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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021049
Report Date: 08/30/2022
Date Signed: 08/30/2022 02:54:48 PM

Document Has Been Signed on 08/30/2022 02:54 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:LOPOYAN FAMILY CHILD CAREFACILITY NUMBER:
198021049
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:04 PM
MET WITH:Gayane Lopoyan, LicenseeTIME COMPLETED:
03:00 PM
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CASE-MANAGEMENT INSPECTION CONDUCTED IN ARMENIAN

Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case- management inspection to the above facility on 08/30/2022 due to licensee requesting to use the detached converted garage for limited activity only. LPA arrived at the facility at 2:04 PM and met with Gayane Lopoyan, Licensee who guided analyst on a tour of the facility. During this inspection no children were present in the home. Per Licensee, she has not enrolled any children in her daycare yet.

Fire clearance to use the detached converted garage for limited activity only was granted on 08/25/22.
LPA Eivazian informed licensee at 2:30 p.m., that detached converted garage can be only used for limited activity. Children can not eat or sleep inside the converted garage.

Per licensee, she will use the detached converted garage anytime between 9:00 AM to 12:00 PM and 2:00 PM to 6:00 PM. Per licensee, children either will eat outside or inside the home and children will sleep inside the main home. A written declaration obtained from licensee regarding her plan for use of detached converted garage.

LPA approved licensee to use the detached converted garage for limited activity only.
At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Gayane Lopoyan at 3:00 p.m..

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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