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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610692
Report Date: 01/28/2025
Date Signed: 01/28/2025 09:42:26 AM

Document Has Been Signed on 01/28/2025 09:42 AM - 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:AURORA SENIOR LIVINGFACILITY NUMBER:
197610692
ADMINISTRATOR/
DIRECTOR:		TADEVOSYAN, LUSINEFACILITY TYPE:
740
ADDRESS:15918 NAPA STREETTELEPHONE:
(424) 499-9888
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 6CENSUS: 0DATE:
01/28/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Sergey Azaryan- LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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This is case management visit with the licensee Sergey Azaryan and administrator Lusine Tadevosyan to do a physical plant tour and Component III. Licensing Program Analysts (LPA) Leslie Ngo-Castaneda, conducted announced visit to this facility.

Exit interview and copy of report provided.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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