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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020511
Report Date: 01/31/2025
Date Signed: 01/31/2025 02:14:09 PM

Document Has Been Signed on 01/31/2025 02:14 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:YAVERYAN FAMILY CHILD CAREFACILITY NUMBER:
198020511
ADMINISTRATOR/
DIRECTOR:
MARINE YAVERYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 668-7888
CITY:GLENDALESTATE: CAZIP CODE:
91206
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
01/31/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Marine Yaveryan TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 01/31/25 , at 1:00 pm , Licensing Program Analyst(LPA) Shushanik Safaryan conducted an unannounced POC (Plan of Correction) inspection to the above facility to ensure Type B deficiency cited on 01/152025 has been cleared. Upon arrival LPA met with Marine Yaveryan , licensee who guided analyst on a tour of the facility. Licensee`s assistant /Mother Narine Vardanyan was present too.

Upon arrival tour was provided .During the tour LPA observed 7 children preparing to nap.

During the tour LPA observed required fire extinguisher in the laundry room with the purchase date 01/15/2025.
Next LPA observed licensee`s mandated reporter training certificate with an expiration date 01/20/2027.

During the visit, LPA cleared deficiency cited on 01/15/2025 and provided a copy of the Licensing Report to Licensee and issued POC clearance letter.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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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