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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019042
Report Date: 10/24/2023
Date Signed: 10/24/2023 02:00:10 PM

Document Has Been Signed on 10/24/2023 02:00 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:VOSKANYAN FAMILY CHILD CAREFACILITY NUMBER:
198019042
ADMINISTRATOR:KRISTINA VOSKANYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 216-0786
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
10/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Kristina Voskanay, LicenseeTIME COMPLETED:
02:10 PM
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PLAN OF CORRECTION VISIT WAS CONDUCTED IN ARMENIAN

Licensing Program Analyst Anomeh Eivazian conducted an unannounced POC (Plan of Correction) inspection to the above facility on 10/24/23 to ensure Type B deficiency cited on 09/01/23 has been cleared. LPA arrived at 1:10 PM and met with Kristina Voskanayn, Licensee who guided analyst on a tour of the facility. During this inspection there were 11 children were present in the home, one being an infant with licensee and her assistant. LPA observed children were napping in the living room. The following has been observed:

During this inspection licensee's both assistants, Adrine Mirzayants and Elinar Davtian have proof of immunization against pertussis (TDAP) on file.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA advised the licensee how to access forms, regulations and quarterly updated on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date and provided a copy of the Licensing Report to Licensee and issued POC clearance letter.

Exit interview conducted and report was reviewed with the Licensee, Kristina Voskanyan at a.m..2:10 PM.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023
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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