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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343626180
Report Date: 10/31/2024
Date Signed: 10/31/2024 09:38:52 AM

Document Has Been Signed on 10/31/2024 09:38 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:STEPANYAN, LILITFACILITY NUMBER:
343626180
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/31/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Lilit StepanyanTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On Thursday, October 31, 2024, Licensing Program Analysts (LPA) Amanda Sutter met with Applicant Lilit Stepanyan for the purpose of an announced pre-licensing inspection. Upon arrival, LPA observed that the home listed "3202 Rusticwood Way" was located to the right of 3204 Rusticwood Way. LPA did not observe the address on the building, and saw that it was behind a fence in the back corner of the lot for 3204. LPA asked Applicant who lived in 3204 and she stated that she lived there with her family, but that she would be moving to 3202 and her son would live in the other home. LPA reviewed proof of control of property provided by the Applicant and confirmed with applicant that both 3202 and 3204 are on the same parcel. Applicant stated that 3202 is an Additional Dwelling Unit (ADU) unit and that the proof of control of property is confirmation from the City of Rancho Cordova.

Based on information provided, LPA stated she was unable to complete the inspection at this time and that further review is needed. LPA requested confirmation of approval from a building inspector and a mortgage statement for 3202 Rusticwood Way. Applicant was provided a copy of this report.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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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