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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021648
Report Date: 02/07/2025
Date Signed: 02/07/2025 10:00:18 AM

Document Has Been Signed on 02/07/2025 10:00 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:SHAHVERDYAN FAMILY CHILD CAREFACILITY NUMBER:
198021648
ADMINISTRATOR/
DIRECTOR:		SHAHVERDYAN, TAMARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 207-7709
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/07/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Tamar Shahverdyan, ApplicantTIME VISIT/
INSPECTION COMPLETED:
10:10 AM
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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 02/07/2025. LPA arrived at the facility at 8:40 AM and met with Tamar Shahverdyan, Applicant who guided analyst on a tour of the facility. Pre-licensing Entrance Checklist (LIC9280) was provided to applicant, Tamar Shahverdyan. During this inspection individuals who reside in the home were discussed and notes on Confidential Name List (LIC811) and attached to this report. Per applicant operation hours will be Monday to Friday, 7:30 a.m. to 9:00 p.m.. Applicant states she will care for children 0-13 years old.

Applicant previously was license at 637 Hawthorne Street, Glendale, CA 91204 with facility number 198019889. Fire Clearance for Large Family Child Care was granted on 01/21/25.

All areas identified on the facility sketch were inspected. This is a one story home located on the home level. The home consists of 3 bedrooms, 2 restrooms, living room, dining room, kitchen, garage, attached backhouse which consists of a room, kitchen and bathroom, front yard and backyard (fenced). Per applicant parents enter the home through main entrance which leads to the living room. Per licensee, she will also use the side gate.

Areas that are accessible to children are as follows: Living room, one bedroom adjacent to the living room, bathroom in the bedroom, and backyard (fenced).

Areas off limits based on facility sketch submitted to children and parents include: Dining room, kitchen, two bedrooms, one bathroom in the hallway, garage, attached back house 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: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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 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: SHAHVERDYAN FAMILY CHILD CARE
FACILITY NUMBER: 198021648
VISIT DATE: 02/07/2025
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At 9:00 am, the applicant began touring LPA’s through the home starting with the entry way which lead directly to the living room. The living room was inspected and electrical outlets were observed to be covered. There is a fireplace in the living room which has been blocked off to prevent access. LPA observed children toys, tables and chairs in the living room. LPA observed a child safety gate was installed in the living room to make the dining room and off-limit areas inaccessible to the children. Next LPA toured the master bedroom, and observed children tables, chairs and toys in the bedroom. Next LPA toured the daycare bathroom in the master bedroom and did not observe any hazards. Next LPA toured the off-limit dining room and observed sofas and a coffee table in the dining room. Next LPA toured the off-limit two bedrooms and one bathroom in the hallway and did not observe any hazards. LPA observed applicant's family members personal belongings in the home. Next LPA toured the kitchen and observed child proof safety latches on the cabinets where applicant stores sharp items and cleaning compounds. There is a door in the kitchen which leads to the backyard. Per applicant, children will walk through the dining room and kitchen to go to the backyard. LPA observed the required 2A 10BC fire extinguisher was anchored to the wall in a closet in the daycare bedroom closet. It was serviced on 08/14/24 as read by LPA from the service tag. Applicant tested the carbon monoxide and smoke detectors in the living room. It sounded off the alarms and heard by LPA to be functional. Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children.

Next LPA toured the backyard fenced. Per applicant, children will use the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard. Applicant added two railings to the outdoor stairs which leads to the kitchen. The applicant states that supervision is always provided. Next LPA toured the off-limit garage and did not observe any hazards. Next LPA toured the off-limit attached backhouse, that is currently occupied by a tenant, backhouse is consists of a room, one bathroom and kitchen and LPA observed tenants belongings in the backhouse.

Applicant submitted an updated facility and Family Child Care Home application, LIC 279.
Applicant is registered for Preventative Health and Safety for 02/08/25.

Exit interview conducted and report was reviewed with the applicant, Tamar Shahverdyan.

REPORT END 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
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