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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021655
Report Date: 03/04/2025
Date Signed: 03/04/2025 09:56:54 AM

Document Has Been Signed on 03/04/2025 09:56 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KHACHATRYAN FAMILY CHILD CAREFACILITY NUMBER:
198021655
ADMINISTRATOR/
DIRECTOR:		KHACHATRYAN, PARANDZEMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 245-0034
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
03/04/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Parandzem KhachatryanTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced case management inspection to the above facility on 03/04/2025. Upon arrival , at 09:00 am LPA met with Parandzem Khachatyan, applicant who guided analyst on a tour of the facility. During the tour , LPA observed 4 children with licensee’s assistant Gayane Gevorgyan.

During the inspection , applicant`s daughters Meri Avagyan was present too.

Per licensee, she will use the backyard for outdoor playtime on a staggered schedule with Avagian Family Childcare Home provider. Per licensee, children will never commingle together indoor or outdoor with Avagian Family Child Care Home provider.

Per licensee, she will use the outdoor playground from 9:50 AM to 10:40 AM and 4:00 PM to 5:00 PM and Avagian Family Child Care provider will use the outdoor play area from 10:50 AM to 11:30 AM and 3 PM to 3:50 PM. A written declaration obtained from licensee.

LPA Safaryan explained to licensee that she is required to operate separately from other providers regardless of family relationships.

Exit interview conducted and report was reviewed with the applicant, Parandzem Khachatryan on 03/04/2025.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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