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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610220
Report Date: 01/12/2022
Date Signed: 01/12/2022 12:47:50 PM

Document Has Been Signed on 01/12/2022 12:47 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:BE HAPPY, BE HOMEFACILITY NUMBER:
197610220
ADMINISTRATOR:STEPANYAN, LILITFACILITY TYPE:
740
ADDRESS:11035 MONOGRAM AVETELEPHONE:
(818) 400-1101
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 6CENSUS: 2DATE:
01/12/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Lilit Stepanyan/ AdministratorTIME 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
Licensing Program Analyst (LPA) Patrick Shanahan conducted an announced Pre-Licensing visit to this facility and met with administrator, Lilit Stepanyan. Visit and Component III were conducted on this date.

LPA Shanahan conducted an in person tour of the facility and utilized the RCFE Pre-licensing Inspection tool to review all eleven inspection domains. All smoke alarms and carbon monoxide detectors were tested and function properly. The fire extinguisher appeared new and functional. This home is technically an Accessory Dwelling Unit (ADU) and has 3 bedrooms and 2 bathrooms. No deficiencies or concerns were observed.


This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Patrick Shanahan
LICENSING EVALUATOR SIGNATURE: DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2022
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