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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021102
Report Date: 02/05/2025
Date Signed: 02/05/2025 02:19:30 PM

Document Has Been Signed on 02/05/2025 02:19 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:KISHMISHYAN FAMILY CHILD CAREFACILITY NUMBER:
198021102
ADMINISTRATOR/
DIRECTOR:		ANAHIT KISHMISHYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 272-3041
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/05/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:08 PM
MET WITH:Anahit KIshmishyan TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 02/05/2025 , at 1:00 pm, Licensing Program Analyst(LPA) Shushanik Safaryan conducted an unannounced Case Management inspection to the above facility to ensure Type B deficiencies cited on 01/16/2025 have been cleared. Upon arrival, LPA met with Licensee`s two assistants . Licensee Anahit KIshmishyan came in later . Per licensee assistants , licensee was out to the store. Tour was provided . During the tour , LPA observed 7 napping children.

During the visit, LPA toured the facility , observed required 2A 10 BC fire extinguisher with the service date 01/07/2025. Next LPA observed licensee completed First Aid and CPR training certificate with an expiration date 01/2027.

During the visit, LPA cleared deficiency cited on 01/16/2025 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.

End of the report .
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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