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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608797
Report Date: 11/26/2024
Date Signed: 12/05/2024 01:48:03 PM

Document Has Been Signed on 12/05/2024 01:48 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:DREAM HOME BOARD AND CAREFACILITY NUMBER:
197608797
ADMINISTRATOR/
DIRECTOR:		KARINE ASLANYANFACILITY TYPE:
740
ADDRESS:22812 SATICOY STREETTELEPHONE:
(818) 370-9117
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Edgar Gasparyan- LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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 LPA explained the reason for the visit. A tour of the physical plant was conducted at 1:30pm and the following was noted:

There is one entrance being utilized at the facility. The facility is completely vacant and undergoing complete renovations. The facility will have a total of three (3) bedrooms. There will be three (3) bathrooms in the facility. LPA notice that there are no rooms in the facility and is completely under construction. The garage is currently being used for parking and storage. There was no food in the facility, no food storage and preparation areas. There were no sharps, knives or any other utensils observed in the facility. Common areas were also without furniture and is completely torn. The smoke and carbon monoxide are not installed yet. There are no bathrooms to checked for cleanliness and proper operations. According to Licensee construction will be done approximately in three (3) months.

Exit interview conducted and a copy of this report issued.
Nichelle GillyardTELEPHONE: (818) 596-4370
Leslie Ngo-CastanedaTELEPHONE: (818) 214-9900
DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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