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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700690
Report Date: 12/06/2024
Date Signed: 12/06/2024 12:28:03 PM

Document Has Been Signed on 12/06/2024 12:28 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MANUKYAN FAMILY CHILD CAREFACILITY NUMBER:
197700690
ADMINISTRATOR/
DIRECTOR:
NAIRA MANUKYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 272-2936
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
12/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:59 AM
MET WITH:Naira Manukyan, Licensee TIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 12/06/2024, Licensing Program Analyst (LPA) Justeene Tamayo conducted a Case Management- Plan of Correction (POC) in person inspection at the above facility to verify there are no uncleared adults at the facility. Upon arrival LPA was greeted by licensee, Naira Manukyan.

During today's inspection LPA observed 3 preschool children in care. LPA did not observe uncleared adults at the facility today. Plan of Correction for the Type A deficiency cited on 11/27/2024 has been cleared. Plan of Correction letter was provided to the licensee.

The licensee was informed the presence of any adults in the home without Criminal Record Clearance or Exemption and not associated to facility will be cited and civil penalty assessed for $100 per day.

No deficiencies have been cited at this time.

An exit interview was conducted, a copy of this Report, Appeal Rights, and Notice of Site Visit were provided to licensee Naira Manukyan.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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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