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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020796
Report Date: 09/09/2021
Date Signed: 09/09/2021 02:40:02 PM

Document Has Been Signed on 09/09/2021 02:40 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:FAZILIAN FAMILY CHILD CAREFACILITY NUMBER:
198020796
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/09/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Tamar A. Fazilian, ApplicantTIME COMPLETED:
03:00 PM
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PRELICENSING INSPECTION CONDUCTED IN ARMENIAN
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an announced pre-licensing follow up inspection to the above facility on 09/09/2021 due to submission of an updated City of Glendale permit for converted garage which is under this address. LPA arrived at the facility at 12:50 PM and met with Tamar Fazilian, Applicant who guided analyst on a tour of the facility.

All areas identified on the facility sketch were inspected. This is a two story home. The home consists of 5 bedrooms, 2 & 1/2 restrooms, living room, dining room, breakfast area, kitchen, front yard, backyard (fenced). There is a converted attached garage to additional room to the house that is connected to the main home from inside and it consists of one room (daycare area) with it's own entrance. Attached converted garage is permitted by City of Glenadle and it is under this address. A copy of permit on file. There is a fireplace in the living room which has been blocked off to prevent access to children.

Areas that are accessible to children are as follows: Bathroom in the hallway of kitchen and converted attached garage to additional room (daycare area) and backyard (fenced).

Areas off limits based on facility sketch submitted to children and parents include: Entire main home which consists of kitchen, living room, dining room, breakfast area, 5 bedrooms , two bathrooms, front yard, and off-limit area in the backyard.
**Rooms that are off-limits need to be made inaccessible during operating hours**

At 1:10 p.m., the applicant began touring LPA’s through the home starting with the entry way which lead directly to the living room. Per applicant children will not have the access to the main home which consists of living room, dining room, breakfast area, kitchen, three bedrooms in the first floor, 1 bathroom in the first floor, two bedrooms and one bathroom in the second floor.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAZILIAN FAMILY CHILD CARE
FACILITY NUMBER: 198020796
VISIT DATE: 09/09/2021
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LPA observed a gate was installed by the kitchen and a gate was installed in the hallway of kitchen which leads to the living room to prevent access to the rest of the home. LPA observed applicant's family members personal belongings in the home. Next LPA toured the half bathroom in the first floor adjacent to the kitchen and did not observe any hazards. Next LPA toured the permitted converted garage to additional room (daycare area) and observed children toys, a TV, children table and chairs in the additional room. LPA observed converted garage to additional room is connected to the main home. Per applicant parents will use the entrance door which leads to the additional room (daycare area). Next LPA walked through the hallway of the home and went to the backyard (fenced) and observed children toys and playhouse in the backyard. LPA observed off-limit areas in the backyard was separated by children safety gates.

The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.



Exit interview was conducted with Applicant, Tamar A, Fazilian at 3:00 p.m.. Appeal rights explained & provided. A copy of this report and all other Licensing reports must be made available to the public for 3 years.
REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
LIC809 (FAS) - (06/04)
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