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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492996
Report Date: 06/15/2023
Date Signed: 06/15/2023 10:08:43 PM

Document Has Been Signed on 06/15/2023 10:08 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:
06/15/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Gayane VorobyevaTIME COMPLETED:
05:00 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 6/15/23 at 4PM, Licensing Program Analyst (LPA) V. Wheatley conducted an inspection. LPA met with licensee Gayane Vorobyeva and observed 11 children upon arrival. Ten of the 11 children were napping. LPA observed the licensee supervising the children alone. Licensee stated her son Eric Bagoyan is her assistant and is at lunch. LPA informed the licensee that she is out of ratio and that she is required to have an assistant if she has over 6 children or 8 children if two of the 8 children are school aged. Licensee states she has two children that are enrolled in Kindergarten. LPA informed licensee that she is still required to have an assistant with 9 younger children and two kindergarten children.

Based on LPA's observation, the licensee is being cited for having 11 children on the premises without an an assistant on the premises. The licensee is being cited for this deficiency. See LIC 809D

Exit interview. The licensee will be provided a copy of this report.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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
Document Has Been Signed on 06/15/2023 10:08 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 06/15/2023 at 04:07 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: VOROBYEVA FAMILY CHILD CARE
FACILITY NUMBER: 197492996

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2023
Section Cited
CCR
102416.5(e)

1
2
3
4
5
6
7
102416.5 Staffing Ratio and Capacity
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
1
2
3
4
5
6
7
Licensee will make sure that an assistant is present on the premises at all times when the capacity is over 6 children or 8 children when there are two school aged children present. The licensee will submit a Plan of Correction to the Department by 6/16/23 indicating how she plans to stay within compliance.
8
9
10
11
12
13
14
This is evidenced by:
Upon arrival LPA observed 11 children on the premises and 10 were laying down for naptime. LPA did not observe an assistant on the premises. An assistant is required although the children are napping.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 06/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2