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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021683
Report Date: 03/05/2025
Date Signed: 03/05/2025 09:51:19 AM

Document Has Been Signed on 03/05/2025 09:51 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:HOVHANNISYAN FAMILY CHILD CAREFACILITY NUMBER:
198021683
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/05/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Lusine HovhannisyanTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA)Shushanik Safaryan conducted an announced follow up pre licensing visit to the above facility on 03/05/2025. Upon arrival , LPA met with Lusine Hovhannisyan, applicant who guided analyst on a tour of the facility.

During the visit , applicant updated facility sketch that was collected by LPA. Based on the updated sketch this is one story home that consists of 3 bedrooms , 2 bathrooms , living room , kitchen , laundry area , shed, back yard (fenced), detached garage and outdoor area next to the garage.

Applicant stated detached garage and outdoor area around it is under the same address . Per applicant, home does not have an access to the detached garage and outdoor area around it . Per applicant , entrance to the detached garage from W Dryden St. LPA observed fence around the backyard area separating detached garage from the property. LPA did not observe any doors leading to that area. Applicant stated it is used as a storage area by the landlord . Applicant stated she understands, in case of changes, Department needs to be notified.



Areas that are accessible to children are as follows: Living room , bedroom, bathroom in the hallway , backyard.
Areas off limits based on facility sketch submitted to children and parents include: Two bedrooms , bathroom in the master bedroom , kitchen , laundry area, shed , detached garage and area around it . During the inspection , LPA observed child safety gate placed to the side area of the yard to make it inaccessible to the children .During the visit , LPA collected rental agreement from the applicant.

Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.


The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.
Exit interview conducted and report was reviewed with the applicant, Lusine Hovhannisyan on 03/05/2025.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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