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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700296
Report Date: 08/13/2026
Date Signed: 08/13/2026 11:30:51 AM

Document Has Been Signed on 08/13/2026 11:30 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:SAHAKYAN FAMILY CHILD CAREFACILITY NUMBER:
195700296
ADMINISTRATOR/
DIRECTOR:		ARPINE SAHAKYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 929-2265
CITY:BURBANKSTATE: CAZIP CODE:
91501
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
08/13/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:28 AM
MET WITH:Arpine Sahakyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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On 8/13/2026, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced Required 3-Year inspection at 704 E. Harvard Road, Burbank, CA 91501. LPA arrived at the facility at 8:28 AM, identified self and met with Arpine Sahakyan, Licensee, who guided analyst on a tour of the inside and outside of the facility. There were 3 children, two (2) Assistant, and Licensee present upon arrival. LPA provided Licensee with a copy of the LIC126 Entrance Checklist to help facilitate the inspection. Facility operation hours are Monday to Sunday from 7:00AM to 10:00PM.

The family child care home is a one-story dwelling with a combination living/dining/kitchen, three (3) bedrooms, two (3) bathrooms, and detached garage. There is an unfenced front yard and a fenced backyard.

During the tour, all areas identified on the Facility Sketch -Floor plan and Yard that are accessible to parents and children were inspected. The children enter the child care home facility from the front door or side gate.

LPA observed the living room is used for child activities, indoor play, learning lessons, music, and eating. LPA observed there were safe toys, play equipment, tables, chairs, and other materials that were appropriate for the ages of the children. LPA observed that dining room divided by a child mesh gate, is used for eating, and LPA observed chairs, high chairs, and tables. LPA observed that bedroom #2 is used for sleeping. LPA observe there are four (4) play yards and cots, that are in a safe condition and appropriate for the ages of the children. Licensee stated that they provide bed linens and that they are washed bi-weekly. LPA observed that bedroom #1 is used for child activities, indoor play, learning, dancing, singing, and sleeping. LPA
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Rita Ramos
Elicia Calvillo
DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2026
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: SAHAKYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700296
VISIT DATE: 08/13/2026
NARRATIVE
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 LPA observed that there are safe toys, play equipment, tables, chairs, and one (1) play yard, that are appropriate for the ages of the children. Children in care use bathroom #2 located in the bedroom #2, LPA observed a vanity cabinet with paper products and household cleaning products that is made inaccessible with the use of child proof locks, the bathroom children use is safe and sanitary.

The children enter the outdoor play area from a sliding door in bedroom #1, Licensee stated that children are escorted from the door to the outdoor play area. LPA observed that the outdoor play area is located in the back yard with a fence that encloses the back yard. The outdoor play area was in a safe condition, free of sharp, loose, or pointed parts, in good repair, and play materials are age appropriate. The surface of the outdoor play area is cement and artificial grass and is maintained in a safe condition and free of hazards. LPA observed that the area outdoor play area is next to a detached garage and are made inaccessible with a locked doors. LPA observed that the fence in the backyard has an door that opens from the Licensee side of the fence.

Licensee stated that the areas inaccessible to parents and children are kitchen room, bedroom #3, bathroom #2, and detached garage. Those rooms are made inaccessible with the use of doors to the entrances to those areas, child proof latches, and child proof gates.

LPA reminded Licensees that children are to be supervised at all times. LPA advised Licensee that children shall not be left in parked vehicles and car seats are used for transportation purposes only and are not used for sleeping children.

Licensee stated that when a child shows signs of an illness the child will be isolated in the kids in the living room, away from the other children until their parents arrive.

There is a smoke detector located in the kitchen and a carbon monoxide detector located in the dining room and both were tested and are operable. There is a working 2A:10BC fire extinguisher, the dial indicates fully charged and Licensee stated it was purchased on 03/07/2026. LPA advised that the fire extinguisher should be serviced or replaced on a yearly basis. LPA did observe a fireplace in the living room, that is made inaccessible by fully enclosing the fireplace in a tiled over the mantel and fireplace opening. LPA did not

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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
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: SAHAKYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700296
VISIT DATE: 08/13/2026
NARRATIVE
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 LPA did not observe any open-faced heaters. There is adequate heating and ventilation for safety and comfort. An emergency fire/disaster drill has not been completed within the last 6 months, and the documentation of the fire/disaster drill was completed on 06/12/2026. There is telephone service via a cellphone and LPA reminded Licensee that the cellphone must remain in the facility during the hours of operations.

Per Licensee, there are no pets on the premises and LPA did not observe any pets on the premises. 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 no poisons on the premises; LPA did not observe any poisons on the premises. Detergents, cleaning compounds, medication and other hazardous items are stored under the kitchen sink and made inaccessible with the use of child proof latches and child mesh gates.

LPA reviewed a sample of children’s records, observed that the records were complete, and documented on LIC857. LPA reviewed the Licensee and Assistant records, observed the records were complete, and documented on LIC859.

Licensee Pediatric CPR/First Aid expires 11/2027. Licensee’s Mandated Reported Training Certificate was completed 03/01/2026.

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.

Licensees were 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.

There are currently six infants enrolled (4 full time and 2 part time) at the facility. LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at
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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
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: SAHAKYAN FAMILY CHILD CARE
FACILITY NUMBER: 195700296
VISIT DATE: 08/13/2026
NARRATIVE
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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 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.

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 Arpine Sahakyan, 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 [email protected]. 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.

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

Exit interview conducted and report was reviewed with the Arpine Sahakyan, Licenee.

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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
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