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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191800796
Report Date: 02/27/2023
Date Signed: 02/27/2023 02:38:48 PM


Document Has Been Signed on 02/27/2023 02:38 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:GLENFELIZ BOULEVARD EARLY EDUCATION CENTERFACILITY NUMBER:
191800796
ADMINISTRATOR:GOAR GEGEYANFACILITY TYPE:
850
ADDRESS:3745 DOVER PL.TELEPHONE:
(323) 665-4165
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:116CENSUS: 49DATE:
02/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Goar Gegeyan, PrincipalTIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA) Mireya García conducted an unannounced Case Management inspection due to an incident that was reported to the Department on February 09, 2023. LPA met with Office Manager Maria Mendoza who guided LPA on a tour of the facility. Principal, Goar Gegeyan later arrived during this inspection. Census was taken.

On February 09, 2023, an incident was self reported to the Department via telephone by the facility who reported a parent alleges that child's personal rights were violated while in care.

The purpose of the inspection was to obtain additional information regarding the allegation reported to the Department. During the inspection, LPA conducted interviews with Principal, four (4) staff and four (4) day care children. LPA was unable to complete interviews on this date. Due to insufficient information available at this time, a follow up visit will be required at a later 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, Goar Gegeyan. END OF REPORT: PAGE 1 OF 1.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2023
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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