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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494533
Report Date: 12/30/2021
Date Signed: 12/30/2021 10:59:02 AM

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:MELIKYAN & HARUTYUNOVA FAMILY CHILD CAREFACILITY NUMBER:
197494533
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/30/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:48 AM
MET WITH:Alina MelikyanTIME COMPLETED:
11:15 AM
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Licensee applied for increase of capacity. Margarit Sislyan, Licensing Program Analyst (LPA) arrived at the facility to observe required corrections before the license for Large Family Child Care Home will be granted.

LPA met with Licensee, Alina Melikyan and toured the facility inside and outside. LPA observed 6 children were present at home.

LPA observed the pool was fenced with at least five feet high fence. The fence does not obscure the pool from view. The gate swings away from the pool self-close and have a self-latching device located no more than six inches from the top of the gate.

LPA did not observe any violations of Title 22 regulations.

License for Large Family Child Care Home will be granted.

Exit interview.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2021
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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