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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018582
Report Date: 05/09/2022
Date Signed: 05/09/2022 01:57:43 PM

Document Has Been Signed on 05/09/2022 01:57 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:YERANYAN FAMILY CHILD CAREFACILITY NUMBER:
198018582
ADMINISTRATOR:YERANYAN, SRBUHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 423-9766
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
05/09/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:26 PM
MET WITH:Srbuhi Yeranyan, LicenseeTIME COMPLETED:
01:57 PM
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On May 9, 2022 a Case Management Legal/Non- Compliance Inspection was conducted by Scott Herring, Regional Manager, Mariela Ramon, Licensing Program Manager, and Liana Stepanyan, Licensing Program Analyst for the purpose of serving a Temporary Suspension Order (TSO) to the Licensee Srbuhi Yeranyan. Upon arrival, there were 3 children present during this inspection.

The Licensee Srbuhi Yeranyan was served with the following documents during today’s inspection:

1. Temporary Suspension Order (TSO)


2. Statement to Respondent
3. Government Code Statutes
4. Summary of Instructions for Licensee
5. Summary of Charges
6. Accusation
7. Request for Discovery
8. Notice of Defense

The licensee was advised that she must inform all parents concerning the TSO by providing parents with 14 Parent Packets that were provided to the Licensee during the inspection.

Licensee was advised that she has fifteen (15) calendar days to respond to the TSO by mailing the Notice of Defense included in the TSO Packet. The Notice of the TSO was posted, and the licensee was advised not to remove the sign pending the outcome of the Administrative Action. Licensee was advised that removal of the sign and/or continued operation after today’s date may result in assessment of civil penalties.

Licensee acknowledged she understands the aforementioned.

An exit interview was conducted, and a copy of this report was provided to the licensee.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2022
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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