<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495067
Report Date: 06/08/2022
Date Signed: 06/08/2022 08:11:32 AM

Document Has Been Signed on 06/08/2022 08:11 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ALAVERDYAN FAMILY CHILD CAEFACILITY NUMBER:
197495067
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Seline Alaverdyan, LicenseeTIME COMPLETED:
08:20 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 6/08/2022 at 7:00 am, Licensing Program Analyst (LPA) Silva Garibyan conducted an announced inspection with Seline Alaverdyan for the purpose of an increase of capacity inspection for 1056 E. Orange Grove Ave., Burbank CA 91501. The purpose of this increase of capacity visit is to ensure the standards for a Family Child Care Home are being met in accordance to California Tittle 22 Regulations and California Health and Safety Codes. There was one preschool child present at the time of the visit. Currently the licensee is licensed for a small FCCH with a maximum capacity of 8 children. Licensee was previously licensed as a small Family Child Care Home under facility # 198020690. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Per the licensee there has been no noted changes to the home or occupants since her last visit (Pre-licensing/change of location conducted on 3/01/22.), the facility remains in substantial compliance at this time. A fire clearance was approved by Burbank Fire Prevention Bureau on 5/17/2022.

Capacity and Ratios: The licensee has applied for a capacity increase for a large family . The Maximum capacity is 12 with no more than 4 infants and a qualified assistant. Without a qualified assistant the license reverts back to the requirements for a small family childcare. Optional care may be provided for a maximum capacity of 14 children with no more then 3 infants, 2 school age children and a qualified assistant. School age children must be 1 age 6 yrs and 1 in Kindergarten.



No deficiencies were cited. Facility is in substantial compliance at the time of the visit.

Exit interview was conducted and a copy of the report was provided
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2022
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 1