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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191225746
Report Date: 12/13/2019
Date Signed: 12/16/2019 08:46:45 AM

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:HOLY MARTYRS ARMENIAN PRESCHOOL.FACILITY NUMBER:
191225746
ADMINISTRATOR:VEHANOUSH GABRIELIANFACILITY TYPE:
850
ADDRESS:16617 PARTHENIA STREETTELEPHONE:
(818) 892-9540
CITY:SEPULVEDASTATE: CAZIP CODE:
91343
CAPACITY:177CENSUS: 125DATE:
12/13/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Madeleine Aslanian/Program CoordinatorTIME COMPLETED:
02:00 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), Silva Garibyan conducted this visit for the purpose of following up on an Unusual Incident that was reported to the Department of one child being diagnosed with Hand , Foot and Mouth Syndrome and one child being diagnosed with pertussis.
In addition to the Licensing Department, the Health Department was contacted. The licensee was given verbal instructions by the health department regarding to cleaning and disinfecting the toys, tables, chairs, floors, stuff animals, etc.
LPA also obtained copy of the memos provided to parents by the facility. All parents of the school have been notified that their children have been exposed to HFM and Pertussis. Additionally, they have been provided with a link about the disease and what symptoms to look for. All toys, benches, floors and furniture had been cleaned with bleach and water. The children’s files contain a doctor’s release.
This matter does not appear to require any additional investigation at this time.
A copy of this report was explained and issued to the licensee.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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