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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021487
Report Date: 05/31/2024
Date Signed: 05/31/2024 11:19:14 AM

Document Has Been Signed on 05/31/2024 11:19 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:HOVHANNISYAN FAMILY CHILD CAREFACILITY NUMBER:
198021487
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/31/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:Zinaida Hovhannisyan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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CASE-MANAGEMENT INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case- management inspection to the above facility on 05/31/2024 due to licensee is requesting to use the detached converted garage for limited activity space. LPA arrived at the facility at 10:40 AM and met with Zinaida Hovhannisyan, Licensee who guided analyst on a tour of the facility. During this inspection Robert Grigoryan, licensee’s husband was also present in the home. Per licensee operation hours will be Monday to Saturday, 7:00 a.m. to 11:00 p.m.. Applicant states she will care for children 0-13 years old.

Fire clearance to use the detached converted garage for limited activity only was granted on 05/23/24.

All areas identified on the facility sketch were inspected. This is a one-story home located on the first level. The home consists of 3 bedrooms, 2 restrooms, living room, dining room, kitchen, detached converted garage which consists of two rooms and one-bathroom, front yard and backyard (fenced). Per licensee, parents enter the home through the driveway gate which leads to the backyard and one daycare room. Per licensee, parent also enter the home through the main entrance which leads to the living room.

Areas that are accessible to children are as follows: Bathroom in the hallway, one bedroom adjacent to the kitchen, living room, dining room, backyard (fenced), and detached converted garage for limited activity only.
Areas off limits based on facility sketch submitted to children and parents include: Two bedrooms, one bathroom in the master bedroom, and front yard.
**Rooms that are off-limits need to be made inaccessible during operating hours**

REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: HOVHANNISYAN FAMILY CHILD CARE
FACILITY NUMBER: 198021487
VISIT DATE: 05/31/2024
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Per licensee, she will use the detached converted garage for limited activity only. Per licensee, children will use the detached converted garage from 9:00 AM to 12:00 PM and from 3:00 PM to 5:00 PM. Per licensee, children either eat outside in the backyard or in the kitchen and sleep in the main home in the daycare bedroom. -----------------------Licensee’s initial.

LPA informed licensee, that detached converted garage can only be used for limited activity only. LPA informed licensee that children can not eat or sleep in the detached garage.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today from the areas that were inspected today.



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.

Exit interview conducted and report was reviewed with the Licensee, Zinaida Hovhanisyan.


REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC809 (FAS) - (06/04)
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