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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018582
Report Date: 04/19/2022
Date Signed: 04/19/2022 12:20:24 PM


Document Has Been Signed on 04/19/2022 12:20 PM - 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:YERANYAN FAMILY CHILD CAREFACILITY NUMBER:
198018582
ADMINISTRATOR:YERANYAN, SRBUHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 423-9766
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:14CENSUS: 4DATE:
04/19/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Srbuhi Yeranyan, LicenseeTIME COMPLETED:
12:45 PM
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On April 19, 2022, Licensing Program Analyst (LPAs) Liana Stepanyan and Monique Ayala conducted a case management inspection for the purpose of verifying that all adults residing in the home are fingerprint cleared and associated to the facility. Upon arrival, LPAs were greeted by Licensee, who guided LPAs on tour of the facility. LPAs observed 4 children in care with licensee and 2 fully qualified assistants.

LPAs toured off limits area and did not observed any male clothing in the home. LPAs asked licensee's if there was an adult male in the home. Licensee stated she has a male friend that comes after day care hours, but the adult male does not live in the home.

LPA's reminded licensee, that any adults that live in the home but be fingerprint cleared. Although, licensee is allowed to have visitors, it was advised that any visitors that are going to be present during day care hours also be fingerprinted and associated to the facility.

There are no deficiencies cited today.

An exit interview was conducted and a copy of this report was provided to licensee along with Notice of Site Visit.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2022
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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