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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700649
Report Date: 12/28/2022
Date Signed: 12/28/2022 12:41:08 PM

Document Has Been Signed on 12/28/2022 12:41 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:GALSTYAN FAMILY CHILD CAREFACILITY NUMBER:
197700649
ADMINISTRATOR:ANAHIT GALSTYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 210-8643
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
12/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Anahit GalstyaTIME COMPLETED:
01:15 PM
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On 12/28/2022, Licensing Program Analyst (LPA) Annelise Villa conducted an announced Pre-License follow up inspection of the Galstyan Family Child Care Home. LPA met with applicant Anahit Galstyan. 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 inspections, LPA observed the required corrections being made which included the following:

-To remove cactus plants near front entrance

-To barricade electrical panel box near children’s play area

-To bolt indoor storage container to wall

-To safety latch back door leading to back yard

-To reinforce or remove swing set in children's play area

-To reinforce mesh fence surrounding pool

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE: DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/28/2022
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: GALSTYAN FAMILY CHILD CARE
FACILITY NUMBER: 197700649
VISIT DATE: 12/28/2022
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As a result of this inspection, the home does meet Title 22 Regulations. Applicant is ready for licensure as of 12/28/2022.

Exit interview was conducted and a copy of this report was discussed and left with applicant Anahit Galstyan.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2