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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019099
Report Date: 03/03/2020
Date Signed: 03/03/2020 02:22:44 PM

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:SHAHNAZARYAN FAMILY CHILD CAREFACILITY NUMBER:
198019099
ADMINISTRATOR:LIANNA SHAKNAZARYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 523-6580
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:14CENSUS: 12DATE:
03/03/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lianna Shahnazaryan, LicenseeTIME COMPLETED:
02:30 PM
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PLAN OF CORRECTION INSPECTION WAS CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced POC (Plan of Correction) inspection to ensure that the Type B deficiency cited on 02/18/2020 has been cleared. Met with Lianna Shahnazaryan, licensee who guided analyst tour of the facility. There were 12 children present during this inspection. The following has been observed:

· Staff ratio and capacity has been met. During this inspection there were 12 children in care with licensee, licensee's husband and licensee's assistant, Siranush Antonyan. .
· Current roster of children was provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing reprehensive.
Failure to maintain posting as required will result in a civil penalty of $100.00.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today at 2:00 p.m..

LPA cleared deficiencies on this date and provided a copy of the Licensing Report to Ms. Lianna Shah, Licensee, and issued POC clearance letter.



Exit interview was conducted with Licensee, Lianna Shahnazaryan. Appeal rights explained & provided. A copy of this report and all other Licensing reports must be made available to the public for 3 years.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
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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