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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021622
Report Date: 12/12/2024
Date Signed: 12/12/2024 01:38:07 PM

Document Has Been Signed on 12/12/2024 01:38 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SARGSYAN FAMILY CHILD CAREFACILITY NUMBER:
198021622
ADMINISTRATOR/
DIRECTOR:		SARGSYAN, NAIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 229-5907
CITY:LOS ANGELESSTATE: CAZIP CODE:
90038
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/12/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Naira Sargsyan, ApplicantTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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PRELICENSING INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an announced pre-licensing follow up inspection to the above facility on 12/12/24. LPA arrived at the facility at 12:00 PM and met with Naira Sargsyan, Applicant who guided analyst on a tour of the facility. Per applicant operation hours will be Monday to Friday, 8:00a.m. to 5:00 p.m.. Applicant states she will care for children 3 months old-13 years old.

Applicant previously was licensed at 1329 N. Alexandra Avenue, Los Angeles, CA 90027 with facility number 198018112.
Fire Clearance for Large Family Child Care was granted on 12/05/24.

All areas identified on the facility sketch were inspected. This is a one story home located on the first level. The home consists of 3 bedrooms, 2 restrooms, living room, dining room, kitchen, and front yard. Per applicant, during pick up and drop off time she will leave the front main gate open to let the parents enter the yard and drop off and pick up the children from the main entrance door which leads to the living room.

There are two other homes on this property with separated addresses. The front home is 5426 Lemon Grove, Los Angeles, CA 90038 and 5424 Lemon Grove, Los Angeles, Ca 90038. Applicant's family members reside at these two addresses. Applicant's daughter, Mariam Baghdasaryan who resides at 5424 Lemon Grove Ave., Los Angeles, CA 90038 applied for family child care home license with facility number 198021623.

Areas that are accessible to children are as follows: Bathroom in the hallway, living room, dining room, kitchen, two bedrooms, and front yard.
Areas off limits based on facility sketch submitted to children and parents include: Master bedroom, and bathroom in the master bedroom. **Rooms that are off-limits need to be made inaccessible during operating hours**
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: SARGSYAN FAMILY CHILD CARE
FACILITY NUMBER: 198021622
VISIT DATE: 12/12/2024
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Per applicant, she will use the front yard on a staggered schedule in the mornings with her daughter, Mariam Baghdasarya daycare, 198021623. Applicant will use the front yard from 10:00 AM to 10:30 AM and Baghdasaryan Family Child Care will use the front yard from 10:45AM to 11:15 AM. Per applicant, she will use the front yard in the afternoon and Baghdasaryan Family Child Care will use the side yard in the afternoon which is separated by three feet high gate. Per applicant, she will never commingle her daycare children with Baghdasaryan Family Child Care.

The following corrections were observed during this inspection:

1. LPA observed a crib for infants 0-12 months old in the home.


2. Applicant has a working telephone service in the home.
3. Applicant submitted a copy of Family Child Care Home Orientation Certificate, completion date:12/10/24.
4. Applicant submitted two bills under her name for this address.
5. Applicant submitted proof from City of Los Angeles to proof this is a permitted property through City of LA.
6. Applicant submitted current pediatric first aid and cpr certificate, expires: 12/2026

The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.

Exit interview conducted and report was reviewed with the applicant, Naira Sargsyan.

REPORT END 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC809 (FAS) - (06/04)
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