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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494989
Report Date: 02/02/2022
Date Signed: 02/02/2022 10:56:52 AM

Document Has Been Signed on 02/02/2022 10:56 AM - 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ASATRYAN FAMILY CHILD CAREFACILITY NUMBER:
197494989
ADMINISTRATOR:ANAIR ASATRYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 378-3605
CITY:VAN NUYSSTATE: CAZIP CODE:
91401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/02/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:ANAIR ASATRYANTIME COMPLETED:
11:05 AM
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On 2/2/2022 at 9:30am Licensing Program Analyst (LPA), Loyce Phillips conducted an announced Pre-Licensing inspection with applicant Anair Asatryan. Today's inspection is a follow up to the Pre-Licensing inspection conducted on 1/25/2022.

During 1/25/2022 Pre-Licensing appointment, applicant stated the backyard and right side of the outdoor area was off limits. On 2/2/2022, applicant wishes to make the back yard and right side of the outdoor area accessible to children. The back yard is fenced, with artificial grass and has a medium slide/swing set. The far left of the backyard is fenced and off limits to children. LPA observed a small empty room. Applicant stated it will be a 4th bathroom. The bathroom is located in back yard adjacent to the house. The bathroom can only be access from outside. Applicant stated she does not have a building permit for the outdoor bathroom. The bathroom is off limits to children. LPA requested an updated facility sketch reflecting this addition.

The following corrections were required on 1/25/2022:
* Make kitchen inaccessible
* Complete parent board
* Make Fire place inaccessible

During today inspection the following corrections were observed and completed:
* Kitchen is inaccessible by child safety gate.
* Parent board is complete located by front entry way.
* Fire place is inaccessible by safety latch.

An exit interview was conducted and a copy of this report was provided to the applicant.
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2022
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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