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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017743
Report Date: 04/13/2023
Date Signed: 04/13/2023 03:03:06 PM

Document Has Been Signed on 04/13/2023 03:03 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KUPELIAN FAMILY DAY CAREFACILITY NUMBER:
198017743
ADMINISTRATOR:VIRGINIE KUPELIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 913-2797
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
04/13/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Licensee, Virginie KupelianTIME COMPLETED:
03:15 PM
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
Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced plan of correction visit to the above facility to ensure that the deficiencies cited on 03/22/2023 have been corrected. LPA met with Virginie Kupelian Licensee, who guided analyst on a tour of the facility. Upon LPA’s arrival there were four (4) children present with one (1) being an infant.

The following was observed:
  • Sleep logs were observed to be documented and kept in child #1's file.
  • Identification and emergency cards were completed and available for review and kept in child #1, #2, #3 and #4’s file.
  • The LIC995A Family Child Care Notification of Parent’s rights forms were observed in child #1, #2, #3 and #4’s file.
  • File review of child’s #1 file; An Individual Infant Sleeping Plan LIC 9227 for child #1 was observed completed by parent and licensee.
  • File review of Licensee’s file; the mandated reporter training AB1207 certificate of completion was observed to be completed on 03/24/2023.

Based on LPA's observation and information obtained during this inspection, the Type B deficiencies issued on 03/22/23 have been cleared. A Letter of Deficiency Citations Cleared was provided to the licensee during this inspection.

At this time, the facility is in compliance. Therefore, no deficiencies are being cited on this date.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Virginie Kupelian.
Report ends here page 1 of 1.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/13/2023
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