<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001557
Report Date: 02/25/2020
Date Signed: 02/25/2020 12:11:10 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MELIKYAN, GAYANE & GAZANYAN, OGANESFACILITY NUMBER:
384001557
ADMINISTRATOR:MELIKYAN, GAYANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 672-4935
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:14CENSUS: DATE:
02/25/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Gayane MelikyanTIME COMPLETED:
12:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Van met with the licensee, Gayane Melikyan, for an unannounced inspection of the Plan of Correction (POC). The purpose of the inspection was explained and was granted entry to the home by the licensee. Present, there are nine preschool children in care with the licensee and two helpers.
On February 04, 2020, During the annual inspection of the facility, the following deficiency was cited. LPA did not observe any carbon monoxide installed in the home. In today's Plan of Correction inspection, the licensee stated she had installed several carbon monoxide detectors throughout the daycare; The licensee stated one was installed in the nap room, and one was in the playroom. LPA inspected and confirmed the carbon monoxides were working. A deficiency that was cited on February 04, 2020, is cleared today. Copy of Letter of Deficiency Citations will be sent to the licensee.

An exit interview was conducted with the licensee, and a consultation was provided. In today's inspection, no deficiencies were observed. A copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for the next 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1