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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609829
Report Date: 07/17/2023
Date Signed: 07/17/2023 04:49:18 PM


Document Has Been Signed on 07/17/2023 04:49 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 NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364



FACILITY NAME:ARARAT BOARD AND CAREFACILITY NUMBER:
197609829
ADMINISTRATOR:SARGSYAN, KARINEFACILITY TYPE:
740
ADDRESS:6614 TEESDALE AVETELEPHONE:
(818) 624-4180
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:6CENSUS: 6DATE:
07/17/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:32 AM
MET WITH:Mariam Panadhzyan, LicenseeTIME COMPLETED:
11:00 AM
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An informal office meeting was conducted with Licensing Program Manager (LPM), Jeralyn Pfennenstiel, Licensing Program Analyst(LPA) Christine Yee and Licensee, Mariam Panadzhyan. LPM Pfennenstiel conducted the informal meeting via Face Time from the Woodland Hills North Regional Office and LPA Yee, and Licensee participated in the meeting from the facility. The reason for the informal meeting was to discuss the Department's concerns with Mariam Panadhzyan's participation in unlicensed operations.

On 7/12/23, the Woodland Hills South Regional Office received a complaint of unlicensed care being provided at a home located on 11075 Arleta Avenue, Mission Hills, CA. The complaint was generated when a resident from this licensed home was relocated to the unlicensed location. When the Department conducted the initial complaint visit on 7/13/23, the listed property owner, Mariam Panadzhyan, was contacted and she allowed the team entry into the unlicensed home. The operators of the unlicensed facility are the son and daughter of Mariam Panadhzyan.

During this informal office meeting, Mariam Panadhzyan was advised that as a licensee, her involvement and continued participation in unlicensed operations, will jeopardize the license of this facility and any other facility license issued to her by the Department. Per Mariam, she understood.

Exit interview was conducted with Mariam Panadhzyan.
SUPERVISOR'S NAME: Jeralyn Ann PfannenstielTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Christine YeeTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2023
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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