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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701413
Report Date: 05/11/2022
Date Signed: 06/23/2022 03:59:19 PM


Document Has Been Signed on 06/23/2022 03:59 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:LITTLE ANGELS ACADEMYFACILITY NUMBER:
376701413
ADMINISTRATOR:DESIREE LONCARFACILITY TYPE:
830
ADDRESS:3078 L STREETTELEPHONE:
(619) 458-9553
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:32CENSUS: 19DATE:
05/11/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Desiree Locar TIME COMPLETED:
01:15 PM
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On 05/11/22 at 1:00 p.m., Licensing Program Analyst (LPA), Casey Gulley, conducted an unannounced Case Management inspection in order to deliver an amended report originally created on 5/06/2022. Upon arrival, LPA met with Administrator Hunan Arshakian and proceeded to tour the facility. During the inspection, there were nineteen children in care with six (6) staff members present. No deficiencies cited.

Exit interview conducted and report was reviewed with Administrator Hunan Arshakian . A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey GulleyTELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:
DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/11/2022
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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