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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197609677
Report Date: 03/21/2022
Date Signed: 03/21/2022 10:21:40 AM

Document Has Been Signed on 03/21/2022 10:21 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ABLE & AVAILABLE HOME CAREFACILITY NUMBER:
197609677
ADMINISTRATOR:BOYADZHYAN, ARMEN MFACILITY TYPE:
740
ADDRESS:17626 TULSA STTELEPHONE:
(818) 318-4040
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 6CENSUS: 6DATE:
03/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marine Gazdzhyan/ AdministratorTIME COMPLETED:
10:40 AM
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
Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility and was greeted by facility staff. The LPA's temperature was taken and covid-19 questions were asked before the LPA was allowed entry. The administrator was called and arrived a short while later.

LPA was able to briefly tour the physical plant of the home and no health and safety concerns were observed. All residents have private rooms and they all appeared clean and sanitary.

The infection control portion of the annual CARE tool was completed and no deficiencies were observed

Exit interview conducted and report issued
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Patrick Shanahan
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2022
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