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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197610676
Report Date:
02/27/2025
Date Signed:
02/27/2025 04:14:26 PM
Document Has Been Signed on
02/27/2025 04:14 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
WOODLAND HILLS S.ASC
,
21731 VENTURA BLVD., STE. 250
WOODLAND HILLS
,
CA
91364
FACILITY NAME:
AFFORDABLE BOARDING CARE
FACILITY NUMBER:
197610676
ADMINISTRATOR/
DIRECTOR:
GALSTYAN, SONA
FACILITY TYPE:
740
ADDRESS:
733 CELTIC DR
TELEPHONE:
(626) 310-3333
CITY:
PALMDALE
STATE:
CA
ZIP CODE:
93551
CAPACITY:
6
CENSUS:
2
DATE:
02/27/2025
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:
Sona Galstyan
TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregiver. The caregiver confirmed there are two residents. The Administrator Sona Galstyan arrived at 2:25 pm. LPA Spaeth stated the purpose of the visit was to tour the facility and review residents' files.
LPA reviewed the residents' files at 2:30 pm until 2:50 pm. LPA Spaeth and the Administrator toured the facility at 3:30 pm until 3:35 pm. LPA observed the facility was neat and clean.
There are no deficiencies to report at this time. Exit interview conducted and a copy of the report was given.
SUPERVISORS NAME
:
Troy Agard
LICENSING EVALUATOR NAME
:
Melissa Spaeth
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/27/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/27/2025
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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