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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015362
Report Date: 07/13/2023
Date Signed: 07/13/2023 09:16:44 AM

Document Has Been Signed on 07/13/2023 09:16 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:KIDS PLANET CHILD CARE CENTERFACILITY NUMBER:
198015362
ADMINISTRATOR:SYUZANNA KHUDOYANFACILITY TYPE:
850
ADDRESS:714 SOUTH GLENDALE AVENUETELEPHONE:
(818) 545-3787
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY: 70TOTAL ENROLLED CHILDREN: 46CENSUS: 22DATE:
07/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Syuzanna Khudoyan, DirectorTIME COMPLETED:
09:45 AM
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CASE MANAGEMENT INSPECTION CONDUCTED IN ARMENIAN

Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case management inspection to the above facility on 07/13/23 to amend the complaint report page 2, dated 03/01/23. LPA arrived at the facility at 8:40 AM and met with Syuzanna Khudoyan, director who guided analyst on a tour of the facility. During this inspection 22 children were present in the facility with eight staff.

A copy of the amended report was discussed and a copy of the amended report was provided to director, Syuzanna Khudoyan during this inspection.

No citations being issued today.

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 the director, Syuzanna Khudoyan at 9:45 a.m..
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2023
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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