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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493515
Report Date: 08/12/2021
Date Signed: 08/12/2021 02:31:19 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NOORZAY FAMILY CHILD CAREFACILITY NUMBER:
197493515
ADMINISTRATOR:NOORZAY, URANUSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 518-6178
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY:14CENSUS: 6DATE:
08/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:06 PM
MET WITH:Uranus NoorzayTIME COMPLETED:
02:45 PM
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On 08/12/2021 Licensing Program Analyst Laticia Thompson attempted to conduct an unannounced annual visit to Noorzay Family Child Care. Upon arrival licensee was not home. LPA was greeted by licensee assistant Lucia Cotiy Sohom whom is associated to the facility per review of LIS printout. As LPA begin to tour the facility licensee arrived. Licensee stated an annual visit was just conducted on 08/09/2021 by Magarit Silva. Licensee allowed LPA Thompson to review LIC with a date of 08/09/2021. LPA apologized and exited the facility
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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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