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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700894
Report Date: 12/03/2024
Date Signed: 12/03/2024 03:18:38 PM

Document Has Been Signed on 12/03/2024 03:18 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:POGHOSYAN FAMILY CHILD CAREFACILITY NUMBER:
197700894
ADMINISTRATOR/
DIRECTOR:		LARISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 442-2424
CITY:SANTA CLARITASTATE: CAZIP CODE:
91321
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/03/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:23 PM
MET WITH:Larisa Poghosyan, Licensee TIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On Tuesday, December 03, 2024, Licensing Program Analyst (LPA) Isabel Ortega conducted an announced pre licensing inspection for relocation. LPA met with Licensee who granted access and lead LPA on a tour of the facility including the back yard. At the time of arrival LPA did not observe any children in care.

This pre licensing inspection is to observe the pool plan of correction on the relocation inspection dated 11/05/2024 the underground pool did not meet Title 22 Regulations.

On 12/03/2024 LPA observed an installed 5 feet bark brown iron fence, with a self latching gate door (six inches from the top of the gate) enclosing the back yard and making the pool inaccessible to children. The bottom of the fence has large rocks, sand and bricks to ensure 2 inches from the bottom of the fence.

A Large Family Childcare Home license shall be granted effective 12/04/2024. Licensee has meet Title 22 regulations.

An exit interview was conducted, and a copy of this report, appeal and notice of site visit was provided to Licensee on this day. All Licensing reports are recommended to be kept on file for minimum three years.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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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