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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610261
Report Date: 08/18/2022
Date Signed: 08/18/2022 02:06:14 PM


Document Has Been Signed on 08/18/2022 02:06 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:ALL COMFORT BOARD AND CAREFACILITY NUMBER:
197610261
ADMINISTRATOR:GHAZARYAN, NARINEFACILITY TYPE:
740
ADDRESS:18757 GAULT STREETTELEPHONE:
(323) 823-9000
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:6CENSUS: 0DATE:
08/18/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Narine GhazaryanTIME COMPLETED:
02:15 PM
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At 1:40 p.m. on 08/18/2022 Licensing Program Analyst (LPA) Nicholas Reed conducted an announced, secondary prelicensing visit. LPA met with Administrator and disclosed the reason for the visit.

During the initial prelicensing visit on 08/12/2022, water temperatures delivered from bathroom taps were deficient. At 1:50 p.m., LPA measured the water temperature in Bathroom #1 to be 120.0 degrees Fahrenheit.

Prelicensing deficiencies have been resolved. Prelicensing is now complete. Exit interview conducted. Copy of report provided.

SUPERVISOR'S NAME: Cassandra HarrisTELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Nicholas ReedTELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2022
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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