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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019668
Report Date: 03/12/2025
Date Signed: 03/12/2025 01:55:38 PM

Document Has Been Signed on 03/12/2025 01:55 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:AGHAVELYAN FAMILY CHILD CAREFACILITY NUMBER:
198019668
ADMINISTRATOR/
DIRECTOR:		NAIRA AGHAVELYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 241-5609
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/12/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Naira Aghavelyan TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 03/12/25, at 1:20 PM , Licensing Program Analyst(LPA) Shushanik Safaryan conducted an unannounced Case Management inspection to the above facility to ensure Type B deficiency cited on 01/31/2025 has been cleared. Upon arrival LPA met with Naira Aghavelyan , licensee who guided analyst on a tour of the facility. During this inspection, LPA observed 3 napping children . During the visit LPA toured the facility ,reviewed children files and observed missing immunization's obtained , observed required 2A10BC fire extinguisher in the kitchen with the purchase date 02/09/2025.

During the visit, LPA cleared deficiency cited on 01/31/2025 and provided a copy of the Licensing Report to Licensee and issued POC clearance letter.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
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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