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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494835
Report Date: 08/03/2021
Date Signed: 08/03/2021 12:37:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ASATRYAN FAMILY CHILD CAREFACILITY NUMBER:
197494835
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
08/03/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:OFELYA ASATRYAN & PAUL OUZOUNIANTIME COMPLETED:
12:45 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
On August 3, 2021 at 12:05 PM Licensing Program Analyst (LPA) Loyce Phillips conducted an announced Pre Licensing inspection with applicants Ofelya and Paul Ouzounian. Today's inspection is a follow up to the Pre-Licensing inspection conducted on 7/13/2021.

During the pre-licensing inspection conducted on 7/13/2021 the following corrections were required:
· Install working carbon monoxide
· Install Fire Extinguisher (2A10BC)
· Install front gate that leads into the driveway (front yard area)

During today's inspection the following corrections were observed and completed:
· Carbon monoxide is working and installed in the day care room and napping room.
· Fire Extinguisher (2A10BC) was purchased on 7/13/2021 and placed in the day care room.
· Front gate is installed.

Applicant is approved for a license pending managers approval.

An exit interview was conducted and a copy of this report was provided to the applicants Ofelya Asatryan and Paul Ouzounian.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
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