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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021605
Report Date: 01/06/2025
Date Signed: 01/06/2025 09:28:29 AM

Document Has Been Signed on 01/06/2025 09:28 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:SAFARYAN FAMILY CHILD CAREFACILITY NUMBER:
198021605
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/06/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Andranik Safaryan, ApplicantTIME VISIT/
INSPECTION COMPLETED:
09:50 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
PRELICENSING INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an announced pre-licensing follow up inspection to the above facility on 01/06/2025. LPA arrived at the facility at 8:30 AM and met with Andranik Safaryan, Applicant who guided analyst on a tour of the facility. During this inspection Alvard Aghajanyan, applicant's mother was present in the home. Per applicant operation hours will be Monday to Friday, 7:30 a.m. to 5:30 p.m.. Applicant states he will care for children 1-12 years old.

All areas identified on the facility sketch were inspected. This is a townhouse located on the first level. The home consists of 3 bedrooms, 2 & 1/2 restrooms, living room, kitchen, two balconies, attached converted garage, and backyard (fenced). Per applicant, parents will enter the home through the main entrance which leads to the living room or side gate which leads to the backyard.

Areas that are accessible to children are as follows: Half bathroom in the first floor, living room and backyard (fenced).
Areas off limits based on facility sketch submitted to children and parents include: Kitchen, entire second floor which consists of three bedrooms, two bathrooms, two balconies, and attached converted garage.
**Rooms that are off-limits need to be made inaccessible during operating hours**
During this inspection LPA observed children tables, chairs and toys in the living room.
LPA informed applicant that garage is off-limit area and children can not have access to the garage at this time.
The following corrections were observed during this inspection:
1. Applicant will submitted a written declaration that he resides at this address, does not have other resident and will be present in the home %80 of the time.
2. LPA observed First Aid kit in the home in the closet in the living room.
3. Applicant has a working telephone services in the home via cellphone that will stay in the home during daycare hours.
Exit interview conducted and report was reviewed with the applicant, Andranik Safaryan.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2025
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