergency drills are required every six months and must be documented. The applicant was reminded that NO baby walkers, exer-saucers, jumpers, bouncers, and any similar items to be used for children in care and should be made inaccessible. In addition, booster chairs are only used for the purpose of feeding/eating. Per applicant, she plans to provide all food for the children in care. The applicant was also reminded that smoking is prohibited at the day care.

Per applicant, she plans to provide care to infants, preschoolers, and school age. LPA informed the applicant that if childcare insurance is not purchased, each parent must be given the Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282). Applicant’s Pediatric First Aid CPR expires on 1/2028, and Mandated Reporter Training expires on 12/2027. Both certificates are valid, and copies have been submitted to the Department. The applicant was reminded that both certificates will expire in two years.
LPA reviewed with the Applicant the LIC 311D; Forms/Records to Keep in Your Family Child Care Homes, children's forms/records, facility forms/records, and all required postings such as License/Parent's Rights poster/Emergency Disaster Plan and Earthquake Preparedness checklist. In addition, the Entrance Checklist was also provided to the applicant. The applicant plans to post all required postings near the front door entrance of the home.
License capacity regulations were also reviewed with the applicant. LPA informed the applicant that if care is provided for a 13th and 14th child, they must be school aged, and parent notification and landlord consent is required.

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Janet Gil
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

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: MNATSAKANYAN FAMILY CHILD CARE	FACILITY NUMBER: 195700759
	VISIT DATE: 08/05/2026

NARRATIVE

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Applicant was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The applicant provided proof of control of property.

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.

LPA discussed the safe sleep regulations with the applicant and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the 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, 8/4/2026, 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.

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Janet Gil
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: 195700759
	VISIT DATE: 08/05/2026

NARRATIVE

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Applicant was reminded that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

The Applicant was encouraged to obtain a copy of regulations and current licensing forms through the Department's website at www.ccld.ca.gov. The Applicant was also reminded of Mandated Reporter Online Training for Child Care Providers (AB 1207) and the additional General Training, and both are available on www.mandatedreporteca.com.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare 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.

The applicant received fire clearance for the home on 7/24/2026. Capacity limits of a Large Family Child Care License have been reviewed.

An exit interview was conducted with the applicant, Tatevik Mnatsakanyan. The report was reviewed, and a copy of today’s report was provided.

NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Janet Gil
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026

LIC809 (FAS) - (06/04)

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