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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609006
Report Date: 02/08/2024
Date Signed: 02/08/2024 12:28:22 PM

Document Has Been Signed on 02/08/2024 12:28 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 N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:VICTORY PLACE HOMEFACILITY NUMBER:
197609006
ADMINISTRATOR:AKHPARIAN, ANDREWFACILITY TYPE:
735
ADDRESS:6353 BABCOCK AVETELEPHONE:
(818) 585-0095
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY: 4CENSUS: 4DATE:
02/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Andrew Akhparian, AdministratorTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Diana Gevorgyan. Andrew Akhparian, Administrator was contacted by staff and he arrived at 10:18am to conduct the visit. The reason for today's visit was explained.

The home is a single storey family home consisting of a living room, dining room, kitchen, 5 bedrooms, 2 full bathrooms and a detached garage that was converted into and ADU in 2019 with a separate address. Located on the property is a swimming pool. The facility is fire cleared for 4 AMBULATORY clients. The home is vendorized by the North Los Angeles Regional Center.

During today's visit, LPA Yee reviewed the facility Plan of Operations and Training logs. At the request of Licensing Program Manager Heffernan and other priorities, today's visit was terminated. A return visit is needed to complete the Annual Inspection.

Any deficiencies noted on today's visit will be addressed on a return visit.

Exit interview was conducted.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Christine Yee
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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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