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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020781
Report Date: 06/01/2021
Date Signed: 06/01/2021 09:43:53 AM

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:VARDANIAN FAMILY CHILD CAREFACILITY NUMBER:
198020781
ADMINISTRATOR:VARDANIAN, KARINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 858-8885
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:14CENSUS: 0DATE:
06/01/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Karine Vardanian - ApplicantTIME COMPLETED:
10:10 AM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an announced in person inspection as a follow up to the prelicensing inspection conducted 04/27/2021. Upon arrival at 9:10am, LPA was met by applicant Karine Vardanian to whom the purpose of the inspection was explained. The purpose of this inspection is to verify the four corrections requested during the original 04/27/2021 inspection were completed.

Census: No children present. LPA verified all persons who live in the residence.

During the inspection conducted on 06/01/2021 the following corrections were verified to have been completed:

1. Applicant will cover two AC units in two side yards
2. Applicant will add a gate to teh side yard adjacent to the daycare room to make the stairs inaccessible to the children
3. Applicant will add a gate to the side yard adjacent to the living room to make the rose bushes inaccessible to the children
4. Applicant will add an additional lock and door alarm on the main entrance door to make it safe for children.

A Declaration has been obtained from applicant in order to confirm that applicant will provide visual supervision to children during outdoor play time.

As the corrections have been made, applicant's residence now appears to comply with Title 22 regulations and appears ready for licensure.

An exit interview was conducted with Applicant Karine Vardanian at 9:50am who is in agreement with above.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2021
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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