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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625762
Report Date: 05/29/2024
Date Signed: 05/29/2024 01:17:43 PM

Document Has Been Signed on 05/29/2024 01:17 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:VARDANYAN, NARINEFACILITY NUMBER:
343625762
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
05/29/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Narine VardanyanTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analysts Erwina Pascual-Golamco and Jennifer Velasco (LPA) met with Applicant Narine Vardanyan for a follow up pre-licensing inspection. Adult relative was present for interpretation. Based on prior inspection dated 05/21/24, the following requirements were:

-Install pool fencing that is at least 5 feet high and no window access from the kitchen and
bathroom 1 and sliding door access from Bedroom 1.
-Posting requirements.
-Licensing Program Manager's final file review.

On 05/29/24, LPA observed correction has been made on additional pool fencing that is at least 5 feet high and no window access from the kitchen and bathroom 1 and sliding door access from
Bedroom 1.

The following items are required before a license will be issued:
  1. Bottom of the fence must be no more than 2" from soft surface.
  2. Where pool fencing connects to exterior fencing, the gap must not exceed 4"
  3. Posting requirements must be met.
  4. Licensing Program Manager's final file review must be completed.
At the time that LPA receive documentation that the above items are completed, LPA will conduct another follow up inspection of the pool and fencing, and this small family childcare home will be licensed.

Exit interview conducted and report was reviewed with Applicant, Narine Vardanyan.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
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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