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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603526
Report Date: 11/30/2024
Date Signed: 11/30/2024 02:10:07 PM

Document Has Been Signed on 11/30/2024 02:10 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:SUNNY GARDEN SENIOR CARE LLCFACILITY NUMBER:
198603526
ADMINISTRATOR/
DIRECTOR:		BARSEGHYAN, ARAMFACILITY TYPE:
740
ADDRESS:1019 RALEIGH STTELEPHONE:
(747) 270-7638
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY: 6CENSUS: DATE:
11/30/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Abeye Duguma arrived to the facility at around 1:30p.m. There is no doorbell on the property. LPA knocked on the door multiple times but to no avail. LPA made several attempts to reach the licensee by phone (747) 270-7638, no answer. LPA left business card at the door.

Nothing further at this time.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2024
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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