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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610223
Report Date: 12/30/2024
Date Signed: 12/30/2024 11:08:05 AM

Document Has Been Signed on 12/30/2024 11:08 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:NVM COMFORT HOMESFACILITY NUMBER:
197610223
ADMINISTRATOR/
DIRECTOR:		AGARONYAN, RIMAFACILITY TYPE:
740
ADDRESS:16473 MCKEEVER STTELEPHONE:
(818) 300-8393
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 6CENSUS: 4DATE:
12/30/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:23 AM
MET WITH:AGARONYAN, RIMA- administratorTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced collateral visit in reference to complaint control #31-AS-20241025111603, regarding another licensed facility. Upon arrival LPA met with staff Satenic Kilajian. LPA explained the purpose of the visit. An entrance interview was conducted.

At 10:30 AM LPA conducted a physical plant tour of the facility with the assistance of staff. At 10:45 AM. LPA Ngo-Castaneda reviewed and obtained copies of records relevant to the investigation. At 10:55 AM Licensee arrived Rima Agaronyan and explained the reason of the visit. LPA conducted an interview with R1 and S1.

Copy of LIC 809 provided, exit interview conducted.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE: DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/30/2024
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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