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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608325
Report Date: 01/17/2024
Date Signed: 01/17/2024 02:45:31 PM

Document Has Been Signed on 01/17/2024 02:45 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
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ZANN DAILY CAREFACILITY NUMBER:
197608325
ADMINISTRATOR:ANN SOLAKYANFACILITY TYPE:
740
ADDRESS:11500 BAIRD AVENUETELEPHONE:
(818) 635-9471
CITY:NORTHRIDGESTATE: CAZIP CODE:
91326
CAPACITY: 6CENSUS: 5DATE:
01/17/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ann SolyanTIME COMPLETED:
03:00 PM
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On 1/17/24 RM Angela Kendrick , LPM Eva Miller and LPA Mariana Agban conducted Informal Meeting with Administrator Ann Solyan and consultant Hripsime "Ripa" Tavitian regarding complaint 31-AS-20190723103029. The Administrator was provided an opportunity to review the Facility File.

Administrator described the series of events that occurred during and immediately after the investigation. RM requested of the original documents to be forwarded to CCL for subsequent review. Administrator advised that she would attempt to locate the documents and would forward if possible.

Copy of LIC 808 provided, exit interview conducted.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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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