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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610223
Report Date: 12/31/2021
Date Signed: 12/31/2021 11:01:50 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:NVM COMFORT HOMESFACILITY NUMBER:
197610223
ADMINISTRATOR:AGARONYAN, RIMAFACILITY TYPE:
740
ADDRESS:16473 MCKEEVER STTELEPHONE:
(818) 300-8393
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 6DATE:
12/31/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Rima AgaronyanTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Patrick Shanahan conducted an announced Pre-Licensing visit to this facility and met with Rima Agaronyab. Visit and Component III were conducted on this date

LPA Shanahan conducted an in person tour of the facility and utilized the RCFE Pre-licensing Inspection tool to review all eleven inspection domains, no deficiencies were observed.


This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Patrick ShanahanTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2021
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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