<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021161
Report Date: 05/20/2024
Date Signed: 05/20/2024 08:59:07 AM

Document Has Been Signed on 05/20/2024 08:59 AM - 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/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
05/20/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Temine Atoian, LicenseeTIME VISIT/
INSPECTION COMPLETED:
09:20 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PLAN OF CORRECTION INSPECTION WAS CONDUCTED IN ARMENIAN
Licensing Program Analyst Anomeh Eivazian conducted an unannounced POC (Plan of Correction) inspection to the above facility on 05/20/24 to ensure Type B deficiency cited on 05/13/24 has been cleared. LPA arrived at 8:30 AM and met with Temine Atoian, licensee who guided analyst on a tour of the facility. During this inspection children were not present in the home. The following has been observed:

· The emergency disaster plan was observed to be posted on the wall by the main entrance.
· During this inspection LPA observed licensee's family members personal belongings in the home.

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.

LPA advised the licensee how to access forms, regulations and quarterly updated on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date and provided a copy of the Licensing Report to Licensee, and issued POC clearance letter.

Exit interview conducted and report was reviewed with the Licensee, Temine Atoian.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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 1