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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494806
Report Date: 04/21/2021
Date Signed: 04/21/2021 02:55:10 PM

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:SARKISYAN FAMILY CHILD CAREFACILITY NUMBER:
197494806
ADMINISTRATOR:VERA SARKISYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 582-8888
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY:14CENSUS: 0DATE:
04/21/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Applicant Vera SarkisyanTIME COMPLETED:
03:05 PM
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Due to the Governor’s Proclamation of State of Emergency, On 04/23/2021 at 2:35 am, Licensing Program Analyst (LPA) Antonio Almanza conducted an announced subsequent Prelicesning FaceTime Tele-Inspection and met with the applicant VERA SARKISYAN at 6635 CANTALOUPE AVE, VAN NUYS, CA 91405. The applicant is applying for a Large Family Child Care License to operate Monday to Friday from 9:00 am to 6:00 pm and serve children ages 2 year to 6 years of age. Fire Clearance approval was received on 03/21/2021. The single-story home is a 3-bedroom, 4-bathroom home. LPA conducted a prelicensing visit on 04/09/2021 and the following corrections are needed.

1. Qualifications for Large Family Child Care License: When applying for a license as a large family child care home, substantiation that the provider has at least one year of experience as a regulated small family child care home operator; or one year of experience as an administrator or director of or as a teacher at, a licensed child care center.
2. Self-latching mechanism needs to be installed in swimming pool gate.
3. Child safety latches installed in sliding closet door in 2 bedrooms that will be used by children.
4. Child Safety gate in kitchen making inaccessible while licensee is in kitchen.
5. Update facility Sketch
During today’s visit LPA was able to verify the corrections that have been made to the home. LPA advised the Licensee that at this time the department is unable to grant her a Large Family Child Care License because she does not have the qualifications at this time. Licensee was advised that she will need to submit an updated application to update the size of the License being requested.

An Exit Interview was conducted, and a copy of this report was emailed to the applicant. It has been explained that a reply to the email shall be considered a substitute for the hard-copy signature.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2021
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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