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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492996
Report Date: 08/30/2023
Date Signed: 08/30/2023 07:12:17 PM

Document Has Been Signed on 08/30/2023 07:12 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:VOROBYEVA FAMILY CHILD CAREFACILITY NUMBER:
197492996
ADMINISTRATOR:VOROBYEVA, GAYANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 400-9777
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
08/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:G. VorobyevaTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA), V. Wheatley conducted a Plan of Correction inspection today and met with the Licensee Gayane Vorobyeva. LPA 11 children supervised upon arrival with licensee and Staff #1. During the inspection Staff #2 arrived to assistant. LPA observed the child care operating within proper ratios today. LPA stressed the importance of having qualified assistants on the premises anytime there are more than 6 children if there are no school aged children.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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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