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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850080
Report Date: 02/08/2023
Date Signed: 02/08/2023 01:50:14 PM


Document Has Been Signed on 02/08/2023 01:50 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364



FACILITY NAME:VENTURA CANYON CAREFACILITY NUMBER:
195850080
ADMINISTRATOR:SUKIASYAN, ARMANFACILITY TYPE:
740
ADDRESS:7938 VENTURA CANYON AVETELEPHONE:
(818) 205-6365
CITY:PANORAMA CITYSTATE: CAZIP CODE:
91402
CAPACITY:6CENSUS: 0DATE:
02/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Arman Sukiasyan, AdministratorTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Emily Peraldi conducted a Case Management visit today at 1:20 p.m. with Administrator Arman Sukiasyan. The purpose of this visit is to document the closure of this facility and to ensure that there are no residents.

The Administrator notified Community Care Licensing Division (CCLD) on February 1, 2023, that the facility was going to close and would no longer operate as a residential care for the elderly facility. It was noted that the facility never had residents. The facility was licensed on February 03, 2021.

The LPA conducted a physical plant tour of the property at 1:22 p.m. and observed no residents at this location.

Closure of this facility has been confirmed. Exit interview conducted and a copy of the report was issued. The LPA obtained the license during today’s visit.
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 593-4493
LICENSING EVALUATOR NAME: Emily PeraldiTELEPHONE: 818-421-4497
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023
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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