198017162-4-20-2026-58-CC-ECAO-DTBPS9-20260420113359

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017162
Report Date: 04/20/2026
Date Signed: 04/20/2026 11:35:53 AM

Document Has Been Signed on 04/20/2026 11:35 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:	HAKOPIAN FAMILY CHILD CARE		FACILITY NUMBER:	198017162
ADMINISTRATOR/ DIRECTOR:	HAKOPIAN, FRIDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 441-3891
CITY:	BURBANK	STATE: CA	ZIP CODE:	91501
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 6	CENSUS: 4	DATE:	04/20/2026
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:35 AM
MET WITH:	Frida Hokopian, Licensee		TIME VISIT/ INSPECTION COMPLETED:	12:00 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 04/20/2026 at 08:35 AM, Licensing Program Analysts (LPA) Elicia Calvillo conducted an unannounced 3 Year Annual inspection at 915 E. Walnut Avenue, Burbank, CA 91501. LPA arrived at the facility at 08:35 AM, identified self and met with Frieda Hakopian, Licensee, who guided analyst on a tour of the inside and outside of the facility. There were four (4) children in care, and two (2) adult residents were present at arrival. LPA provided Licensee with a copy of the LIC125 Entrance Checklist to help facilitate the inspection. Facility operation hours are Monday to Friday from 7:00AM to 06:00PM. The family child care home is two story dueling with a living room, dining room, kitchen, three (3) bedrooms, one (1) office, four (4) bathrooms, day care room #1, day care room #2, day care room #3 and attached garage. There is a front yard that will be used for dropping off and picking up children. There is a fenced outdoor play area at the side of the house. The children enter and exit the child care home from the front door. LPA observed the day care room #1, day care room #2, day care room #3, and bathroom #1 will be used for child care and accessible to parents and children. The day care room #1 is use for sleeping. LPA observed there were cribs, a changing table, individual baskets of diapers labeled with each child’s name. The equipment was safe, clean and appropriate for the ages of the children. Day care room #2 is used of is used for indoor play, child activities, eating, and Page 1 of 5

NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

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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Document Has Been Signed on 04/20/2026 11:35 AM - It Cannot Be Edited

Created By: Elicia Calvillo On 04/20/2026 at 10:10 AM

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: HAKOPIAN FAMILY CHILD CARE	FACILITY NUMBER: 198017162
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/20/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(1)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in that 2 out 2 infant records did not contain the 15-Minute Sleep Log which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/04/2026
	Plan of Correction
1 2 3 4	Licensee stated that they will maintain a 15-Minute Sleep Log for infants in care and will provide LPA a copy by email by the plan of correction due date 05/04/2026.

Type B

Section Cited

CCR

102425(c)

Infant Safe Sleep

An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in that 2 of 2 Infant Records did not contain LIC 9227 Sleep PLan form and was not readily available upon request which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/04/2026
	Plan of Correction
1 2 3 4	Licensee stated that they will have the parents complete the LIC9227 Sleep Plan form and email LPA a copy by the plan of correction due date 05/04/2025

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Rita Ramos
NAME OF LICENSING PROGRAM MANAGER:

	Elicia Calvillo
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

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: HAKOPIAN FAMILY CHILD CARE	FACILITY NUMBER: 198017162
	VISIT DATE: 04/20/2026

NARRATIVE

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and sleeping. LPA observed toys and play items that are safe, clean and appropriate for the ages of children. LPA observed six (6) chairs and one (1) table, that were safe, clean, and appropriate for the ages of the children. Day care room #3 is used for indoor play, LPA observed toys and play items that are safe, clean, and appropriate for the ages of children.

LPA observed the children will have access to bathroom #1 located in the hallway near the day care room #1. The vanity cabinet holds paper products, personal items, no hazards were observed. LPA observed that the bathroom that children will use was safe and sanitary.

The outdoor play area is located on the side yard of the house, is fenced and there are no hazards to children present. LPA observed there are toys and play equipment that are free of sharp pointed parts, in good repair, and appropriate for the ages of the children. Licensee informed LPA that during outdoor play the entrance to the garage is blocked off.

Licensee stated that when a child shows signs of an illness the child will isolated in day care room #1 or day care room #2, away from the other children.

The family child care home is two story dueling with a living room, dining room, kitchen, three (3) bedrooms, one (1) office, three (3) bathrooms, are off-limits to parents and children and made inaccessible by use of a door lock to the entrance.

There is telephone service via a cellphone. LPA advised Licensee that if a cellphone is used it must remain in the child care home during the operation hours.

There is a smoke detector in the hallway near the day care room #1 and carbon monoxide detector in hallway near the kitchen; and were tested and are operable. There is a working fire extinguisher, the valve on the required 2A:10BC fire extinguisher indicates fully charged and Licensee confirmed purchase date was 08/2024. LPA observe a fireplace that is secured with a glass enclosure, located in the living room. LPA did not observe any open-faced heaters. There is adequate heating and ventilation for safety and comfort.
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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

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: HAKOPIAN FAMILY CHILD CARE	FACILITY NUMBER: 198017162
	VISIT DATE: 04/20/2026

NARRATIVE

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LPA did not observe any pools, spas, hot tubs, fish ponds, or similar bodies of water during the inspection on the property.

Licensee stated there are no pets on the premises. LPA did not observe any pets in the facility.

Per Licensee, there are no firearms or ammunition or other weapons on the premises. LPA did not observe any firearms or other weapons on the premises. Per Licensee, there are poisons in the home and LPA observed any during the inspection that poisons are kept in the garage and made inaccessible with a lock. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

Licensee was reminded that children in care are to be supervised at all times and made aware that children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained.

LPA reviewed samples of children’s files and observed files are complete and documented on the LIC857. LPA reviewed a personnel file and observed that the files was not complete. There were 2 out 2 Infant files that did not contain LIC9227 Infant Sleep Plan and 15-Minute Sleep Log readily available upon request. There are currently two (2) infants enrolled at the facility. LPA observed that the LIC 9227 Sleep Plan and 15-Minute Sleep log were not readily available upon request and two (2) Type B Citations for sections 102425(j)(1) Infant Safe Sleep (15-Minute Sleep Log) and 102425(c) Infant Safe Sleep were issued. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.

LPA also informed licensee [or facility representative] of the importance of checking for and removing any 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.
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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

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: HAKOPIAN FAMILY CHILD CARE	FACILITY NUMBER: 198017162
	VISIT DATE: 04/20/2026

NARRATIVE

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An emergency fire/disaster drill has been completed within the last 6 months on 04/06/2026 and the documentation of the fire/disaster drill was readily available upon request. Licensee’s Mandated Reporter Training was expired and a certificate of completion was not readily available upon request. Licensee’s pediatric CPR/First Aid expired on 04/2026.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Licensee was reminded that all adults 18 and over living or working in the home, 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.

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)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

During the exit interview, the Frieda Hakopian, Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

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: HAKOPIAN FAMILY CHILD CARE	FACILITY NUMBER: 198017162
	VISIT DATE: 04/20/2026

NARRATIVE

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During today’s visit, LPA Calvillo informed Frieda Hakopian, Licensee that this report dated 04/20/2026 documents two (2) Type B citations for sections 102425(j)(1) Infant Safe Sleep (15-Minute Sleep Log) and 102425(c) Infant Safe Sleep which shall be posted for 30 consecutive days as there are potential risks to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Frieda Hakopian, Licensee.

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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

LIC809 (FAS) - (06/04)

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