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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700502
Report Date: 09/01/2021
Date Signed: 09/01/2021 11:33:04 AM

Document Has Been Signed on 09/01/2021 11:33 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MKRTCHYAN FAMILY CHILD CAREFACILITY NUMBER:
197700502
ADMINISTRATOR:LILIT MKRTCHYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 641-6339
CITY:SUNLANDSTATE: CAZIP CODE:
91040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/01/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Lilit MkrtchyanTIME COMPLETED:
09:50 AM
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On 9/1/2021, Licensing Program Analyst (LPA) Carol Heath conducted a in-person
pre licensing inspection. The purpose of the inspection is to conduct a follow-up Pre-Licensing Inspection to review the corrections required for licensure. LPA and Applicant toured the facility inside and out to ensure the home meets State Licensing Title 22 Regulations.

During the time of the inspection the following corrections were observed:
· The tall furniture in the living room was secured
· The kitchen was made it inaccessible to children with safety gate.
· In the kitchen drawer, the knifes were made inaccessible to children in the high kitchen shelf.
· Medicine is located in the hallway cabinet. The applicant had a safety latch which made inaccessible to children.
· In Bathroom #1, shampoo, children toothbrushes, hand towels, and personal belongings were removed
· Bedroom #1 and Bedroom #2 the dressers were made inaccessible to children with safety latch
· Bedroom #1 and Bedroom #2 the closets were made inaccessible to children with safety latch
· Bedroom #3 was made inaccessible to children with door key
· Bathroom #2 was made it inaccessible to children by latch
· The closet near the Bedroom #3 has cleaning supplies was made it inaccessible to children with safety latch.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700502
VISIT DATE: 09/01/2021
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A/C unit shape blades were made inaccessible with cover
· Outdoor electric box was made inaccessible to children with cover.
· The materials (wood, tools) next to the outdoor storage room were removed.
· The garage and laundry rooms were made it inaccessible to children with door lock
· The backyard garden was make it inaccessible to children with door lock.

The report was read and has been emailed for a read receipt to Applicant, Lilit Mkrtchyan.


***As a result of this inspection, the home does meet Title 22 Regulations. The applicant is ready for licensure pending the manager's approval.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC809 (FAS) - (06/04)
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