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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017064
Report Date: 09/27/2022
Date Signed: 09/27/2022 08:51:39 AM


Document Has Been Signed on 09/27/2022 08:51 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:BILEMJIAN FAMILY CHILD CAREFACILITY NUMBER:
198017064
ADMINISTRATOR:BILEMJIAN, SALPIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 256-9474
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY:14CENSUS: 0DATE:
09/27/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Salpi BilemjianTIME COMPLETED:
09:00 AM
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LPA Cynthia Reyes and Enjoli Maeweather conducting an unannounced annual inspection. When we arrived there were no children present. Licensee Salpi Bilemjian states that she closed during covid in Jan 2020 and she never reopened. She states her official closing date was May 5, 2022. Licensee also states she never notified CCL that she closed.LPA's will closed facility. Exit interview conducted with Salpi Bilemjain. Licensee states that she is moving first week of October. LPA also advised she may reapply at end time. Copy of report was provided to Licensee.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2022
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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