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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750026
Report Date: 09/22/2020
Date Signed: 09/22/2020 04:19:24 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:HAYKAZUNYADZ CHILD CARE CENTER INC.FACILITY NUMBER:
197750026
ADMINISTRATOR:SATENIK, TERGRIGORYANFACILITY TYPE:
850
ADDRESS:7745 WEST APPERSON STREETTELEPHONE:
(818) 522-4172
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:121CENSUS: 62DATE:
09/22/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Zovig Injejikian-Assistant DirectorTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Nadia Flores met with Site Assistant Director, Zovig Injejikian, for a Plan of Correction (POC) inspection. Upon arrival LPA observed 62 children in care and 8 adults. LPA observed the following for correction:

-Staff #1 Who did not have a background clearance is not on the premises.

-Staff #1 went to get finger printed. Assistant Director provided proof of the documentation to LPA Flores.

-Staff #1 was fingerprinted on 9/21/2020.

LPA informed Assistant Director that a copy of the actual licensing documents (LIC 809 & 809D) must be posted along with the Notice of Site visit form. LPA printed out the LIC 9224 for parents signature. LPA informed Assistant Director that parents also get a copy of the LIC 809 & LIC 809D informing them of the Type A violation/citation.


Exit interview conducted and a copy of report read and provided to Assistant Director Zovig Injejikian on this date.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Nadia FloresTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2020
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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