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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603515
Report Date: 01/19/2022
Date Signed: 01/19/2022 10:00:29 AM

Document Has Been Signed on 01/19/2022 10:00 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. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:TOUCHING HEARTS BOARDING CAREFACILITY NUMBER:
198603515
ADMINISTRATOR:MKRTCHYAN, MARGARITAFACILITY TYPE:
740
ADDRESS:1010 LINDEN AVETELEPHONE:
(424) 216-0864
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY: 6CENSUS: 0DATE:
01/19/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Maragrita MkrtchyanTIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent Pre-licensing visit for the purpose of checking the hot water temperature. LPA met with applicant, Margarita Mkrtchyan.

The initial Pre-licensing inspection was conducted on 1/11/22 along with the Component III orientation. During the visit today, LPA rechecked the hot water temperature for the bathroom and kitchen sink. The hot water temperature was measured at 113.5 in the bathroom that residents will use and 112.3 in the kitchen sink, which are within the required range of 105-120 degrees Fahrenheit.

The Pre-licensing deficiency has been resolved. LPA Chan will notify the Centralized Applications Bureau (CAB) Analyst of the completed Pre-Licensing inspection.

An exit interview was conducted. A copy of this report was provided to the licensee.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2022
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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