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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008369
Report Date: 07/26/2024
Date Signed: 07/26/2024 09:20:45 AM

Document Has Been Signed on 07/26/2024 09:20 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ARMENIAN MESROBIAN PRESCHOOLFACILITY NUMBER:
198008369
ADMINISTRATOR/
DIRECTOR:		VARDAPETYAN, ANGINFACILITY TYPE:
850
ADDRESS:8420 BEVERLY ROADTELEPHONE:
(562) 699-2057
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY: 50TOTAL ENROLLED CHILDREN: 26CENSUS: 3DATE:
07/26/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Angin Vardapetyan, Director TIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced poc (plan of correction) inspection to insured that the Type A and Type B deficiencies cited on 7/19/2024 have been cleared. LPA met with Angin Vardapetyan, Director who guided analysts on a tour of the facility. There were 3 children present during this inspection. The following was observed:

- All hazardous items were made inaccessible in areas for children- written plan and pictures were obtained.

- The LIC 9224 acknowledgment form was available in files review

- Current mandated reporter training certificate was on file for Staff 1-3

Per director, they have scheduled CPR training- CPR training pending POC due date of 8/19/2024.

LPA’s advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA’s cleared deficiency on this date- LPA’s issued POC clearance letter during the visit.

During this inspection, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director Angin Vardapetyan.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2024
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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