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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700744
Report Date: 11/08/2023
Date Signed: 11/08/2023 01:15:11 PM

Document Has Been Signed on 11/08/2023 01:15 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MARTIROSYAN FAMILY CHILD CAREFACILITY NUMBER:
197700744
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
11/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Applicant Arpi MartirosyanTIME COMPLETED:
01:45 PM
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On 11/08/2023 Licensing Program Analyst (LPA) Andrew Alemoh, met with applicant, Arpi Martirosyan who guided analyst on a tour of the facility for the pre-licensing case management inspection pool inspection. Upon arrival LPA observed 0 children in care. The purpose of the visit was to inspect the corrections that needed to be made for the bodies of water.

LPA observed the swimming pool gate columns on the left and right side to be completed enclosed by a mesh fence. The 8 inch as well as the 15 inch gaps have been closed and made inaccessible by the mesh fence which is connected to a 6ft mesh fence that runs all the way down to the concrete on which it sits, leaving no room between the bottom of the fence and the concrete. The mesh fence that is connected to the iron pool gate now measures 6 ft in height. LPA observed the mesh fence to be sturdy and allows for visibility of the body of water

LPA observed the pool gate to have a spring on the bottom of the gate, making the pool gate to be able to self close and self latch.

An exit interview was conducted and copy of this report was provided to the applicant.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2023
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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