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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021161
Report Date: 02/23/2023
Date Signed: 02/23/2023 02:37:10 PM

Document Has Been Signed on 02/23/2023 02:37 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ATOIAN FAMILY CHILD CAREFACILITY NUMBER:
198021161
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/23/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Temine Atoian, ApplicantTIME COMPLETED:
03:00 PM
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PRELICENSING INSPECTION CONDUCTED IN ARMENIAN

Licensing Program Analyst (LPA) Anomeh Eivazian conducted an announced pre-licensing follow up inspection to the above facility on 02/23/2023. LPA arrived at the facility at 1:30 PM and met with Termine Atoian, Applicant who guided analyst on a tour of the facility.

The following corrections were observed during today's inspection:
1. Applicant submitted livescan fingerprint for Hovhannes Aghabekyan. Hovhannes Aghabekyan has criminal records clearance in Licensing Information System. (LIS).
2. Applicant opened the garage for LPA during this inspection. LPA observed garage is an storage and did not observe any hazards in the garage.
3. Applicant added railing to the kitchen stairs which leads to the backyard to make it safe for children.
4. Applicant added child safety gate to the stairs in the backyard which leads to the second floor neighbor's home.
5. Applicant cleaned the backyard. LPA did not observe any hazards in the backyard.
6. Applicant submitted a Facility Sketch Yard plan during this inspection.
7. Applicant has a working cellphone line that will stay in the home during daycare hours. The cellphone number is (747) 688-2143.

A small family child care license will be granted upon receipt of proof of corrections for the above. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.
The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.
Exit interview conducted and report was reviewed with the applicant, Temine Atoian at 3:00 p.m..
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2023
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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