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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624016
Report Date: 05/14/2024
Date Signed: 05/14/2024 12:42:48 PM

Document Has Been Signed on 05/14/2024 12:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TAMOYAN, LUSINEFACILITY NUMBER:
343624016
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
05/14/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Lusine TamoyanTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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
On Tuesday, May 14, 2024, Licensing Program Analyst (LPA) Amanda Sutter met with Licensee Lusine Tamoyan for the purpose of a Capacity Increase from 8 to 14 children. The Fire Safety Inspection Clearance has been received from the Sacramento Metro Fire Department on May 2, 2024, and the home has been cleared for up to 14 children. Licensee's adult daughter was also present. All individuals subject to criminal background review have obtained a criminal record clearance. Upon arrival, LPA observed licensee supervising four children.

A health and safety evaluation was conducted in all areas accessible to children. The home is two stories. Off-limit areas include: entire upstairs and garage. Licensees acknowledged that children may never enter these off-limit areas. LPA observed a current fire drill log. The last fire drill was conducted 4/25/2024.

Large family child care home capacity limitations were reviewed during today's visit. Licensees acknowledges that when there is no assistant present, facility will revert back to the small capacity. Licensees acknowledges that children residing in the home under the age of 10 years shall be included in capacity.

A notice of site visit was given and must remain posted for 30 days. Based on the inspection, no citations have been issued. Exit interview conducted and report was reviewed with the Licensee Lusine Tamoyan.

Effective today, May 14, 2024, LPA will approve the capacity increase to serve up to either 14 children, two (2) of which must be at least 6 years of age and no more than three (3) may be infants; or 12 children, four (4) of which may be infants. Infants are children under the age of 2.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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 1